Common use of BASIS FOR REIMBURSEMENT Clause in Contracts

BASIS FOR REIMBURSEMENT. As compensation to CONTRACTOR for services provided pursuant to the Agreement, COUNTY shall pay CONTRACTOR monthly in arrears at the State Mandated NTP DMC ODS rates of reimbursement, as listed below, or as amended by State mandate: Service Unit of Service Fee Determination Regular DMC Rate per unit Perinatal DMC Rate per unit Physician Consultation 15 minute increments County Determined $89.30 $89.30 NTP – Buprenorphine - Mono Daily State Mandated $30.02 $35.20 NTP – Buprenorphine - Naloxone Combination Daily State Mandated $30.81 $35.98 NTP - Disulfiram Daily State Mandated $10.88 $11.05 NTP – Naloxone: 2-pack Dispensed according to need State Mandated $144.66 $144.66 NTP - Methadone Daily State Mandated $14.65 $15.78 NTP – Individual Counseling 10 minute increments State Mandated $17.18 $24.60 NTP – Individual Group 10 minute increments State Mandated $4.06 $8.22 Service Unit of Service Fee Determination Regular DMC Rate per unit Perinatal DMC Rate per unit NTP – Individual Counseling 10 minute increments State Mandated $17.18 $24.60 NTP – Individual Group 10 minute increments State Mandated $4.06 $8.22 MAT will be reimbursed for onsite administration and dispensing at NTP programs; additionally, physicians and licensed prescribers in DMC programs will be reimbursed for the ordering, prescribing, administering, and monitoring of MAT as per DMC-ODS Waiver STC’s. However, the total of monthly payments to CONTRACTOR shall not exceed COUNTY’s Amount Not To Exceed set forth in the Referenced Contract Provisions of the Agreement and provided further, that CONTRACTOR’s costs are allowable pursuant to applicable COUNTY, federal and state regulations. Non-compliance will require the completion of a CAPby CONTRACTOR. If CAPs are not completed within timeframes approved by ADMINISTRATOR, payments may be reduced accordingly.”MAT will be reimbursed for onsite administration and dispensing at NTP programs; additionally, physicians and licensed prescribers in DMC programs will be reimbursed for the ordering, prescribing, administering, and monitoring of MAT as per DMC-ODS Waiver STC’s. However, the total of monthly payments to CONTRACTOR shall not exceed COUNTY’s Maximum Obligation set forth in the Referenced Contract Provisions of the Agreement and provided further, that CONTRACTOR’s costs are allowable pursuant to applicable COUNTY, federal and state regulations. Non-compliance will require the completion of a CAP by CONTRACTOR. If CAPs are not completed within timeframes approved by ADMINISTRATOR, payments may be reduced accordingly.”

BASIS FOR REIMBURSEMENT. As compensation to CONTRACTOR for services provided pursuant to the Agreement, COUNTY shall pay CONTRACTOR monthly in arrears at the State Mandated NTP DMC ODS rates of reimbursement, as listed below, or as amended by State mandate: Service Unit of Service Fee Determination Regular DMC Rate per unit Perinatal DMC Rate per unit Physician Consultation 15 minute increments County Determined $89.30 $89.30 NTP – Buprenorphine - Buprenorphin e- Mono Daily State Mandated $30.02 $35.20 NTP – Buprenorphine - Buprenorphin e- Naloxone Combination Daily State Mandated $30.81 $35.98 NTP - Disulfiram Daily State Mandated $10.88 $11.05 NTP – Naloxone: 2-pack Dispensed according to need State Mandated $144.66 $144.66 NTP - Methadone Daily State Mandated $14.65 $15.78 NTP – Individual Counseling 10 minute increments State Mandated $17.18 $24.60 NTP – Individual Group 10 minute increments State Mandated $4.06 $8.22 Service Unit of Service Fee Determination Regular DMC Rate per unit Perinatal DMC Rate per unit NTP – Individual Counseling 10 minute increments State Mandated $17.18 $24.60 NTP – Individual Group 10 minute increments State Mandated $4.06 $8.22 MAT will be reimbursed for onsite administration and dispensing at NTP programs; additionally, physicians and licensed prescribers in DMC programs will be reimbursed for the ordering, prescribing, administering, and monitoring of MAT as per DMC-ODS Waiver STC’s. However, the total of monthly payments to CONTRACTOR shall not exceed COUNTY’s Amount Not To Exceed set forth in the Referenced Contract Provisions of the Agreement and provided further, that CONTRACTOR’s costs are allowable pursuant to applicable COUNTY, federal and state regulations. Non-compliance will require the completion of a CAPby CONTRACTOR. If CAPs are not completed within timeframes approved by ADMINISTRATOR, payments may be reduced accordingly.”MAT will be reimbursed for onsite administration and dispensing at NTP programs; additionally, physicians and licensed prescribers in DMC programs will be reimbursed for the ordering, prescribing, administering, and monitoring of MAT as per DMC-ODS Waiver STC’s. However, the total of monthly payments to CONTRACTOR shall not exceed COUNTY’s Maximum Obligation set forth in the Referenced Contract Provisions of the Agreement and provided further, that CONTRACTOR’s costs are allowable pursuant to applicable COUNTY, federal and state regulations. Non-compliance will require the completion of a CAP by CONTRACTOR. If CAPs are not completed within timeframes approved by ADMINISTRATOR, payments may be reduced accordingly.”

BASIS FOR REIMBURSEMENT. As compensation to CONTRACTOR for services provided pursuant to the Agreement, COUNTY shall pay CONTRACTOR monthly in arrears at the State Mandated NTP DMC ODS rates of reimbursement, as listed below, or as amended by State mandate: Service Unit of Service Fee Determination Regular DMC Rate per unit Perinatal DMC Rate per unit Physician Consultation 15 minute increments County Determined $89.30 $89.30 NTP – Buprenorphine - Buprenorphin e- Mono Daily State Mandated $30.02 29.27 $35.20 34.58 NTP – Buprenorphine - Buprenorphin e- Naloxone Combination Daily State Mandated $30.81 31.03 $35.98 36.33 NTP - Disulfiram Daily State Mandated $10.88 10.22 $11.05 10.37 NTP – Naloxone: 2-pack Dispensed according to need State Mandated $144.66 $144.66 NTP - Methadone Daily State Mandated $14.65 14.20 $15.78 15.29 NTP – Individual Counseling 10 minute increments State Mandated $17.18 16.65 $24.60 23.84 NTP – Individual Group 10 minute increments State Mandated $4.06 3.80 $8.22 Service Unit of Service Fee Determination Regular DMC Rate per unit Perinatal DMC Rate per unit NTP – Individual Counseling 10 minute increments State Mandated $17.18 $24.60 NTP – Individual Group 10 minute increments State Mandated $4.06 $8.22 6.09 MAT will be reimbursed for onsite administration and dispensing at NTP programs; additionally, physicians and licensed prescribers in DMC programs will be reimbursed for the ordering, prescribing, administering, and monitoring of MAT as per DMC-ODS Waiver STC’s. However, the total of monthly payments to CONTRACTOR shall not exceed COUNTY’s Amount Not To Exceed set forth in the Referenced Contract Provisions of the Agreement and provided further, that CONTRACTOR’s costs are allowable pursuant to applicable COUNTY, federal and state regulations. Non-compliance will require the completion of a CAPby CONTRACTOR. If CAPs are not completed within timeframes approved by ADMINISTRATOR, payments may be reduced accordingly.”MAT will be reimbursed for onsite administration and dispensing at NTP programs; additionally, physicians and licensed prescribers in DMC programs will be reimbursed for the ordering, prescribing, administering, and monitoring of MAT as per DMC-ODS Waiver STC’s. However, the total of monthly payments to CONTRACTOR shall not exceed COUNTY’s Maximum Obligation set forth in the Referenced Contract Provisions of the Agreement and provided further, that CONTRACTOR’s costs are allowable pursuant to applicable COUNTY, federal and state regulations. Non-compliance will require the completion of a CAP by CONTRACTOR. If CAPs are not completed within timeframes approved by ADMINISTRATOR, payments may be reduced accordingly.”

BASIS FOR REIMBURSEMENT. As compensation to CONTRACTOR for services provided pursuant to the Agreement, COUNTY shall pay CONTRACTOR monthly in arrears at the State Mandated NTP DMC ODS rates of reimbursement, as listed below, or as amended by State mandate: Service Unit of Service Fee Determination Regular DMC Rate per unit Perinatal DMC Rate per unit Physician Consultation 15 minute increments County Determined $89.30 $89.30 NTP – Buprenorphine - Mono Daily State Mandated $30.02 29.27 $35.20 34.58 NTP – Buprenorphine - Naloxone Combination Daily State Mandated $30.81 31.03 $35.98 36.33 NTP - Disulfiram Daily State Mandated $10.88 10.22 $11.05 10.37 NTP – Naloxone: 2-pack Dispensed according to need State Mandated $144.66 $144.66 NTP - Methadone Daily State Mandated $14.65 14.20 $15.78 15.29 NTP – Individual Counseling 10 minute increments State Mandated $17.18 16.65 $24.60 23.84 NTP – Individual Group 10 minute increments State Mandated $4.06 3.80 $8.22 Service Unit of Service Fee Determination Regular DMC Rate per unit Perinatal DMC Rate per unit NTP – Individual Counseling 10 minute increments State Mandated $17.18 $24.60 NTP – Individual Group 10 minute increments State Mandated $4.06 $8.22 6.09 MAT will be reimbursed for onsite administration and dispensing at NTP programs; additionally, physicians and licensed prescribers in DMC programs will be reimbursed for the ordering, prescribing, administering, and monitoring of MAT as per DMC-ODS Waiver STC’s. However, the total of monthly payments to CONTRACTOR shall not exceed COUNTY’s Amount Not To Exceed set forth in the Referenced Contract Provisions of the Agreement and provided further, that CONTRACTOR’s costs are allowable pursuant to applicable COUNTY, federal and state regulations. Non-compliance will require the completion of a CAPby CONTRACTOR. If CAPs are not completed within timeframes approved by ADMINISTRATOR, payments may be reduced accordingly.”MAT will be reimbursed for onsite administration and dispensing at NTP programs; additionally, physicians and licensed prescribers in DMC programs will be reimbursed for the ordering, prescribing, administering, and monitoring of MAT as per DMC-ODS Waiver STC’s. However, the total of monthly payments to CONTRACTOR shall not exceed COUNTY’s Maximum Obligation set forth in the Referenced Contract Provisions of the Agreement and provided further, that CONTRACTOR’s costs are allowable pursuant to applicable COUNTY, federal and state regulations. Non-compliance will require the completion of a CAP by CONTRACTOR. If CAPs are not completed within timeframes approved by ADMINISTRATOR, payments may be reduced accordingly.”