Calculating the FFP and Generating an Invoice Sample Clauses

Calculating the FFP and Generating an Invoice. The Contractor is responsible for ensuring all data (including all RMTS and financial data) used to calculate the amount of FFP submitted to HCA for reimbursement is accurate, based on actual expenses incurred during the period of performance, and complies with all federal, state, HCA and CMS Regulations, the CAP, Manual, and this Agreement. The Contractor must certify the accuracy of all data used to calculate the amount of FFP by an Authorized Representative signing the X00- 0X Xxxxxxx Voucher (A19). The Contractor must use a System that is statistically valid and in compliance with all state, and federal laws and Regulations whether through a third- party or other means as stated in the CAP to calculate the amount of FFP and generate a claim. 4.1. The Contractor must submit invoices to HCA for FFP on a quarterly basis. 4.2. All data used to calculate the FFP must be from the same period of service. 4.3. All data used to calculate the FFP must be the actual cost/expenditure and not approximated. 4.4. The FFP is determined by calculating the total adjusted costs, multiplying these costs by the adjusted RMTS results, and the applicable Medicaid Eligibility Rate (MER), adding any direct charges, and then applying the appropriate FFP rate. 4.5. The invoice must be generated within one hundred twenty (120) business days of the end of the quarter and generated based on following five components: Cost pool construction; Calculating allowable Medicaid administrative time via the System or direct charge method and documentation; Calculation and application of the pertinent MER; Calculation and application of the indirect cost rate; and Application of the appropriate FFP rate.
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Calculating the FFP and Generating an Invoice a) The Contractor is responsible for ensuring all data (including all RMTS and financial data) used to calculate the amount of tfFP submitted to HCA for reimbursement is accurate, based on actual expenses incurred during the period of performance, and complies with all federal, state, HCA and CMS Regulations, the CAP, Manual, and this Agreement. The Contractor must certify the accuracy of all data used to calculate the amount of FtfP by an authorized representative signing the A-19. The Contractor must use a System that is statistically valid and in compliance with all state, and federal laws and Regulations whether through a third­ party or other means as stated in the CAP to calculate the amount of FFP and generate a claim. i. The Contractor must submit invoices to HCA for FFP on a quarterly basis; ii. All data used to calculate the FFP must be from the same period of service; iii. All data used to calculate the FFP must be the actual cost/expenditure and not approximated; iv. The FtfP is determined by calculating the total adjusted costs, multiplying these costs by the adjusted RMTS results, and the applicable Medicaid Eligibility Rate (MER), adding any direct charges, and then applying the appropriate FFP rate; v. The invoice must be generated within one hundred twenty (120) business days of the end of the quarter; and vi. The invoice is generated based on following five components: (1) Cost pool construction; (2) Calculating allowable Medicaid administrative time via the System or direct charge method and documentation; (3) Calculation and application of the pertinent MER; Local Health Jurisdiction Page 51 of 59 Washington State Health Care Authority (4) Calculation and application of the indirect cost rate; and (5) Application of the appropriate FFP rate. b) Cost pool construction i. The Contractor must comply with all federal, state, HCA and CMS Regulations, the CAP, Manual, and this Agreement when constructing cost pools. ii. The Contractor is prohibited from including any unallowable costs in any cost pool. iii. The Contractor must include all costs used to calculate the FFP reimbursement to one of these six cost pools: (1) Cost Pool 1: MAC SPMP; (2) Cost Pool 2: MAC Non-SPMP; (3) Cost Pool 3a and 3b: Non-MAC; (4) Cost Pool 4: MAC Direct Charge - enhanced; (5) Cost Pool 5: MAC Direct Charge - non-enhanced; and (6) Cost Pool 6: Allocated. iv. Costs included in the calculation of an indirect cost rate are prohibited from being assigned to any of the...
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