Common use of Calculation of Financial Assistance Clause in Contracts

Calculation of Financial Assistance. The total OHA financial assistance for all A&D 82 Services delivered under a particular line of the Financial Assistance Award shall not exceed the total funds awarded for A&D 82 Services as specified in that line of the Financial Assistance Award. OHA will provide financial assistance for A&D 82 Services identified in a particular line of Exhibit C, “Financial Assistance Award,” as specified in the PGS Procedure Codes and Rates for Treatment Providers rate sheet, located at: xxxx://xxx.xxxxxxxxx.xxx/treatment/billing-codes-and-rates/, as it may be revised from time to time, and subject to the following. (a) Providers of A&D 82 Services funded through this Agreement shall not charge Individuals whose Services are paid through this Agreement any co- pay or other fees for such Services; (b) OHA is not obligated to provide financial assistance for any A&D 82 Services that are not properly reported, in accordance with the “Special Reporting Requirements” section above, by the date 60 calendar days after the expiration or termination of this Agreement, termination of OHA’s obligation under this Agreement to provide financial assistance to County for A&D 82 Services, or termination of County’s obligation under this Agreement to include the Program Area in which A&D 82 Services fall within its CMHP; and (c) Providers of A&D 82 Services are required to reconcile encounter data reports and correct any errors within 30 calendar days of receipt of encounter data report from OHA’s management information system provider. Discrepancies must include apparent cause and remedy. Adjustments will be carried forward to the next month within the effective period of this Agreement.

Calculation of Financial Assistance. The total OHA financial assistance for all A&D 82 Services delivered under a particular line of the Financial Assistance Award shall not exceed the total funds awarded for A&D 82 Services as specified in that line of the Financial Assistance Award. OHA will provide financial assistance for A&D 82 Services identified in a particular line of Exhibit C, “Financial Assistance Award,” as specified in the PGS Procedure Codes and Rates for Treatment Providers rate sheet, located at: xxxx://xxx.xxxxxxxxx.xxx/treatment/billing-codes-and-rates/, as it may be revised from time to time, and subject to the following. (a) Providers of A&D 82 Services funded through this Agreement shall not charge Individuals whose Services are paid through this Agreement any co- co-pay or other fees for such Services; (b) OHA is not obligated to provide financial assistance for any A&D 82 Services that are not properly reported, in accordance with the the. “Special Reporting Requirements” section above, by the date 60 calendar days after the expiration or termination of this Agreement, termination of OHA’s obligation under this Agreement to provide financial assistance to County for A&D 82 Services, or termination of County’s obligation under this Agreement to include the Program Area in which A&D 82 Services fall within its CMHP; and (c) Providers of A&D 82 Services are required to reconcile encounter data reports and correct any errors within 30 calendar days of receipt of encounter data report from OHA’s management information system provider. Discrepancies must include apparent cause and remedy. Adjustments will be carried forward to the next month within the effective period of this Agreement.

Calculation of Financial Assistance. The total OHA financial assistance for all A&D 82 83 Services delivered under a particular line of the Financial Assistance Award shall not exceed the total funds awarded for A&D 82 83 Services as specified in that line of the Financial Assistance Award. OHA will provide financial assistance for A&D 82 83 Services identified in a particular line of Exhibit C, “Financial Assistance Award,” as specified in the PGS Procedure Billing Codes and Rates for Treatment Providers rate sheet, located at: xxxx://xxx.xxxxxxxxx.xxx/treatment/billing-codes-and-rates/, as it may be revised from time to time, time and subject to the following. (a) Providers of A&D 82 83 Services funded through this Agreement shall not charge Individuals whose Services are paid through this Agreement any co- pay or other fees for such Services; (b) OHA is not obligated to provide financial assistance for any A&D 82 83 Services that are not properly reported, in accordance with the “Special Reporting Requirements” section above, by the date 60 calendar days after the expiration or termination of this Agreement, termination of OHA’s obligation under this Agreement to provide financial assistance to County for A&D 82 83 Services, or termination of County’s obligation under this Agreement to include the Program Area in which A&D 82 83 Services fall within in its CMHP; and (c) Providers of A&D 82 83 Services are required to reconcile encounter data reports and correct any errors within 30 calendar days of receipt of encounter data report from OHA’s management information system provider. Discrepancies must include apparent cause and remedy. Adjustments will be carried forward to the next month within the effective period of this Agreement.

Calculation of Financial Assistance. OHA will provide financial assistance for A&D 82 Services identified in a particular line of Exhibit C, “Financial Assistance Award,” as specified in the Gambling Billing Code and Rate Sheet located at: xxxx://xxx.xxxxxxxxx.xxx/treatment/billing-codes-and-rates/, as it may be revised from time to time and subject to the following. The total OHA financial assistance for all A&D 82 Services delivered under a particular line of the Financial Assistance Award shall not exceed the total funds awarded for A&D 82 Services as specified in that line of the Financial Assistance Award. OHA will provide financial assistance for A&D 82 Services identified in a particular line of Exhibit C, “Financial Assistance Award,” as specified in the PGS Procedure Codes and Rates for Treatment Providers rate sheet, located at: xxxx://xxx.xxxxxxxxx.xxx/treatment/billing-codes-and-rates/, as it may be revised from time to time, and subject to the following. (a) Providers of A&D 82 Services funded through this Agreement shall not charge Individuals whose Services are paid through this Agreement any co- pay or other fees for such Services; (b) OHA is not obligated to provide financial assistance for any A&D 82 Services that are not properly reported, reported in accordance with the “Special Reporting Requirements” section above, above by the date 60 calendar days after the expiration or termination of this Agreement, termination of OHA’s obligation under this Agreement to provide financial assistance to County for A&D 82 Services, or termination of County’s obligation under this Agreement to include the Program Area in which A&D 82 Services fall within in its CMHP; and (c) Providers of A&D 82 Services are required expected to reconcile encounter data reports and correct any errors within 30 calendar days of receipt of encounter data report received from OHA’s management information system provider. Discrepancies must include apparent cause and remedy. Adjustments will be carried forward to the next month within the effective period of this Agreement.