Common use of Capitation Recovery Clause in Contracts

Capitation Recovery. Capitation payments for a full month coverage shall be recovered from the contractor on a prorated basis when an enrollee is admitted to a nursing facility, psychiatric care facility or other institution including incarceration and the individual is disenrolled from the contractor's plan on the day prior to such admission.

Capitation Recovery. Capitation payments for a full month coverage shall be recovered from the contractor on a prorated basis when an enrollee is admitted to a nursing facilityfacility for long term care services [Note: this does not pertain to nursing facility admissions solely for hospice services or PT, OT, or speech], psychiatric care facility or other institution including incarceration and the individual is disenrolled from the contractor's ’s plan on the day prior to such admission.