Care Management Fees Clause Samples
The Care Management Fees clause defines the charges associated with managing and coordinating care services for patients. Typically, this clause outlines the amount, frequency, and method of payment for these fees, and may specify what services are included under care management, such as case coordination, patient follow-up, or administrative support. Its core practical function is to ensure transparency and agreement regarding the costs of care management, helping both parties understand their financial obligations and reducing the risk of disputes over service charges.
Care Management Fees. CMS will calculate the Practice’s Care Management Fees (“CMF”) according to the CTO Participation Agreement, the Practice Participation Agreement, and the methodologies described therein. In accordance with CTO Option Selection Form A, the CTO will receive 30/50% of the practice’s CMF payment amount calculated by CMS, and the remaining 70/50% of such CMF payment amount will be paid to the Practice.
Care Management Fees. CMS will calculate the FQHC’s Care Management Fees (“CMF”) according to the CTO Participation Agreement, the FQHC Participation Agreement, and the methodologies described therein. In accordance with the FQHC’s selection that was submitted to CMS, the CMF payment split will be as follows: □ CTO will receive 30% of the FQHC’s CMF payment amount calculated by CMS, and the remaining 70% of such CMF payment amount will be paid to the FQHC. □ CTO will receive 50% of the FQHC’s CMF payment amount calculated by CMS and the remaining 50% of such CMF payment amount will be paid to the FQHC.
Care Management Fees. Non-visit based payments to AMH Tier 3 practices made in addition to Fee-for-Service and Medical Home Payments, providing stable funding for the assumption of primary responsibility for care management and population health activities at the practice level.