CATEGORY OF SERVICE DEFINITIONS Sample Clauses

CATEGORY OF SERVICE DEFINITIONS. The categories of service listed in Table 2 describe the actuarial model service groupings. The units associated with the categories have been indicated. Further, the primary method of classifying the claims has been provided. Milliman makes no representations or warranties regarding the contents of this letter to third parties. Likewise, third parties are instructed that they are to place no reliance upon this letter prepared for ODJFS by Milliman that would result in the creation of any duty or liability under any theory of law by Milliman or its employees to third parties. Other parties receiving this letter must rely upon their own experts in drawing conclusions about the information presented. FINAL and CONFIDENTIAL Table 2 STATE OF OHIO DEPARTMENT OF JOB AND FAMILY SERVICES Categories of Service
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CATEGORY OF SERVICE DEFINITIONS. The categories of service listed in Table 2 describe the actuarial model service groupings. The units associated with the categories have been indicated. Further, the primary method of classifying the claims has been provided. Xx. Xxx Xxxxxx, Ph.D. December 12, 2007 Table 2 STATE OF OHIO DEPARTMENT OF JOB AND FAMILY SERVICES Categories of Service
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CATEGORY OF SERVICE DEFINITIONS. The categories of service listed in Table 2 describe the actuarial model service groupings. The units associated with the categories have been indicated. Further, the primary method of classifying the claims has been provided. Table 2 STATE OF OHIO DEPARTMENT OF JOB AND FAMILY SERVICES Categories of Service Categories of ServiceType of Service Service Category Utilization Units Classification Basis Inpatient Hospital Medical/Surgical Admits/Days COS, DRG MH/SA Admits/Days Well Newborn Admits/Days Maternity Non-Deliveries Admits/Days Nursing Facility Admits/Days Other Inpatient Admits/Days Outpatient Hospital Emergency Room Claims COS, Revenue Code Surgery/ASC Services Cardiovascular Services PT/ST/OT Services Clinic Services Other Services Professional Inpatient/Outpatient Surgery Services COS, Provider Type, Procedure, Modifier Anesthesia Line Items Obstetrics Services Office Visits/Consults Services Hospital Inpatient Visits Services Periodic Exams Emergency Room Visits Services Immunization & Injections Services Physical Medicine Services Miscellaneous Services Line Items, Services Rad/Path/Lab Radiology Services COS, Revenue Code, Provider Type. Procedure Pathology/Laboratory Services Ancillaries MH/SA Services COS, Provider Type, Procedure FQHC/RHF/OP Health Facility Services COS Pharmacy Line Items COS Dental Services COS Vision Services COS, Provider Type, Procedure Home Health Line Items COS Non-Emergent Transportation Line Items COS Ambulance Line Items COS, Procedure Code Supplies and DME Line Items COS, Provider Type, Procedure Miscellaneous Services Line Items COS III. RATE GROUPS The CY 2008 CFC capitation rates are segmented by region and rate group. Table 3 contains the rate groups used for the CFC population. The non-delivery rate groups vary by age, gender, and program assignment. The delivery rate group is determined based on the CFC Program Delivery Payment Reporting Procedures for ODJFS Managed Care Plans, effective September 7, 2005. Table 3 STATE OF OHIO DEPARTMENT OF JOB AND FAMILY SERVICES Rate Groups Age/Gender Groups Benefit Type Population M/F - <1 Non - Delivery Healthy Start / Healthy Families M/F - 1 Non - Delivery Healthy Start / Healthy Families M/F - 2 to 13 Non - Delivery Healthy Start / Healthy Families M- 14 to 18 Non - Delivery Healthy Start / Healthy Families F- 14 to 18 Non – Delivery Healthy Start / Healthy Families M - 19 to 44 Non – Delivery Healthy Families F - 19 to 44 Non – Delivery Healthy Families M/F - 45 to ...
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Related to CATEGORY OF SERVICE DEFINITIONS

  • Scope of Service See Appendix 1 for the scope of relevant technology service provided by Party B to Party A.

  • Scope of Services The scope of services to be provided by BNYM under this Agreement shall not be increased as a result of new or revised regulatory or other requirements that may become applicable with respect to the Company, unless the parties hereto expressly agree in writing to any such increase. BNYM shall not be obligated to develop or implement Upgrades, but to the extent it elects to do so Section 3.1 shall apply.

  • Service Level Agreement Subject to the terms and conditions of this Agreement, Bank agrees to perform the custody services provided for under this Agreement in a manner that meets or exceeds any service levels as may be agreed upon by the parties from time to time in a written document that is executed by both parties on or after the date of this Agreement, unless that written document specifically states that it is not contractually binding. For the avoidance of doubt, Bank’s Service Directory shall not be deemed to be such a written document.

  • Duration of Services The obligation of GGP to perform any individual Service described in or contemplated by this Section G shall terminate upon the earliest to occur of (a) 18 months following the Distribution Date, (b) five days following written notice of termination of such Services by Spinco to GGP and (c) the applicable termination date pursuant to Article IX of the Agreement. GGP agrees to use appropriate and reasonable efforts, as mutually agreed upon by the parties and at Spinco’s cost, to (i) ensure that any terminated Service is integrated into Spinco’s broader business processes and/or (ii) complete any individual Service in this Section G requested by Spinco prior to the termination described in the prior sentence.

  • Location of Services Officer is required to perform his services under this Agreement at such present or future business location of Company as may be designated by the Chief Executive Officer in the Counties of Los Angeles, Orange or Ventura, California or wherever the Corporate Headquarters of Employer may be located.

  • Description of Service (a) The Initial Agreement is hereby terminated and replaced by the contents of this Agreement.

  • SCHEDULE OF SERVICES The Fund Accounting Agreement is hereby amended by deleting Schedule I (Schedule of Services) attached thereto and replacing it in its entirety with the new Schedule I (Schedule of Services) attached hereto as Attachment A.

  • Description of Services (a) Services Provided on an Ongoing Basis, If Applicable.

  • Termination of Services If the Optionee’s services with the Company and all Related Corporations are terminated for any reason (other than death or disability) prior to the Expiration Date, then this Option may be exercised by Optionee, to the extent of the number of Common Shares with respect to which the Optionee could have exercised it on the date of such termination of services, at any time prior to the earlier of (i) the Expiration Date, or (ii) three months after such termination of services. Any part of the Option that was not exercisable immediately before the termination of Optionee’s services shall terminate at that time.

  • Quality of Service At all times, Contractor shall provide Regional Airline Services with appropriate standards of care, but in no event lower than such standards utilized by Continental as of the date of this Agreement. Continental procedures, performance standards and means of measurement thereof concerning the provision of air passenger and air cargo services shall be applicable to all Regional Airline Services provided by Contractor. Contractor shall achieve at least the comparable quality of airline service as provided by Continental, subject to limitations imposed by the type of aircraft used by Contractor, its route network and the availability of equipment and facilities, as compared to those of Continental. Contractor shall comply with all airline customer service commitments or policies of Continental as of the date hereof, including without limitation the "CustomerFirst" commitments, and employee conduct, appearance and training policies in place as of the date hereof, and shall handle customer-related services in a professional, businesslike and courteous manner. In connection therewith, Contractor shall maintain aircraft cleaning cycles and policies, and shall maintain adequate staffing levels, to ensure at least a comparable level of customer service and operational efficiency that Continental achieves, including without limitation in respect of customer complaint response, ticketing and boarding timing, and baggage services. In addition, at the request of Continental, Contractor shall comply with all such airline customer service commitments, policies or standards of care of Continental as adopted, amended or supplemented after the date hereof, provided that Continental shall reimburse Contractor for the reasonable out-of-pocket costs of Contractor of complying with such policies in excess of the costs of complying with such policies as in effect as of the date of this Agreement. Contractor shall provide Continental with timely communication regarding the status of all Scheduled Flights, and shall perform closeout procedures at service levels at least as high as those of Continental at comparably-sized airports. Contractor will use Continental's standard procedures for processing and adjudicating all claims for which Contractor is responsible in an effort to avoid such matters becoming the subject of litigation or insurance claims. Contractor and Continental will periodically meet to discuss and review Contractor's customer service and handling procedures and policies and its employees' conduct, appearance and training standards and policies in an effort to ensure compliance with this Agreement, and to agree to the terms of any necessary corrective action plan and the timing of its implementation.

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