CMS Approval of Contract. Approval of the Contract by CMS is a condition for Federal Financial Participation. If CMS disapproves the rates in the Payment Appendices, and CMS and the STATE subsequently agree upon revised rates that are actuarially sound: 4.9.7.1 The STATE shall adjust MCO payments to bring previous payments in line with rates agreed upon by the STATE and CMS. When possible, a recovery for an overpayment or payment due because of an underpayment shall be offset against or added to future payments made according to section 4.1 of this Contract. 4.9.7.2 For the remainder of the contract term the contract shall be amended, with rates agreed upon by the STATE and CMS, pursuant to Article. 16 of this Contract.
Appears in 3 contracts
Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services
CMS Approval of Contract. Approval of the Contract by CMS is a condition for Federal Financial Participation. If CMS disapproves the rates in the Payment Appendices, and CMS and the STATE subsequently agree upon revised rates that are actuarially sound:
4.9.7.1 4.10.7.1 The STATE shall adjust MCO payments to bring previous payments in line with rates agreed upon by the STATE and CMS. When possible, a recovery for an overpayment or payment due because of an underpayment shall be offset against or added to future payments made according to section 4.1 of this Contract.Contract.
4.9.7.2 4.10.7.2 For the remainder of the contract term the contract shall be amended, with rates agreed upon by the STATE and CMS, pursuant to Article. 16 of this Contract.Contract.
Appears in 2 contracts
Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services
CMS Approval of Contract. Approval of the Contract by CMS is a condition for Federal Financial Participation. If CMS disapproves the rates in the Payment Appendices, and CMS and the STATE subsequently agree upon revised rates that are actuarially sound:
4.9.7.1 The STATE shall adjust MCO payments to bring previous payments in line with rates agreed upon by the STATE and CMS. When possible, a recovery for an overpayment or payment due because of an underpayment shall be offset against or added to future payments payment made according to section 4.1 of this Contract.
4.9.7.2 For the remainder of the contract term Contract term, the contract Contract shall be amended, with rates agreed upon by the STATE and CMS, pursuant to Article. 16 of this Contract.
Appears in 2 contracts
Samples: Special Needs Basiccare Program Services Contract, Special Needs Basiccare Program Services Contract
CMS Approval of Contract. Approval of the Contract by CMS is a condition for Federal Financial Participation. If CMS disapproves the rates in the Payment Appendices, and CMS and the STATE subsequently agree upon revised rates that are actuarially sound:
4.9.7.1 The STATE shall adjust MCO payments to bring previous payments in line with rates agreed upon by the STATE and CMS. When possible, a recovery for an overpayment or payment due because of an underpayment shall be offset against or added to future payments made according to section 4.1 of this Contract.Contract.
4.9.7.2 For the remainder of the contract term the contract shall be amended, with rates agreed upon by the STATE and CMS, pursuant to Article. 16 of this Contract.Contract.
Appears in 2 contracts
Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services
CMS Approval of Contract. Approval of the Contract by CMS is a condition for Federal Financial ParticipationParticipation (FFP). If CMS disapproves the rates in the Payment Appendices, and CMS and the STATE subsequently agree upon revised rates that are actuarially sound:
4.9.7.1 (A) The STATE shall adjust MCO payments to bring previous payments in line with rates agreed upon by the STATE and CMS. When possible, a recovery for an overpayment or payment due because of an underpayment shall be offset against or added to future payments made according to section 4.1 of this Contract.
4.9.7.2 (B) For the remainder of the contract term the contract shall be amended, with rates agreed upon by the STATE and CMS, pursuant to Article. 16 19 of this Contract.
Appears in 1 contract
Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services
CMS Approval of Contract. Approval of the Contract by CMS is a condition for Federal Financial Participation. If CMS disapproves the rates in the Payment Appendices, and CMS and the STATE subsequently agree upon revised rates that are actuarially sound:
4.9.7.1 : The STATE shall adjust MCO payments to bring previous payments in line with rates agreed upon by the STATE and CMS. When possible, a recovery for an overpayment or payment due because of an underpayment shall be offset against or added to future payments payment made according to section 4.1 of this Contract.
4.9.7.2 . For the remainder of the contract term Contract term, the contract Contract shall be amended, with rates agreed upon by the STATE and CMS, pursuant to Article. 16 19 of this Contract.
Appears in 1 contract
Samples: Contract for Special Needs Basic Care Program Services
CMS Approval of Contract. Approval of the Contract by CMS is a condition for Federal Financial Participation. If CMS disapproves the rates in the Payment Appendices, and CMS and the STATE subsequently agree upon revised rates that are actuarially sound:
4.9.7.1 sound: The STATE shall adjust MCO payments to bring previous payments in line with rates agreed upon by the STATE and CMS. When possible, a recovery for an overpayment or payment due because of an underpayment shall be offset against or added to future payments payment made according to section 4.1 of this Contract.
4.9.7.2 . For the remainder of the contract term Contract term, the contract Contract shall be amended, with rates agreed upon by the STATE and CMS, pursuant to Article. 16 20 of this Contract.
Appears in 1 contract
Samples: Contract for Special Needs Basiccare Program Services
CMS Approval of Contract. Approval of the Contract by CMS is a condition for Federal Financial Participation. If CMS disapproves the rates in the Payment Appendices, and CMS and the STATE subsequently agree upon revised rates that are actuarially sound:
4.9.7.1 sound: The STATE shall adjust MCO payments to bring previous payments in line with rates agreed upon by the STATE and CMS. When possible, a recovery for an overpayment or payment due because of an underpayment shall be offset against or added to future payments payment made according to section 4.1 of this Contract.
4.9.7.2 . For the remainder of the contract term Contract term, the contract Contract shall be amended, with rates agreed upon by the STATE and CMS, pursuant to Article. 16 19 of this Contract.
Appears in 1 contract
Samples: Contract for Special Needs Basic Care Program Services
CMS Approval of Contract. Approval of the Contract by CMS is a condition for Federal Financial Participation. If CMS disapproves the rates in the Payment Appendices, and CMS and the STATE subsequently agree upon revised rates that are actuarially sound:
4.9.7.1 The STATE shall adjust MCO payments to bring previous payments in line with rates agreed upon by the STATE and CMS. When possible, a recovery for an overpayment or payment due because of an underpayment shall be offset against or added to future payments payment made according to section 4.1 of this Contract.Contract.
4.9.7.2 For the remainder of the contract term Contract term, the contract Contract shall be amended, with rates agreed upon by the STATE and CMS, pursuant to Article. 16 of this Contract.Contract.
Appears in 1 contract
Samples: Contract for Special Needs Basiccare Program Services
CMS Approval of Contract. Approval of the Contract by CMS is a condition for Federal Financial Participation. If CMS disapproves the rates in the Payment Appendices, and CMS and the STATE subsequently agree upon revised rates that are actuarially sound:
4.9.7.1 4.10.7.1 The STATE shall adjust MCO payments to bring previous payments in line with rates agreed upon by the STATE and CMS. When possible, a recovery for an overpayment or payment due because of an underpayment shall be offset against or added to future payments payment made according to section 4.1 of this Contract.Contract.
4.9.7.2 4.10.7.2 For the remainder of the contract term Contract term, the contract Contract shall be amended, with rates agreed upon by the STATE and CMS, pursuant to Article. 16 of this Contract.Contract.
Appears in 1 contract
Samples: Contract for Special Needs Basiccare Program Services
CMS Approval of Contract. Approval of the Contract by CMS is a condition for Federal Financial Participation. If CMS disapproves the rates in the Payment Appendices, and CMS and the STATE subsequently agree upon revised rates that are actuarially sound:
4.9.7.1 The STATE shall adjust MCO payments to bring previous payments in line with rates agreed upon by the STATE and CMS. When possible, a recovery for an overpayment or payment due because of an underpayment shall be offset against or added to future payments made according to section 4.1 of this Contract.
4.9.7.2 . For the remainder of the contract term the contract shall be amended, with rates agreed upon by the STATE and CMS, pursuant to Article. 16 of this Contract.
Appears in 1 contract
Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services
CMS Approval of Contract. Approval of the Contract by CMS is a condition for Federal Financial Participation. If CMS disapproves the rates in the Payment Appendices, and CMS and the STATE subsequently agree upon revised rates that are actuarially sound:
4.9.7.1 (A) The STATE shall adjust MCO payments to bring previous payments in line with rates agreed upon by the STATE and CMS. When possible, a recovery for an overpayment or payment due because of an underpayment shall be offset against or added to future payments made according to section 4.1 of this Contract.
4.9.7.2 (B) For the remainder of the contract term the contract shall be amended, with rates agreed upon by the STATE and CMS, pursuant to Article. 16 Article 19 of this Contract.
Appears in 1 contract
Samples: Contract for Medical Assistance and Minnesotacare Services