CMS Reimbursement Sample Clauses

CMS Reimbursement. (a) CMS Reimbursement Payment Terms (Direct Subsidy/Low-Income Subsidy). Express Scripts will pay the Agency an amount equal to the total amount paid to Express Scripts by CMS for the following: (1) advance direct subsidy monthly payments paid to Express Scripts, if any, by CMS with respect to EGWP Enrollees and (2) low-income subsidy payments paid to Express Scripts by CMS, if any, with respect to EGWP Enrollees and subject to the provisions of Section 1.3(b) of this Exhibit (collectively, “CMS Subsidy Reimbursement”). Express Scripts will pay amounts equal to the CMS Subsidy Reimbursement, allocated pursuant to the terms of this Agreement, on a monthly basis approximately thirty (30) days after Express Scripts’ receipt of the CMS Subsidy Reimbursement from CMS. Express Scripts and its Affiliates retain all right, title and interest to any and all actual CMS Subsidy Reimbursement received from CMS. Express Scripts shall pay the Agency amounts equal to the CMS Subsidy Reimbursement amounts allocated to the Agency, as specified in this Agreement, from Express Scripts’ or its Affiliate’s general assets (neither the Agency nor its EGWP Enrollees retain any beneficial or proprietary interest in Express Scripts’ or its Affiliates general assets). The Agency acknowledges and agrees that neither it nor its EGWP Enrollees shall have a right to interest on, or the time value of, any CMS Subsidy Reimbursement payments received by Express Scripts or its affiliates during the collection period or moneys payable under this Section. Agency shall be entitled to seek collection and costs associated with such collection if Express Scripts fails to make CMS Subsidy Reimbursement payments as required by this Agreement. No CMS Subsidy Reimbursements shall be paid until this Agreement is executed by the Agency. Express Scripts shall have the right to retain or apply the Agency’s allocated CMS Subsidy Reimbursement amounts or Rebates with respect to EGWP Enrollee utilization to past due and unpaid Fees owed by the Agency to Express Scripts only to the extent of such past due and unpaid Fees and shall have the right to delay payment of CMS Subsidy Reimbursement amounts, for a reasonable period of time not to exceed ninety (90) days, to allow for final adjustments upon termination of this Agreement. Express Scripts shall pay Agency the CMS Subsidy Reimbursement amount as soon as reasonably practicable after the final adjustment.
Sample 1
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Related to CMS Reimbursement

  • Meal Reimbursement 1. If an employee is required to work one and one-half (1-1/2) hours before or beyond his/her normal working day or on overtime for emergency purposes or for extended work periods of five (5) or more hours in length on a day that is not the employee’s regular work day, and the employee is not exercising flexible work hours, the employee shall be reimbursed for the actual cost of a meal/food items not to exceed $18.00, plus tip (not to exceed 15%) and applicable taxes. Reimbursement is contingent upon the employee providing receipts.

  • Travel Reimbursement 2.1 The County will only cover costs associated with travel on vendors outside a 50 mile radius from Xxxxxxxxxx County, Texas.

  • Travel Expense Reimbursement Pricing for services provided under this Contract are exclusive of any travel expenses that may be incurred in the performance of those services. Travel expense reimbursement may include personal vehicle mileage or commercial coach transportation, hotel accommodations, parking and meals; provided, however, the amount of reimbursement by Customers shall not exceed the amounts authorized for state employees as adopted by each Customer; and provided, further, that all reimbursement rates shall not exceed the maximum rates established for state employees under the current State Travel Management Program (xxxx://xxx.xxxxxx.xxxxx.xx.xx/procurement/prog/stmp/). Travel time may not be included as part of the amounts payable by Customer for any services rendered under this Contract. The DIR administrative fee specified in Section 5 below is not applicable to travel expense reimbursement. Anticipated travel expenses must be pre-approved in writing by Customer.

  • Expense Reimbursement The Executive shall be entitled to receive reimbursement for all appropriate business expenses incurred by him in connection with his duties under this Agreement in accordance with the policies of the Company as in effect from time to time.

  • Cost Reimbursement This payment method is based on an approved budget and submission of a request for reimbursement of expenses Xxxxxxx has incurred at the time of the request;

  • Tuition Reimbursement A. Agencies may approve full or partial tuition reimbursement, consistent with agency policy and within available resources.

  • Educational Reimbursement SECTION 1. The purpose of this Article is to xxxxxx a learning environment and provide educational opportunities that are mutually beneficial to the employees and the County and will encourage eligible employees to participate in education programs which will further their skills and knowledge for use in their current position or for use in a possible future position of greater responsibility. The Educational Reimbursement Program shall be a plan as provided for in Section 127 of the Internal Revenue Code of 1986, as amended (the “Code”) and shall be construed consistently with the requirements of Section 127. Amounts paid for tuition reimbursement meeting the requirements of Section 127 of the IRS Tax Code are not included in an Employee’s income or subject to income tax withholding up to a maximum of $5,250 annually. If subsequent tax law changes fail to continue the tax-free treatment, or in any way modify its treatment, appropriate adjustments in tax withholding will be made from the effective date of the change. This Article does not apply to training seminars, conferences, workshops, etc.

  • Mileage Reimbursement A. Subject to the current Vehicle Rules and Regulations established by the Board, an employee who is authorized to use a private automobile in the performance of duties shall be reimbursed for each mile driven in the performance of his or her duties during each monthly period as follows:

  • Course Reimbursement 15.9.1 Prior approval by the Department of Accountability & Staff and School Renewal is required.

  • Tuition Reimbursement Program 21.2.1 The District will fund $28,000 each fiscal year for incentive pay for employees pursuing their National Board Certification, a master’s degree, or an endorsement.

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