Copies of MA Agreement. Upon execution of this Agreement, the MA Dual SNP must provide the HHSC point-of-contact, identified in Section 9.06, with a copy of the MA Agreement and all attachments. The MA Dual SNP must provide the actuarial value for Medicare Cost Sharing Obligations for the projection period consistent with the CMS bid submission. The MA Dual SNP agrees to provide HHSC a summary of its benefit designs for Dual Eligible Members and Other Dual SNP Members as well as financial data in a set and format that must enable HHSC to determine the cost of services and utilization experience in order to calculate the PMPM rates. In addition, the MA Dual SNP must also provide all amendments to the MA Agreement or the Bid Pricing Tool to the HHSC point-of-contact within 15 business days of receiving a request for this information.
Copies of MA Agreement. Upon execution of this Agreement, the MA Health Plan must provide HHSC with a copy of the MA Agreement and all attachments. The MA Health Plan must provide HHSC with the actuarial value for Medicare Cost Sharing Obligations for the projection period consistent with the CMS bid submission. The MA Health Plan agrees to provide HHSC a summary of its benefit designs for Dual Eligible Members as well as financial data in a set format that allows HHSC to determine the cost of services and utilization experience to calculate the PMPM rates. In addition, the MA Health Plan must also provide all amendments to the MA Agreement or the Bid Pricing Tool to HHSC within fifteen (15) business days of receiving a request for this information.
Copies of MA Agreement. Upon execution of this Agreement, the MA Health Plan will provide the HHSC point-of-contact, identified in Section 9.06, with a copy of the MA Agreement and all attachments. The MA Health Plan will provide the actuarial value for Medicare Cost Sharing Obligations for the projection period consistent with the CMS bid submission. The MA Health Plan agrees to provide HHSC a summary of its benefit designs for Dual Eligible Members as well as financial data in a set and format that will enable HHSC to determine the cost of services and utilization experience in order to calculate the PMPM rates. In addition, the MA Health Plan will also provide all amendments to the MA Agreement or the Bid Pricing Tool to the HHSC point-of-contact within 15 business days of receiving a request for this information.
Copies of MA Agreement. Upon execution of this Agreement, the MA Dual SNP must provide HHSC with a copy of the MA Agreement and all attachments. The MA Dual SNP must provide HHSC with the actuarial value for Medicare Cost Sharing Obligations for the projection period consistent with the CMS bid submission. The MA Dual SNP agrees to provide HHSC a summary of its benefit designs for Dual Eligible Members and determination, to determine the cost of services and utilization experience to calculate the PMPM rates. In addition, the MA Dual SNP must also provide all amendments to the MA Agreement or the Bid Pricing Tool to HHSC within fifteen (15) Business Days of receiving a request for this information.
Copies of MA Agreement. Upon execution of this Agreement, the MA Dual SNP will provide the HHSC point-of-contact, identified in Section 9.06, with a copy of the MA Agreement and all attachments. The MA Dual SNP will provide the actuarial value for Medicare Cost Sharing Obligations for the projection period consistent with the CMS bid submission. The MA Dual SNP agrees to provide HHSC a summary of its benefit designs for Dual Eligible Members and Other Dual SNP Members as well as financial data in a set and 1 By way of example, the MA Dual SNP must submit the January 2016 enrollment file no earlier than May 2, 2016 (the first business day of the month) and no later than May 20, 2016. HHSC will return validated enrollment information to the MA Dual SNP no later than June 6, 2016 (the fifth business day of the month). format that will enable HHSC to determine the cost of services and utilization experience in order to calculate the PMPM rates. In addition, the MA Dual SNP will also provide all amendments to the MA Agreement or the Bid Pricing Tool to the HHSC point-of-contact within 15 business days of receiving a request for this information.
