Common use of Copies of MA Agreement Clause in Contracts

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 Health Plan will must 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 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 and format that will enable HHSC allows HHSC, in HHSC’s sole determination, to determine the cost of services and utilization experience in order to calculate the PMPM rates. In addition, the MA Health Plan will must also provide all amendments to the MA Agreement or the Bid Pricing Tool to the HHSC point-of-contact within 15 fifteen (15) business days of receiving a request for this information.