Common use of Cost-Sharing Adjustments Clause in Contracts

Cost-Sharing Adjustments. Applicable cost-sharing contributions from enrollees that are collected by the state from enrollees under the demonstration must be reported to CMS each quarter on Form CMS-64 Summary Sheet line 9D, columns A and B. In order to assure that these collections are properly credited to the demonstration, premium and cost-sharing collections (both total computable and federal share) should also be reported separately by DY on Form CMS-64 Narrative. In the calculation of expenditures subject to the budget neutrality expenditure limit, premium collections applicable to demonstration populations will be offset against expenditures. These section 1115 premium collections will be included as a manual adjustment (decrease) to the demonstration’s actual expenditures on a quarterly basis.

Cost-Sharing Adjustments. Applicable cost-Premiums and other applicable cost sharing contributions from enrollees that are collected by the state State from enrollees under the demonstration Demonstration must be reported to CMS each quarter on Form CMS-64 Summary Sheet line 9D9.D, columns A and B. In order to assure that these collections are properly credited to the demonstration, Demonstration premium and cost-cost- sharing collections (both total computable and federal Federal share) should also be reported separately by DY on the Form CMS-64 Narrative. In the calculation of expenditures subject to the budget neutrality expenditure limit, premium collections applicable to demonstration Demonstration populations will be offset against expenditures. These section 1115 premium collections will be included as a manual adjustment (decrease) to the demonstrationDemonstration’s actual expenditures on a quarterly basis.

Cost-Sharing Adjustments. Applicable cost-sharing contributions from enrollees that are collected by the state State from enrollees under the demonstration Demonstration must be reported to CMS each quarter on Form CMS-64 Summary Sheet line 9D, columns A and B. In order to assure that these collections are properly credited to the demonstrationDemonstration, premium and cost-sharing collections (both total computable and federal Federal share) should also be reported separately by DY on Form CMS-64 Narrative. In the calculation of expenditures subject to the budget neutrality expenditure limit, premium collections applicable to demonstration Demonstration populations will be offset against expenditures. These section 1115 premium collections will be included as a manual adjustment (decrease) to the demonstrationDemonstration’s actual expenditures on a quarterly basis.