Common use of Critical Access Hospitals Clause in Contracts

Critical Access Hospitals. The MCO is encouraged, but not required, to Contract with Critical Access Hospitals (CAH) for inpatient and outpatient hospital services Upon BMS notification to the MCO of any changes to the CAH reimbursement rates, the MCO must update payment rates to CAH effective from the designated CMS effective date. The MCO must pay the new rate for claims not yet paid with a date of service on or after the effective date of change. The new payment rate must be loaded into the MCO’s claims payment system within thirty (30) days of notification of the payment rate change.

Critical Access Hospitals. The MCO is encouraged, but not required, to Contract contract with Critical Access Hospitals (CAH) for inpatient and outpatient hospital services Upon BMS notification to the MCO of any changes to the CAH reimbursement rates, the MCO must update payment rates to CAH effective from the designated CMS effective date. The MCO must pay the new rate for claims not yet paid with a date of service on or after the effective date of change. The new payment rate must be loaded into the MCO’s claims payment system within thirty (30) 30 days of notification of the payment rate change.

Critical Access Hospitals. The MCO is encouraged, but not required, to Contract with Critical Access Hospitals (CAH) for inpatient and outpatient hospital services Upon BMS DHHR notification to the MCO of any changes to the CAH reimbursement rates, the MCO must update payment rates to CAH effective from the designated CMS effective date. The MCO must pay the new rate for claims not yet paid with a date of service on or after the effective date of change. The new payment rate must be loaded into the MCO’s claims payment system within thirty (30) calendar days of notification of the payment rate change.

Critical Access Hospitals. The MCO is encouraged, but not required, to Contract contract with Critical Access Hospitals (CAH) for inpatient and outpatient hospital services services. Upon BMS notification to the MCO of any changes to the CAH reimbursement rates, the MCO must MCOs shall update payment rates to CAH CAHs effective from the designated CMS effective datedate of notification. The MCO must pay the new rate for claims not yet paid with a date of service on or after the effective date of change. The new payment rate must be loaded into the MCO’s claims payment system within thirty (30) 30 days of notification of the payment rate change.