Common use of Critical Access Hospitals Clause in Contracts

Critical Access Hospitals. MCOs contracting with Critical Access Hospitals (CAH) must make payment to CAH at the prevailing Medicaid reimbursement rate. MCO contracts with CAH must stipulate this reimbursement arrangement. 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 BMS 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.

Critical Access Hospitals. MCOs contracting with Critical Access Hospitals (CAH) must make payment to CAH at the prevailing Medicaid reimbursement rate. MCO contracts with CAH must stipulate this reimbursement arrangement. 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 BMS DHHR 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.

Critical Access Hospitals. MCOs contracting with Critical Access Hospitals (CAH) must make payment to CAH at the prevailing Medicaid reimbursement rate. MCO contracts with CAH must stipulate this reimbursement arrangement. 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 BMS 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.

Critical Access Hospitals. MCOs contracting with Critical Access Hospitals (CAH) must shall make payment to CAH at the prevailing Medicaid reimbursement rate. MCO contracts with CAH must shall stipulate this reimbursement arrangement. Upon BMS notification to the MCO of any changes to the CAH reimbursement rates, the MCO must MCOs shall update payment rates to CAH effective from the designated BMS 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.