Definition of APM Sample Clauses

Definition of APM. The Department defines APMs as payments made by Wisconsin Medicaid HMOs to their providers through quality and value-based purchasing arrangements. The APM numerator is defined as the total dollar value of all payments could potentially be made by Wisconsin Medicaid HMOs to their providers for services rendered to BadgerCare Plus and Medicaid SSI members, that are directly linked to attainment of quality goals by the providers, or are “at-risk” for quality achievements. The numerator includes capitation payments made by HMOs to their providers for which the providers assume the full insurance risk. The numerator does not include any surplus or profit sharing by HMOs with the providers if such sharing is not directly related to attainment of quality goals by the providers. The denominator is defined as the total payments made by Wisconsin HMOs to their providers for services rendered to BadgerCare Plus and Medicaid SSI members. The denominator includes any APM-related payments. Providers include non-hospital providers (community based providers, and home health agencies, among others) and hospitals. Additional details will be provided in the “MY2018 HMO Quality Guide” (the Guide).
Sample 1
AutoNDA by SimpleDocs

Related to Definition of APM

  • Definition of Family Members of the employee's immediate family are defined as the employee's spouse, mother, father, brothers, sisters, sons, daughters, stepchildren, mother-in-law, father-in-law, sons-in-law, daughters-in-law, stepparents, grandparents and grandchildren.

  • Definition of Shifts (a) A shift starting on or after 6:00 a.m., but before 9:00 a.m. is a day shift.

  • GENERAL DEFINITION OF PRODUCTS Item 1: Cafeteria Furniture • Mobile tables on rollers with or without benches or stools. • Round and rectangular cafeteria tables without benches or stools. Item 2: Dormitory Furniture • Metal, wood, or wood clad metal wardrobes, beds and mattresses, night stands, chest of drawers, and single pedestal dormitory student desks with keyboard or center drawers.

  • Definition of Overtime Overtime means those hours worked in excess of normal hours of work as per Article 8.1 (Normal Work Week).

  • Definition of a Grievance A grievance is defined as a dispute or disagreement as to the interpretation or application of the specific terms and conditions of this Agreement.

  • Definition of Service Fast Post‐Fault Active Power Recovery is the recovery of a Providing Unit’s MW Output to at least 90% of its pre‐Fault Disturbance MW Output within 250ms of the voltage at the Providing Unit’s Connection Point recovering to at least 90% of its pre‐Fault Disturbance value for any Fault Disturbance that is cleared within 900ms. The Providing Unit must be exporting Active Power to the Power System and must remain connected to the Power System for at least 15 minutes following the Fault Disturbance.

  • Definition of Lay-Off A lay-off shall be defined as a lack of work, reduction in the work force or a reduction in the regular hours of work as defined in this Agreement.

  • DEFINITIONS AND INTERPRETATION Definitions 1.1 In this Contract, unless the contrary intention appears: Activity End Date means the date reported as such in a Student Statistical Report for an individual's enrolment in an individual subject. Activity Start Date means the date reported as such in a Student Statistical Report for an individual's enrolment in an individual subject. Apprentice has the meaning given to it in the Act. Approved Training Scheme means a training scheme approved under section 5.5.2 of the Act. Brokering Services means the recruitment of individuals to participate in Skills First subsidised training in exchange for payment from the Training Provider or the student. It excludes activities carried out by individuals who are employees of the Training Provider on the Training Provider’s payroll, whose role includes the identification and recruitment of potential students. Business Day means a day which is not a Saturday, Sunday or a public holiday in Melbourne, Victoria.

  • Definition of Dependent The definition of a dependent shall include the domestic partner of an employee and the dependents of such domestic partner. Any employee claiming a domestic partner and/or the dependents of such domestic partner for purposes of this Article shall have an approved City Affidavit of Domestic Partnership form or a registered State of California Declaration of Domestic Partnership form on file in the Employee Benefits Office, Personnel Department, which identifies that individual as the employee’s domestic partner.

  • Definition of Layoff A layoff shall be defined as a reduction in the work force or a reduction in the regular hours of work as defined in this Agreement.

Time is Money Join Law Insider Premium to draft better contracts faster.