Delivery Supplemental Payment. See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the Delivery Supplemental Payment for the STAR Program. þ Medicaid STAR+PLUS MCO Program Capitation: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the Capitation Rate-setting methodology and the Capitation Payment requirements for the STAR+PLUS Program. The following Rate Cells apply to Rate Period 1. 1 Medicaid Only Standard Rate *** *** *** 2 Medicaid Only HCBS STAR +PLUS Waiver Rate - Above Floor *** *** *** 3 Medicaid Only HCBS STAR +PLUS Waiver Rate - Below Floor *** *** *** 4 Dual Eligible Standard Rate *** *** *** 5 Dual Eligible HCBS STAR +PLUS Waiver Rate - Above Floor *** *** *** 6 Dual Eligible HCBS STAR +PLUS Waiver Rate - Below Floor *** *** *** 7 Nursing Facility – Medicaid Only *** *** *** 8 Nursing Facility – Dual Eligible *** *** *** o CHIP MCO PROGRAM Capitation: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the Capitation Rate-setting methodology and the Capitation Payment requirements for the CHIP Program. The following Rate Cells apply to Rate Period 1. 1 < Age 1 2 Ages 1 through 5 3 Ages 6 through 14 4 Ages 15 through 18 5 Perinate Newborn 0% to 185% 6 Perinate Newborn Above 185% to 200% 7 Perinate 0% to 185% 8 Perinate Above 185% to 200% Delivery Supplemental Payment: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the methodology for establishing the Delivery Supplemental Payment for the CHIP Program and CHIP Perinatal subprogram. The CHIP Delivery Supplemental Payment is *** for all Service Areas. Modifications to Part 10 of the HHSC Managed Care Contract document, "Contract Attachments," are italicized below:
Appears in 1 contract
Samples: Contract (Centene Corp)
Delivery Supplemental Payment. See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the Delivery Supplemental Payment for the STAR Program. þ Medicaid STAR+PLUS MCO Program Capitation: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the Capitation Rate-setting methodology and the Capitation Payment requirements for the STAR+PLUS Program. The following Rate Cells will apply to Rate Period 1. 1 Medicaid Only Standard Rate *** *** *** 2 Medicaid Only HCBS STAR +PLUS 1915(C) Nursing Facility Waiver Rate - Above Floor *** *** *** 3 Medicaid Only HCBS STAR +PLUS 1915(C) Nursing Facility Waiver Rate - Below Floor *** *** *** 4 Dual Eligible Standard Rate *** *** *** 5 Dual Eligible HCBS STAR +PLUS 1915(C) Nursing Facility Waiver Rate - Above Floor *** *** *** 6 Dual Eligible HCBS STAR +PLUS 1915(C) Nursing Facility Waiver Rate - Below Floor *** *** *** 7 Nursing Facility – Medicaid Only *** 8 Nursing Facility – Dual Eligible *** 1 Medicaid Only Standard Rate *** 2 Medicaid Only 1915(C) Nursing Facility Waiver Rate - Above Floor *** 3 Medicaid Only 1915(C) Nursing Facility Waiver Rate - Below Floor *** 4 Dual Eligible Standard Rate *** 5 Dual Eligible 1915(C) Nursing Facility Waiver Rate - Above Floor *** 6 Dual Eligible 1915(C) Nursing Facility Waiver Rate - Below Floor *** 7 Nursing Facility – Medicaid Only *** 8 Nursing Facility – Dual Eligible *** 1 Medicaid Only Standard Rate *** 2 Medicaid Only 1915(C) Nursing Facility Waiver Rate - Above Floor *** o 3 Medicaid Only 1915(C) Nursing Facility Waiver Rate - Below Floor *** 4 Dual Eligible Standard Rate *** 5 Dual Eligible 1915(C) Nursing Facility Waiver Rate - Above Floor *** 6 Dual Eligible 1915(C) Nursing Facility Waiver Rate - Below Floor *** 7 Nursing Facility – Medicaid Only *** 8 Nursing Facility – Dual Eligible *** þ CHIP MCO PROGRAM Capitation: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the Capitation Rate-setting methodology and the Capitation Payment requirements for the CHIP Program. The following Rate Cells and Capitation Rates will apply to Rate Period 1. 1 < Age 1 *** 2 Ages 1 through 5 *** 3 Ages 6 through 14 *** 4 Ages 15 through 18 *** 5 Perinate Newborn 0% to 185% *** 6 Perinate Newborn Above 185% to 200% *** 7 Perinate 0% to 185% *** 8 Perinate Above 185% to 200% *** 1 < Age 1 *** 2 Ages 1 through 5 *** 3 Ages 6 through 14 *** 4 Ages 15 through 18 *** 5 Perinate Newborn 0% to 185% *** 6 Perinate Newborn Above 185% to 200% *** 7 Perinate 0% to 185% *** 8 Perinate Above 185% to 200% *** 1 < Age 1 *** 2 Ages 1 through 5 *** 3 Ages 6 through 14 *** 4 Ages 15 through 18 *** 5 Perinate Newborn 0% to 185% *** 6 Perinate Newborn Above 185% to 200% *** 7 Perinate 0% to 185% *** 8 Perinate Above 185% to 200% *** 1 < Age 1 *** 2 Ages 1 through 5 *** 3 Ages 6 through 14 *** 4 Ages 15 through 18 *** 5 Perinate Newborn 0% to 185% *** 6 Perinate Newborn Above 185% to 200% *** 7 Perinate 0% to 185% *** 8 Perinate Above 185% to 200% *** 1 < Age 1 *** 2 Ages 1 through 5 *** 3 Ages 6 through 14 *** 4 Ages 15 through 18 *** 5 Perinate Newborn 0% to 185% *** 6 Perinate Newborn Above 185% to 200% *** 7 Perinate 0% to 185% *** 8 Perinate Above 185% to 200% *** Delivery Supplemental Payment: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the methodology for establishing the Delivery Supplemental Payment for the CHIP Program and CHIP Perinatal subprogram. The CHIP Delivery Supplemental Payment is *** for all Service Areas. Modifications to Part 10 of the HHSC Managed Care Contract document, "Contract Attachments," are italicized below:.
Appears in 1 contract
Samples: Contract (Centene Corp)
Delivery Supplemental Payment. See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the Delivery Supplemental Payment for the STAR Program. þ Medicaid STAR+PLUS MCO Program Capitation: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the Capitation Rate-setting methodology and the Capitation Payment requirements for the STAR+PLUS Program. The following Rate Cells will apply to Rate Period 1. 1 Medicaid Only Standard Rate *** *** *** 2 Medicaid Only HCBS STAR +PLUS Waiver Rate - Above Floor *** *** *** 3 Medicaid Only HCBS STAR +PLUS Waiver Rate - Below Floor *** *** *** 4 Dual Eligible Standard Rate *** *** *** 5 Dual Eligible HCBS STAR +PLUS Waiver Rate - Above Floor *** *** 6 Dual Eligible HCBS STAR +PLUS Waiver Rate - Below Floor *** *** 7 Nursing Facility – Medicaid Only *** *** 8 Nursing Facility – Dual Eligible *** *** 1 Medicaid Only Standard Rate *** *** 2 Medicaid Only HCBS STAR +PLUS Waiver Rate - Above Floor *** *** 3 Medicaid Only HCBS STAR +PLUS Waiver Rate - Below Floor *** *** 4 Dual Eligible Standard Rate *** *** 5 Dual Eligible HCBS STAR +PLUS Waiver Rate - Above Floor *** *** 6 Dual Eligible HCBS STAR +PLUS Waiver Rate - Below Floor *** *** *** 7 Nursing Facility – Medicaid Only *** *** *** 8 Nursing Facility – Dual Eligible *** *** 1 Medicaid Only Standard Rate *** o *** 2 Medicaid Only HCBS STAR +PLUS Waiver Rate - Above Floor *** *** 3 Medicaid Only HCBS STAR +PLUS Waiver Rate - Below Floor *** *** 4 Dual Eligible Standard Rate *** *** 5 Dual Eligible HCBS STAR +PLUS Waiver Rate - Above Floor *** *** 6 Dual Eligible HCBS STAR +PLUS Waiver Rate - Below Floor *** *** 7 Nursing Facility – Medicaid Only *** *** 8 Nursing Facility – Dual Eligible *** *** þ CHIP MCO PROGRAM Capitation: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the Capitation Rate-setting methodology and the Capitation Payment requirements for the CHIP Program. The following Rate Cells and Capitation Rates will apply to Rate Period 1. 1 < Age 1 *** *** 2 Ages 1 through 5 *** *** 3 Ages 6 through 14 *** *** 4 Ages 15 through 18 *** *** 5 Perinate Newborn 0% to 185% *** *** 6 Perinate Newborn Above 185% to 200% *** *** 7 Perinate 0% to 185% *** *** 8 Perinate Above 185% to 200% Delivery Supplemental Payment: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the methodology for establishing the Delivery Supplemental Payment for the CHIP Program and CHIP Perinatal subprogram. The CHIP Delivery Supplemental Payment is *** for all Service Areas. Modifications *** 1 < Age 1 *** *** 2 Ages 1 through 5 *** *** 3 Ages 6 through 14 *** *** 4 Ages 15 through 18 *** *** 5 Perinate Newborn 0% to Part 10 of the HHSC Managed Care Contract document, "Contract Attachments," are italicized below:185% *** *** 6 Perinate Newborn Above 185% to 200% *** *** 7 Perinate 0% to 185% *** *** 8 Perinate Above 185% to 200% *** *** 1 < Age 1 *** *** 2 Ages 1 through 5 *** *** 3 Ages 6 through 14 *** *** 4 Ages 15 through 18 *** *** 5 Perinate Newborn 0% to 185% *** *** 6 Perinate Newborn Above 185% to 200% *** *** 7 Perinate 0% to 185% *** *** 8 Perinate Above 185% to 200% *** *** 1 < Age 1 *** *** 2 Ages 1 through 5 *** *** 3 Ages 6 through 14 *** *** 4 Ages 15 through 18 *** *** 5 Perinate Newborn 0% to 185% *** *** 6 Perinate Newborn Above 185% to 200% *** *** 7 Perinate 0% to 185% *** *** 8 Perinate Above 185% to 200% *** *** 1 < Age 1 *** *** 2 Ages 1 through 5 *** *** 3 Ages 6 through 14 *** *** 4 Ages 15 through 18 *** *** 5 Perinate Newborn 0% to 185% *** *** 6 Perinate Newborn Above 185% to 200% *** *** 7 Perinate 0% to 185% *** *** 8 Perinate Above 185% to 200% *** ***
Appears in 1 contract
Samples: Contract (Centene Corp)
