DELIVERY SYSTEM AND PROVIDER PAYMENT INITIATIVES Sample Clauses

DELIVERY SYSTEM AND PROVIDER PAYMENT INITIATIVES i. Rate Development Standards Consistent with guidance in 42 CFR §438.6(c) and with the CY 2019 MMC capitation rates, the CY 2020 rates reflect consideration of the following delivery system and provider payment initiatives:  Care Innovation and Community Improvement Program (CICIP)  Supplemental Pharmacy Dispensing Fee (a) Description of Managed Care Plan Requirement
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DELIVERY SYSTEM AND PROVIDER PAYMENT INITIATIVES. This section is not applicable because there are no payment incentives for the MyCare program as defined by the CMS Rate Setting Guide.
DELIVERY SYSTEM AND PROVIDER PAYMENT INITIATIVES. Consistent with the Original certification, the amended rates effective January 1, 2022 include consideration for the following delivery system and provider payment initiatives: • Hospital Additional Payment (HAP) • Care Innovation and Community Improvement Program (CICIP) • Minimum fee schedule for COVID-19 diagnostic testing • Supplemental pharmacy dispensing fee The report CY 2021 Medicaid Managed Care Capitation Rate Amendment, dated July 22, 2021, includes full documentation consistent with the CMS managed care rate setting guide. Where applicable, we understand amended preprints have been developed and submitted by ODM to reflect the extension of the rating period to June 30, 2022. For this amendment, projected amounts for each of these arrangements have been updated to apply to the 1H 2022 rating period.
DELIVERY SYSTEM AND PROVIDER PAYMENT INITIATIVES i. Rate Development Standards Consistent with guidance in 42 CFR §438.6(c), the CY 2019 MMC capitation rates reflect consideration of the Care Innovation and Community Improvement Program (CICIP). ii. Appropriate Documentation
DELIVERY SYSTEM AND PROVIDER PAYMENT INITIATIVES. In the MyCare program, the MCOPs are required to pay nursing facilities at Medicaid fee schedule rates used by ODM for FFS claims. A state directed payment preprint is not required for this arrangement. There are no other state directed payments for the MyCare program as defined by the CMS Rate Setting Guide.
DELIVERY SYSTEM AND PROVIDER PAYMENT INITIATIVES i. Rate Development Standards The CY 2018 MMC capitation rates do not reflect delivery system or provider payment initiatives.

Related to DELIVERY SYSTEM AND PROVIDER PAYMENT INITIATIVES

  • Quality Management System Supplier hereby undertakes, warrants and confirms, and will ensue same for its subcontractors, to remain certified in accordance with ISO 9001 standard or equivalent. At any time during the term of this Agreement, the Supplier shall, if so instructed by ISR, provide evidence of such certifications. In any event, Supplier must notify ISR, in writing, in the event said certification is suspended and/or canceled and/or not continued.

  • Customer Service Standards The Franchising Authority hereby adopts the customer service standards set forth in Part 76, §76.309 of the FCC’s rules and regulations, as amended. The Grantee shall comply in all respects with the customer service requirements established by the FCC.

  • System Upgrade Facilities and System Deliverability Upgrades Connecting Transmission Owner shall design, procure, construct, install, and own the System Upgrade Facilities and System Deliverability Upgrades described in Appendix A hereto. The responsibility of the Developer for costs related to System Upgrade Facilities and System Deliverability Upgrades shall be determined in accordance with the provisions of Attachment S to the NYISO OATT.

  • System Logging The system must maintain an automated audit trail which can 20 identify the user or system process which initiates a request for PHI COUNTY discloses to 21 CONTRACTOR or CONTRACTOR creates, receives, maintains, or transmits on behalf of COUNTY, 22 or which alters such PHI. The audit trail must be date and time stamped, must log both successful and 23 failed accesses, must be read only, and must be restricted to authorized users. If such PHI is stored in a 24 database, database logging functionality must be enabled. Audit trail data must be archived for at least 3 25 years after occurrence.

  • Ordering and Provisioning 53.3.1 CenturyLink will provide necessary ordering and provisioning business process support as well as those technical and systems interfaces as may be required to enable CLEC to provide resale services, including the functions, features, and capabilities of such services, and Unbundled Network Elements. If CenturyLink deploys any enhanced electronic capability CenturyLink will notify CLEC of availability and CLEC shall use the processes for performing transaction(s) to the extent practicable and the use of any other interface or process will be discontinued. 53.3.2 The Parties agree that orders for services under this Agreement will not be submitted or accepted until thirty (30) Days after the completion of all account establishment activities, including but not limited to, the documents and information subscribed in Section 45.1, unless the Parties mutually agree upon a different date based on the specific circumstances of the Parties’ relationship. 53.3.3 Except as specifically provided otherwise in this Agreement, pre- ordering, ordering and provisioning of resold services shall be governed in accordance with CenturyLink’s Standard Practices. 53.3.4 CenturyLink will provide provisioning intervals and procedures for design and complex services on a nondiscriminatory basis. Complex Service Order charges pursuant to Tariff terms may apply. 53.3.5 Where Technically Feasible, the NEAC will coordinate support for all designed and/or complex services provided to CLEC. 53.3.6 To the extent required by Applicable Law, and upon request from CLEC, employing CenturyLink’s LSR, CenturyLink will provide blocking of 700, 900, and 976 services, or other services of similar type as may now exist or be developed in the future, and shall provide Billed Number Screening (BNS), including required LIDB updates, or equivalent service for blocking completion of bill-to-third party and collect calls, on a line, PBX, or individual service basis. Blocking shall be provided to the extent (a) it is an available option for the Telecommunications Service resold by CLEC, or (b) it is Technically Feasible when requested by CLEC as a function of Unbundled Network Elements. 53.3.7 When ordering a resale service via an LSR Service Order, CLEC may order separate interLATA and IintraLATA service providers (i.e., two PICs) on a line or trunk basis, and CLEC agrees to pay the applicable Service Order and PIC charges associated with such order. CenturyLink will accept PIC change orders for IntraLATA toll and long distance services through the service provisioning process. 53.3.8 The standard Service Order charges as listed in the Table 1 of this Agreement shall apply to all orders.

  • Access Toll Connecting Trunk Group Architecture 9.2.1 If CSTC chooses to subtend a Verizon access Tandem, CSTC’s NPA/NXX must be assigned by CSTC to subtend the same Verizon access Tandem that a Verizon NPA/NXX serving the same Rate Center Area subtends as identified in the LERG. 9.2.2 CSTC shall establish Access Toll Connecting Trunks pursuant to applicable access Tariffs by which it will provide Switched Exchange Access Services to Interexchange Carriers to enable such Interexchange Carriers to originate and terminate traffic to and from CSTC’s Customers. 9.2.3 The Access Toll Connecting Trunks shall be two-way trunks. Such trunks shall connect the End Office CSTC utilizes to provide Telephone Exchange Service and Switched Exchange Access to its Customers in a given LATA to the access Tandem(s) Verizon utilizes to provide Exchange Access in such LATA. 9.2.4 Access Toll Connecting Trunks shall be used solely for the transmission and routing of Exchange Access to allow CSTC’s Customers to connect to or be connected to the interexchange trunks of any Interexchange Carrier which is connected to a Verizon access Tandem.

  • System Access Control Data processing systems used to provide the Cloud Service must be prevented from being used without authorization.

  • Developer Attachment Facilities Developer shall design, procure, construct, install, own and/or control the Developer Attachment Facilities described in Appendix A hereto, at its sole expense.

  • Training Program It is agreed that there shall be an Apprenticeship Training Program, the provisions of which are set forth in Exhibit "D", which is attached hereto and forms part of this Agreement.

  • System Upgrades The Connecting Transmission Owner shall procure, construct, install, and own the System Upgrade Facilities and System Deliverability Upgrades described in Attachment 6 of this Agreement. To the extent that design work is necessary in addition to that already accomplished in the Class Year Interconnection Facilities Study for the Interconnection Customer, the Connecting Transmission Owner shall perform or cause to be performed such work. If all the Parties agree, the Interconnection Customer may construct System Upgrade Facilities and System Deliverability Upgrades. 5.2.1 As described in Section 32.3.5.3 of the SGIP in Attachment Z of the ISO OATT, the responsibility of the Interconnection Customer for the cost of the System Upgrade Facilities and System Deliverability Upgrades described in Attachment 6 of this Agreement shall be determined in accordance with Attachment S of the ISO OATT, as required by Section 32.3.5.3.2

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