Elderly Waiver Payment Adjustment for MSHO and MSC+ Sample Clauses

Elderly Waiver Payment Adjustment for MSHO and MSC+. In August of each Contract Year, the STATE shall deduct from the MCO’s warrant an amount equal to all monthly Elderly Waiver Capitation Payments made in the calendar year prior to the current Contract Year after an MSHO/MSC+ Enrollee has been Institutionalized for sixty (60) days. The STATE shall calculate the amount and notify the MCO prior to the adjustment to the August warrant.
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Elderly Waiver Payment Adjustment for MSHO and MSC+. Once per Contract Year no later than September 1, the STATE shall deduct from the MCO’s warrant an amount equal to all monthly Elderly Waiver Capitation Payments made in the calendar year prior to the current Contract Year after an MSHO/MSC+ Enrollee has been Institutionalized for sixty (60) days, or upon the prior year’s Care Plan audit in section 6.1.11(B)(7) findings that an Enrollee was in an inappropriate Rate Cell. The STATE shall calculate the amount and notify the MCO 90 days prior to the adjustment of the warrant.

Related to Elderly Waiver Payment Adjustment for MSHO and MSC+

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