Common use of Enforcement of Budget Neutrality Clause in Contracts

Enforcement of Budget Neutrality. CMS must enforce budget neutrality over the life of the demonstration rather than on an annual basis. However, if the state’s expenditures exceed the calculated cumulative budget neutrality expenditure cap by the percentage identified below for any of the demonstration years, the state must submit a corrective action plan to CMS for approval. Demonstration Year Cumulative Expenditure Cap Definition Percentage

Enforcement of Budget Neutrality. CMS must shall enforce budget neutrality over the life of the demonstration Demonstration rather than on an annual basis. However, if the stateState’s cumulative expenditures exceed the calculated cumulative budget neutrality expenditure cap limit by the percentage identified below for any of the demonstration Demonstration years, the state State must submit a corrective action plan to for CMS for approval. Demonstration approval Year Cumulative Expenditure Cap Definition Percentage1 through 17 Budget Neutrality expenditure cap plus 1.0 percent Year 1 through 18 Combined budget neutrality expenditure cap plus 0.5 percent Year 1 through 19 Combined budget neutrality expenditure caps plus 0 percent

Enforcement of Budget Neutrality. CMS must shall enforce budget neutrality over the life of the demonstration rather than on an annual basis. However, if the state’s expenditures exceed the calculated cumulative budget neutrality expenditure cap by the percentage identified below for any of the demonstration years, the state must submit a corrective action plan to CMS for approval. Demonstration Year Cumulative Expenditure Cap Definition Percentage.

Enforcement of Budget Neutrality. CMS must shall enforce budget neutrality over the life of the demonstration Demonstration rather than on an annual basis. However, if the state’s expenditures exceed the calculated cumulative budget neutrality expenditure cap by the percentage identified below for any of the demonstration years, the state must submit a corrective action plan to CMS for approval. Demonstration Year Cumulative Expenditure Cap Definition Percentage.

Enforcement of Budget Neutrality. CMS must shall enforce budget neutrality over the life of the demonstration demonstration, rather than on an annual basis. However, if the state’s expenditures exceed state exceeds the calculated cumulative budget neutrality expenditure cap limit by the percentage identified below for any of the demonstration years, the state must submit a corrective action plan to CMS for approval. Demonstration Year Cumulative Expenditure Cap Definition Target Percentage

Enforcement of Budget Neutrality. CMS must shall enforce budget neutrality over the life of the demonstration Demonstration rather than on an annual basis. However, if the state’s State's cumulative expenditures exceed the calculated cumulative budget neutrality expenditure cap limit by the percentage identified below for any of the demonstration Demonstration years, the state State must submit a corrective action plan to for CMS for approval. Demonstration Year Cumulative Expenditure Cap Limit Definition PercentagePercentage Year 1 through 17 Budget neutrality expenditure cap plus 1.0 percent Year 1 through 18 Combine budget neutrality expenditure cap plus 0.5 percent

Enforcement of Budget Neutrality. CMS must shall enforce budget neutrality over the life of the demonstration demonstration, rather than on an annual basis. However, if the state’s expenditures exceed the calculated cumulative budget neutrality expenditure cap by the percentage identified below for any of the demonstration years, the state must submit a corrective action plan to CMS for approval. Demonstration Year Cumulative Expenditure Cap Definition PercentageThe state will subsequently implement the approved corrective action plan.

Enforcement of Budget Neutrality. CMS must shall enforce budget neutrality over the life of the demonstration Demonstration, rather than on an annual basis. However, if the state’s expenditures exceed State exceeds the calculated cumulative budget neutrality expenditure cap limit by the percentage identified below for any of the demonstration Demonstration years, the state State must submit a corrective action plan to CMS for approval. Demonstration Year Cumulative Expenditure Cap Definition Percentage.

Enforcement of Budget Neutrality. CMS must shall enforce budget neutrality over the life of the demonstration Demonstration rather than on an annual basis. However, if the state’s expenditures exceed State exceeds the calculated cumulative budget neutrality expenditure cap by the percentage identified below for any of the demonstration Demonstration years, the state State must submit a corrective action plan to CMS for approval. Demonstration Year Cumulative Expenditure Cap Definition Percentage.

Enforcement of Budget Neutrality. CMS must shall enforce budget neutrality over the life of the demonstration rather than on an annual basis. However, if the state’s expenditures exceed the calculated cumulative budget neutrality expenditure cap limit by the percentage identified below for any of the demonstration years, the state must submit a corrective action plan to CMS for approval. Demonstration Year Cumulative Expenditure Cap Definition PercentageThe state will subsequently implement the approved corrective action plan.

Enforcement of Budget Neutrality. CMS must shall enforce budget neutrality over the life of the demonstration Demonstration, rather than on an annual basis. However, if the state’s expenditures exceed State exceeds the calculated cumulative budget neutrality expenditure cap limit by the percentage identified below for any of the demonstration Demonstration years, the state State must submit a corrective action plan to CMS for approval. Demonstration Year Cumulative Expenditure Cap Definition Target Percentage

Enforcement of Budget Neutrality. CMS must will enforce budget neutrality over the life of the demonstration Demonstration rather than on an annual basis. However, if the stateState’s expenditures exceed the calculated cumulative budget neutrality expenditure cap by the percentage identified below for any of the demonstration Demonstration years, the state State must submit a corrective action plan to CMS for approval. Demonstration Year Cumulative Expenditure Cap Definition Percentage.

Enforcement of Budget Neutrality. CMS must shall enforce budget neutrality over the life of the demonstration Demonstration rather than on an annual basis. However, if the state’s expenditures exceed State exceeds the calculated cumulative budget neutrality expenditure cap target limit by the percentage identified below for any of the demonstration Demonstration years, the state State must submit a corrective action plan to CMS for approval. Demonstration Year Cumulative Expenditure Cap Definition Percentage.

Enforcement of Budget Neutrality. CMS must shall enforce budget neutrality over the life of the demonstration Demonstration rather than on an annual basis. However, if the stateState’s cumulative expenditures exceed the calculated cumulative budget neutrality expenditure cap limit by the percentage identified below for any of the demonstration Demonstration years, the state State must submit a corrective action plan to for CMS for approval. Demonstration approval Year Cumulative Expenditure Cap Definition Percentage1 through Budget Neutrality expenditure cap plus 1.0 percent 17 Year 1 through 18 Combined budget neutrality expenditure cap plus 0.5 percent Year 1 through 19 Combined budget neutrality expenditure caps plus 0 percent

Enforcement of Budget Neutrality. CMS must shall enforce budget neutrality over the life of the demonstration Demonstration rather than on an annual basis. However, if the stateState’s expenditures exceed the calculated cumulative budget neutrality expenditure cap by the percentage identified below for any of the demonstration Demonstration years, the state State must submit a corrective action plan to CMS for approval. Demonstration Year Cumulative Expenditure Cap Definition PercentageWithout Waiver Allowed Margin * DY12 (2014) Without Waiver reflected for time period 06/30/2013 to 12/31/2013

Enforcement of Budget Neutrality. CMS must shall enforce budget neutrality over the life of the demonstration demonstration, rather than on an annual basis. However, if the state’s expenditures exceed the calculated cumulative budget neutrality expenditure cap by the percentage identified below for any of the demonstration years, the state must submit a corrective action plan to CMS for approval. The state will subsequently implement the approved corrective action plan. Demonstration Year Cumulative Expenditure Cap Target Definition Percentage

Enforcement of Budget Neutrality. CMS must shall enforce budget neutrality over the life of the demonstration rather than on an annual basis. However, if the state’s expenditures exceed the calculated cumulative budget neutrality expenditure cap limit by the percentage identified below for any of the demonstration years, the state must submit a corrective action plan to CMS for approval. Demonstration Year Cumulative Expenditure Cap Definition Percentagebelow

Enforcement of Budget Neutrality. CMS must shall enforce budget neutrality over the life of the demonstration demonstration, rather than on an annual basis. However, if the state’s expenditures exceed state exceeds the calculated cumulative budget neutrality expenditure cap limit by the percentage identified below for any of the demonstration years, the state must submit a corrective action plan to CMS for approval. Demonstration Year Cumulative Expenditure Cap Target Definition PercentagePercentage State’s Response: The State has not exceeded the calculated cumulative budget neutrality expenditure limit by the percentage identified in the above chart for any of the demonstration years.

Enforcement of Budget Neutrality. The CMS must shall enforce budget neutrality over the life of the demonstration rather than on an annual basis. However, if the state’s expenditures exceed the calculated cumulative budget neutrality expenditure cap by the percentage identified below for any of the demonstration years, the state must submit a corrective action plan to CMS for approval. Demonstration The state will subsequently implement the approved corrective action plan. Year Cumulative Expenditure Cap Definition Percentage1 Budget neutrality expenditure cap plus 0 percent