Common use of Enforcement of Budget Neutrality Clause in Contracts

Enforcement of Budget Neutrality. CMS shall enforce budget neutrality over the life of the demonstration rather than on an annual basis, by combining the annual limits calculated following paragraph 64 into lifetime limits for the demonstration. The following describes how budget neutrality will be enforced. a. Test A consists of application of the combined annual Limits A to demonstration spending reported on the following schedules, as defined in paragraph 55(d) and 55(f): “HHW Caretakers,” “HHW Children,” “HHW Pregnant Women,” “HIP Adults,” “ESP Adults Adm.” b. Test B consists of application of the combined annual Limits B to demonstration spending reported on the “HIP Caretakers” and “ESP Caretakers Adm” schedule. c. If Test A expenditures exceed Limit A, the state must refund excess expenditures from Test A to CMS. Test B savings cannot be used to offset excess expenditures from Test A. d. If Test B expenditures exceed Limit B and Test A shows savings, a second test is performed by combining Tests A and B. The state must refund excess expenditures (if any) from the combined test to CMS. e. If both Tests A and B show excess expenditures, the state must refund the excess expenditures from both tests to CMS. f. If the demonstration is terminated prior to the end of the budget neutrality agreement, an assessment of the state’s compliance with these requirements shall be based on the time elapsed through the termination date.

Enforcement of Budget Neutrality. CMS shall enforce budget neutrality over the life of the demonstration rather than on an annual basis, by combining the annual limits calculated following paragraph 64 62 into lifetime limits for the demonstration. The following describes how budget neutrality will be enforced. a. Test A consists of application of the combined annual Limits A to demonstration spending reported on the following schedules, as defined in paragraph 55(d54(d) and 55(f54(f): “HHW Caretakers,” “HHW Children,” “HHW Pregnant Women,” “HIP Adults,” “ESP Adults Adm..” b. Test B consists of application of the combined annual Limits B to demonstration spending reported on the “HIP Caretakers” and “ESP Caretakers Adm” schedule. c. If Test A expenditures exceed Limit A, the state must refund excess expenditures from Test A to CMS. Test B savings cannot be used to offset excess expenditures from Test A. d. If Test B expenditures exceed Limit B and Test A shows savings, a second test is performed by combining Tests A and B. The state must refund excess expenditures (if any) from the combined test to CMS. e. If both Tests A and B show excess expenditures, the state must refund the excess expenditures from both tests to CMS. f. If the demonstration is terminated prior to the end of the budget neutrality agreement, an assessment of the state’s compliance with these requirements shall be based on the time elapsed through the termination date.

Enforcement of Budget Neutrality. CMS shall enforce budget neutrality over the life of the demonstration Demonstration rather than on an annual basis, by combining the annual limits calculated following paragraph 64 68 into lifetime limits for the demonstration. The following describes how budget neutrality will be enforced. a. Test A consists of application of the combined annual Limits A to demonstration Demonstration spending reported on the following schedules, as defined in paragraph 55(d60(e) and 55(f60(g): “HHW Caretakers,” “HHW Children,” “HHW Pregnant Women,” “HIP Adults,” “ESP HIP Adults Adm.” b. Test B consists of application of the combined annual Limits B to demonstration Demonstration spending reported on the “HIP Caretakers” and “ESP HIP Caretakers Adm” schedule. c. If Test A expenditures exceed Limit A, the state State must refund excess expenditures from Test A to CMS. Test B savings cannot be used to offset excess expenditures from Test A. d. If Test B expenditures exceed Limit B and Test A shows savings, a second test is performed by combining Tests A and B. The state State must refund excess expenditures (if any) from the combined test to CMS. e. If both Tests A and B show excess expenditures, the state State must refund the excess expenditures from both tests to CMS. f. If the demonstration Demonstration is terminated prior to the end of the budget neutrality agreement, an assessment of the stateState’s compliance with these requirements shall be based on the time elapsed through the termination date.

Enforcement of Budget Neutrality. CMS shall enforce budget neutrality over the life of the demonstration Demonstration rather than on an annual basis, by combining the annual limits calculated following paragraph 64 68 into lifetime limits for the demonstration. The following describes how budget neutrality will be enforced. a. Test A consists of application of the combined annual Limits A to demonstration Demonstration spending reported on the following schedules, as defined in paragraph 55(d60(e) and 55(f60(g): “HHW Caretakers,” “HHW Children,” “HHW ―HHW Caretakers,‖ ―HHW Children,‖ ―HHW Pregnant Women,” “HIP Adults,” “ESP Women,‖ ―HIP Adults,‖ ―ESP Adults Adm.”Adm.‖ b. Test B consists of application of the combined annual Limits B to demonstration Demonstration spending reported on the “HIP Caretakers” ―HIP Caretakers‖ and “ESP ―ESP Caretakers Adm” Adm‖ schedule. c. If Test A expenditures exceed Limit A, the state State must refund excess expenditures from Test A to CMS. Test B savings cannot be used to offset excess expenditures from Test A. d. If Test B expenditures exceed Limit B and Test A shows savings, a second test is performed by combining Tests A and B. The state State must refund excess expenditures (if any) from the combined test to CMS. e. If both Tests A and B show excess expenditures, the state State must refund the excess expenditures from both tests to CMS. f. If the demonstration Demonstration is terminated prior to the end of the budget neutrality agreement, an assessment of the stateState’s compliance with these requirements shall be based on the time elapsed through the termination date.