Common use of Exceptions to Payment Schedules Clause in Contracts

Exceptions to Payment Schedules. Section 4.1.1 does not apply to: Capitation Payments for services provided in the month of June, for which payment shall be made no earlier than the first day of each July, pursuant to Minnesota Statutes, § 256B.69, subd. 5d; and The delay of $270,000,000 of capitation payments to MCOs due in the second quarter (pursuant to Laws of Minnesota 2015, Ch. 71, Art. 11, sec. 64 ). Affected delayed capitation payments for services provided in the month of April and/or May shall be paid no earlier than the first day of each July and no later than July 31. With thirty (30) days advance notice, at the request of the office of Minnesota Management and Budget for purposes of managing the state’s cash flow, the STATE may delay the capitation payment for up to two full warrant cycles twice during the course of this Contract. One delay may take place between January 1 and April 30 of the Contract Year. A second delay may take place between August 1 and December 31 of the Contract Year. Any excess of total payments to the MCO that exceed $99,999,999.99 in a single warrant period. The STATE shall pay any such excess in the next warrant period, up to $99,999,999.99, with any excess from that period to be paid in the following warrant period, and so on. At its option, the STATE may choose to make more than one payment in a warrant cycle. In the event of an Emergency Performance Interruption (EPI) that affects the STATE’s ability to make payments, the STATE will make payments to the MCO in accordance with the STATE’s Business Continuity Plan. Return of Withheld Funds. As required by Minnesota Statutes, § 256B.69, subd. 5a: The Non-Performance-Based Total 37.5% (3.0 / 8.0 x 100) of the withheld funds shall be returned with no consideration of performance, no sooner than July 1st and no later than July 31st of the subsequent Contract Year. The Performance-based Withhold will also be returned as required by Minnesota Statutes, § 256B.69, subd. 5a.

Exceptions to Payment Schedules. Section 4.1.1 4.1 does not apply to: to:‌ Capitation Payments for services provided in the month of May and June, for which payment shall be made no earlier than the first day of each July, pursuant to Minnesota Statutes, § 256B.69, subd. 5d; and The delay of $270,000,000 of capitation payments to MCOs due in the second quarter 28, (pursuant to Laws of Minnesota 2015, Ch. 71, Art. 11, sec. 64 b). Affected delayed capitation payments for services provided in the month of April and/or May shall be paid no earlier than the first day of each July and no later than July 31. With thirty (30) days advance notice, at the request of the office of Minnesota Management and Budget for purposes of managing the state’s cash flow, the STATE may delay the capitation payment for up to two full warrant cycles twice during the course of this Contract. One delay may take place between January 1 and April 30 of the Contract Year. A second delay may take place between August 1 and December 31 of the Contract Year. Any excess of total payments to the MCO that exceed $99,999,999.99 in a single warrant period. The STATE shall pay any such excess in the next warrant period, up to $99,999,999.99, with any excess from that period to be paid in the following warrant period, and so on. At its option, the STATE may choose to make more than one payment in a warrant cycle. In the event of an Emergency Performance Interruption (EPI) that affects the STATE’s ability to make payments, the STATE will make payments to the MCO in accordance with the STATE’s Business Continuity Plan. Return of Withheld Funds. As required by Minnesota Statutes, § 256B.69, subd. 5a: 5a:‌ The Non-Performance-Based Total total 37.5% (3.0 / 8.0 x 100) of the withheld funds shall be returned with no consideration of performance, no sooner than July 1st and no later than July 31st of the subsequent Contract YearYear as required by Minnesota Statutes, § 256B.69, subd. 5a. The Performance-based Withhold Based Totals will also be returned as required by Minnesota Statutes, § 256B.69, subd. 5a.. Stop-Loss. The STATE agrees to make payment to the MCO for seventy-five percent (75%) of allowable medical expenses in excess of one million dollars ($1,000,000) for Contract Year 2018 for Outlier Enrollees under this Contract, as described in this section. The MCO shall retain responsibility for Care Management and prompt payment to providers for services provided to all potential Outlier Enrollees.‌

Exceptions to Payment Schedules. Section 4.1.1 does not apply to: : (A) Capitation Payments for services provided in the month of June, for which payment shall be made no earlier than the first day of each July, July pursuant to Minnesota Statutes, § 256B.69, subd. 5d; and and (B) The delay of $270,000,000 of capitation payments to MCOs due in the second quarter (pursuant to Laws of Minnesota 2015, Ch. 71, Art. 11, sec. 64 64). Affected delayed capitation payments for services provided in the month of April and/or May shall be paid no earlier than the first day of each July and no later than July 31. . (C) With thirty (30) days advance notice, at the request of the office of Minnesota Management and Budget for the purposes of managing the state’s cash flow, the STATE may delay the capitation payment for up to two full warrant cycles twice during the course of this Contract. One delay may take place between January 1 and April 30 of the Contract Year. A second delay may take place between August 1 and December 31 of the Contract Year. . (D) Any excess of total payments to the MCO that exceed $99,999,999.99 in a single warrant period. The STATE shall pay any such excess in the next warrant period, up to $99,999,999.99, with any excess from that period to be paid in the following warrant period, and so on. At its option, the STATE may choose to make more than one payment in a warrant cycle. . (E) In the event of an Emergency Performance Interruption (EPI) that affects the STATE’s ability to make payments, the STATE will make payments to the MCO in accordance with the STATE’s Business Continuity Plan. . (F) Return of Withheld Funds. As required by Minnesota Statutes, § 256B.69, subd. 5a: : (1) The PMAP Non-Performance-Based Total 37.5% (3.0 / 8.0 x 100) of the withheld funds for PMAP shall be returned with no consideration of performance, no sooner than July first and no later than July 31st of the subsequent Contract Year. (2) The MinnesotaCare Non-Performance-Based Total (37.5% (3.0/8.0 x 100) of the withheld funds for MinnesotaCare) shall be returned with no consideration of performance, no sooner than July 1st and no later than July 31st of the subsequent Contract Year. . (3) The PMAP and MinnesotaCare Performance-based Withhold Based Totals will also be returned as required by Minnesota Statutes, § 256B.69, subd. 5a.

Exceptions to Payment Schedules. Section 4.1.1 does not apply to: to:‌ Capitation Payments for services provided in the month of June, for which payment shall be made no earlier than the first day of each July, pursuant to Minnesota Statutes, § 256B.69, subd. 5d; and The delay of $270,000,000 of capitation payments to MCOs due in the second quarter (pursuant to Laws of Minnesota 2015, Ch. 71, Art. 11, sec. 64 ). Affected delayed capitation payments for services provided in the month of April and/or May shall be paid no earlier than the first day of each July and no later than July 31. With thirty (30) days advance notice, at the request of the office of Minnesota Management and Budget for purposes of managing the state’s cash flow, the STATE may delay the capitation payment for up to two full warrant cycles twice during the course of this Contract. One delay may take place between January 1 and April 30 of the Contract Year. A second delay may take place between August 1 and December 31 of the Contract Year. Any excess of total payments to the MCO that exceed $99,999,999.99 in a single warrant period. The STATE shall pay any such excess in the next warrant period, up to $99,999,999.99, with any excess from that period to be paid in the following warrant period, and so on. At its option, the STATE may choose to make more than one payment in a warrant cycle. In the event of an Emergency Performance Interruption (EPI) that affects the STATE’s ability to make payments, the STATE will make payments to the MCO in accordance with the STATE’s Business Continuity Plan. Return of Withheld Funds. As required by Minnesota Statutes, § 256B.69, subd. 5a: The Non-Performance-Based Total 37.5% (3.0 / 8.0 x 100) of the withheld funds shall be returned with no consideration of performance, no sooner than July 1st and no later than July 31st of the subsequent Contract Year. The Performance-based Withhold will also be returned as required by Minnesota Statutes, § 256B.69, subd. 5a.

Exceptions to Payment Schedules. Section 4.1.1 4.1 does not apply to: to:‌ Capitation Payments for services provided in the month of April, May and June, for which payment shall be made no earlier than the first day of each July, pursuant to Minnesota Statutes, § 256B.69, subd. 5d; 28, (b), and The delay of $270,000,000 of capitation payments to MCOs due in the second quarter (pursuant to 2015 Laws of Minnesota 2015Minnesota, Ch. 71, Art. 11, secSec. 64 ). Affected delayed capitation payments for services provided in the month of April and/or May shall be paid no earlier than the first day of each July and no later than July 3164. With thirty (30) days advance notice, at the request of the office of Minnesota Management and Budget for purposes of managing the state’s cash flow, the STATE may delay the capitation payment for up to two full warrant cycles twice during the course of this Contract. One delay may take place between January 1 and April 30 of the Contract Year. A second delay may take place between August 1 and December 31 of the Contract Year. Any excess of total payments to the MCO that exceed $99,999,999.99 in a single warrant period. The STATE shall pay any such excess in the next warrant period, up to $99,999,999.99, with any excess from that period to be paid in the following warrant period, and so on. At its option, the STATE may choose to make more than one payment in a warrant cycle. In the event of an Emergency Performance Interruption (EPI) that affects the STATE’s ability to make payments, the STATE will make payments to the MCO in accordance with the STATE’s Business Continuity Plan. Return of Withheld Funds. As required by Minnesota Statutes, § 256B.69, subd. 5a: 5a:‌ (1) The Non-Performance-Based Total total 37.5% (3.0 / 8.0 x 100) of the withheld funds shall be returned with no consideration of performance, no sooner than July 1st and no later than July 31st of the subsequent Contract YearYear as required by Minnesota Statutes, § 256B.69, subd. 5a. (2) The Performance-based Withhold Based Totals will also be returned as required by Minnesota Statutes, § 256B.69, subd. 5a.

Exceptions to Payment Schedules. Section 4.1.1 4.1 does not apply to: Capitation Payments for services provided in the month of April, May and June, for which payment shall be made no earlier than the first day of each July, pursuant to Minnesota Statutes, § 256B.69, subd. 5d; 28, (b), and The delay of $270,000,000 of capitation payments to MCOs due in the second quarter (pursuant to 2015 Laws of Minnesota 2015Minnesota, Ch. 71, Art. 11, secSec. 64 ). Affected delayed capitation payments for services provided in the month of April and/or May shall be paid no earlier than the first day of each July and no later than July 3164. With thirty (30) days advance notice, at the request of the office of Minnesota Management and Budget for purposes of managing the state’s cash flow, the STATE may delay the capitation payment for up to two full warrant cycles twice during the course of this Contract. One delay may take place between January 1 and April 30 of the Contract Year. A second delay may take place between August 1 and December 31 of the Contract Year. Any excess of total payments to the MCO that exceed $99,999,999.99 in a single warrant period. The STATE shall pay any such excess in the next warrant period, up to $99,999,999.99, with any excess from that period to be paid in the following warrant period, and so on. At its option, the STATE may choose to make more than one payment in a warrant cycle. In the event of an Emergency Performance Interruption (EPI) that affects the STATE’s ability to make payments, the STATE will make payments to the MCO in accordance with the STATE’s Business Continuity Plan. Return of Withheld Funds. As required by Minnesota Statutes, § 256B.69, subd. 5a: : (1) The Non-Performance-Based Total total 37.5% (3.0 / 8.0 x 100) of the withheld funds shall be returned with no consideration of performance, no sooner than July 1st and no later than July 31st of the subsequent Contract YearYear as required by Minnesota Statutes, § 256B.69, subd. 5a. (2) The Performance-based Withhold Based Totals will also be returned as required by Minnesota Statutes, § 256B.69, subd. 5a.

Exceptions to Payment Schedules. Section 4.1.1 does not apply to: : (A) Capitation Payments for services provided in the month of June, for which payment shall be made no earlier than the first day of each July, pursuant to Minnesota Statutes, § 256B.69, subd. 5d; and and (B) The delay of $270,000,000 of capitation payments to MCOs due in the second quarter (pursuant to Laws of Minnesota 2015, Ch. 71, Art. 11, sec. 64 ). Affected delayed capitation payments for services provided in the month of April and/or May shall be paid no earlier than the first day of each July and no later than July 31. . (C) With thirty (30) days advance notice, at the request of the office of Minnesota Management and Budget for purposes of managing the state’s cash flow, the STATE may delay the capitation payment for up to two full warrant cycles twice during the course of this Contract. One delay may take place between January 1 and April 30 of the Contract Year. A second delay may take place between August 1 and December 31 of the Contract Year. . (D) Any excess of total payments to the MCO that exceed $99,999,999.99 in a single warrant period. The STATE shall pay any such excess in the next warrant period, up to $99,999,999.99, with any excess from that period to be paid in the following warrant period, and so on. At its option, the STATE may choose to make more than one payment in a warrant cycle. . (E) In the event of an Emergency Performance Interruption (EPI) that affects the STATE’s ability to make payments, the STATE will make payments to the MCO in accordance with the STATE’s Business Continuity Plan. . (F) Return of Withheld Funds. As required by Minnesota Statutes, § 256B.69, subd. 5a: : (1) The Non-Performance-Based Total 37.5% (3.0 / 8.0 x 100) of the withheld funds shall be returned with no consideration of performance, no sooner than July 1st and no later than July 31st of the subsequent Contract Year. . (2) The Performance-based Withhold will also be returned as required by Minnesota Statutes, § 256B.69, subd. 5a.