Common use of Expenditure Limits Clause in Contracts

Expenditure Limits. The Commonwealth may claim FFP for up to $1.8 billion in DSRIP expenditures. An increasing amount of state DSRIP expenditure authority will be at-risk over the five-year period (See STC 68). The State’s expenditure authority will be reduced based on the State’s DSRIP Accountability Score (See STC68). MassHealth will reduce DSRIP payments in proportion to the reduced expenditure authority. Enrollment Adjustments. Given that a significant portion of DSRIP expenditure authority will be disbursed on a PMPM bases, lower than anticipated member participation in the ACO or CP programs may lead to lower actual expenditures in a given DSRIP year. Therefore, the state may carry forward prior year DSRIP expenditure authority from one year to the next. The state may only carry forward expenditure authority from one DSRIP year to the next for reasons related to member participation fluctuations. If the carry forward amount from any given year to the next is more than 15%, the state must obtain CMS approval. The state must ensure that carry over does not result in the amount of DSRIP for DY 25 being greater than the amount for DY 24.

Expenditure Limits. The Commonwealth may claim FFP for up to $1.8 billion in DSRIP expenditures. An increasing amount of state DSRIP expenditure authority will be at-risk over the five-year period (See STC 6871). The State’s expenditure authority will be reduced based on the State’s DSRIP Accountability Score (See STC68STC 71). MassHealth will reduce DSRIP payments in proportion to the reduced expenditure authority. Enrollment Adjustments. Given that a significant portion of DSRIP expenditure authority will be disbursed on a PMPM bases, lower than anticipated member participation in the ACO or CP programs may lead to lower actual expenditures in a given DSRIP year. Therefore, the state may carry forward prior year DSRIP expenditure authority from one year to the next. The state may only carry forward expenditure authority from one DSRIP year to the next for reasons related to member participation fluctuations. If the carry forward amount from any given year to the next is more than 15%, the state must obtain CMS approval. The state must ensure that carry over does not result in the amount of DSRIP for DY 25 being greater than the amount for DY 24.

Expenditure Limits. The Commonwealth may claim FFP for up to $1.8 billion in DSRIP expenditures. An increasing amount of state DSRIP expenditure authority will be at-risk over the five-year period (See STC 6881). The State’s expenditure authority will be reduced based on the State’s DSRIP Accountability Score (See STC68STC 81). MassHealth will reduce DSRIP payments in proportion to the reduced expenditure authority. Enrollment Adjustments. Given that a significant portion of DSRIP expenditure authority will be disbursed on a PMPM bases, lower than anticipated member participation in the ACO or CP programs may lead to lower actual expenditures in a given DSRIP year. Therefore, the state may carry forward prior year DSRIP expenditure authority from one year to the next. The state may only carry forward expenditure authority from one DSRIP year to the next for reasons related to member participation fluctuations. If the carry forward amount from any given year to the next is more than 15%, the state must obtain CMS approval. The state must ensure that carry over does not result in the amount of DSRIP for DY 25 being greater than the amount for DY 24.