Common use of Expenditures Subject to the Budget Neutrality Agreement Clause in Contracts

Expenditures Subject to the Budget Neutrality Agreement. For purposes of this section, the term “expenditures subject to the budget neutrality agreement” must include all Medicaid expenditures in STC 69(g) for individuals who are enrolled in this Demonstration (with the exception of the populations identified in subparagraphs iii, iv, and ix), as well as the demonstration services described in subparagraphs x through xiii, subject to limitations enumerated in this STC. All expenditures that are subject to the budget neutrality agreement are considered Demonstration expenditures and must be reported on Forms CMS-64.9 Waiver and/or 64.9P Waiver. a) Beginning in DY 9, all expenditures for Demonstration Populations 1 and 2 who reside in Allegany, Cortland, Dutchess, Fulton, Montgomery, Putnam, Orange, Otsego, Schenectady, Seneca, Xxxxxxxx, Ulster, Washington, or Xxxxx counties are no longer considered expenditures subject to the budget neutrality agreement for this Demonstration and may not be reported on Forms CMS-64.9 Waiver and/or 64.9P for this Demonstration. These expenditures will be reported under the F-SHRP Demonstration (11-W-00234/2). b) Beginning in DY 9, expenditures for Demonstration Populations 3 and 4 defined in STC 69 (g) will no longer be reported under this Demonstration. However, these eligibility groups remain as a placeholder in the event these populations are transferred from the F-SHRP Demonstration (11-W-00234/2) back to this Demonstration. The state shall follow the amendment process outlined in STC 7 to effectuate this transfer. c) Beginning in DY 9, Demonstration Populations 3 and 4, as defined in paragraph 69 (g), are no longer considered expenditures subject to the budget neutrality agreement for this Demonstration. These expenditures may not be reported on Forms CMS-64.9 Waiver and/or 64.9P under this Demonstration, except if permitted under the provisions of subparagraph (b). These expenditures will be reported under the F-SHRP Demonstration (11-W-00234/2), subject to the provisions of subparagraph (b) of this STC. d) Only the home and community-based services expenditures for Demonstration Population 9 shall be subject to the budget neutrality agreement.

Expenditures Subject to the Budget Neutrality Agreement. For purposes of this section, the term “expenditures subject to the budget neutrality agreement” must include all Medicaid expenditures in STC 69(g55(g) for individuals who are enrolled in this Demonstration (with the exception of the populations identified in subparagraphs iii, iv, and ix), as well as the demonstration services described in subparagraphs x through xiii, subject to limitations enumerated in this STC. All expenditures that are subject to the budget neutrality agreement are considered Demonstration expenditures and must be reported on Forms CMS-64.9 Waiver and/or 64.9P Waiver. a) Beginning in DY 9, all expenditures for Demonstration Populations 1 and 2 who reside in Allegany, Cortland, Dutchess, Fulton, Montgomery, Putnam, Orange, Otsego, Schenectady, Seneca, Xxxxxxxx, Ulster, Washington, or Xxxxx counties are no longer considered expenditures subject to the budget neutrality agreement for this Demonstration and may not be reported on Forms CMS-64.9 Waiver and/or 64.9P for this Demonstration. These expenditures will be reported under the F-SHRP Demonstration (11-W-00234/2). b) Beginning in DY 9, expenditures for Demonstration Populations 3 and 4 defined in STC 69 (g55(g) will no longer be reported under this Demonstration. However, these eligibility groups remain as a placeholder in the event these populations are transferred from the F-SHRP Demonstration (11-W-00234/2) back to this Demonstration. The state State shall follow the amendment process outlined in STC 7 to effectuate this transfer. c) Beginning in DY 9, Demonstration Populations 3 and 4, as defined in paragraph 69 (g55(g), are no longer considered expenditures subject to the budget neutrality agreement for this Demonstration. These expenditures may not be reported on Forms CMS-64.9 Waiver and/or 64.9P under this Demonstration, except if permitted under the provisions of subparagraph (b). These expenditures will be reported under the F-SHRP Demonstration (11-W-00234/2), subject to the provisions of subparagraph (b) of this STC. d) Only the home and community-based services expenditures for Demonstration Population 9 shall be subject to the budget neutrality agreement.

Expenditures Subject to the Budget Neutrality Agreement. For purposes of this section, the term “expenditures subject to the budget neutrality agreement” must include all Medicaid expenditures in STC 69(g75(e) for individuals who are enrolled in this Demonstration demonstration (with the exception of the populations identified in subparagraphs iii, iv, and ix), as well as the demonstration services described in subparagraphs x through xiii, subject to limitations enumerated in this STCparagraph. All expenditures that are subject to the budget neutrality agreement are considered Demonstration demonstration expenditures and must be reported on Forms CMS-64.9 Waiver and/or 64.9P Waiver. a) Beginning in DY 9, all expenditures for Demonstration Populations 1 and 2 who reside in Allegany, Cortland, Dutchess, Fulton, Montgomery, Putnam, Orange, Otsego, Schenectady, Seneca, Xxxxxxxx, Ulster, Washington, or Xxxxx counties are no longer considered expenditures subject to the budget neutrality agreement for this Demonstration demonstration and may not be reported on Forms CMS-64.9 Waiver and/or 64.9P for this Demonstrationdemonstration. These expenditures will be reported under the F-SHRP Demonstration (11-W-00234/2). b) Beginning in DY 9, expenditures for Demonstration Populations 3 and 4 defined in STC 69 (g75(e) will no longer be reported under this Demonstrationdemonstration. However, these eligibility groups remain as a placeholder in the event these populations are transferred from the F-SHRP Demonstration (11-W-00234/2) back to this Demonstrationdemonstration. The state shall follow the amendment process outlined in STC 7 to effectuate this transfer. c) Beginning in DY 9, Demonstration Populations 3 and 4, as defined in paragraph 69 (gSTC 75(e), are no longer considered expenditures subject to the budget neutrality agreement for this Demonstrationdemonstration. These expenditures may not be reported on Forms CMS-64.9 Waiver and/or 64.9P under this Demonstrationdemonstration, except if permitted under the provisions of subparagraph (b). These expenditures will be reported under the F-SHRP Demonstration (11-W-00234/2), subject to the provisions of subparagraph (b) of this STC. d) Only the home and community-based services expenditures for Demonstration Population 9 shall be subject to the budget neutrality agreement. e) Mandated Increase in Physician Payment Rates in 2013 and 2014. Section 1202 of the Health Care and Education Reconciliation Act of 2010 (Pub. Law 110-152) requires state Medicaid programs to reimburse physicians for primary care services at rates that are no less than what Medicare pays, for services furnished in 2013 and 2014, with the Federal Government paying 100 percent of the increase. The entire amount of this increase will be excluded from the budget neutrality test for this demonstration. The specifics of separate reporting of these expenditures will be described in guidance to be issued by CMS at a later date.

Expenditures Subject to the Budget Neutrality Agreement. For purposes of this section, the term “expenditures subject to the budget neutrality agreement” must include all Medicaid expenditures in STC 69(g54(g) for individuals who are enrolled in this Demonstration (with the exception of the populations identified in subparagraphs iii, iv, and ix), as well as the demonstration services described in subparagraphs x through xiii, subject to limitations enumerated in this STC. All expenditures that are subject to the budget neutrality agreement are considered Demonstration expenditures and must be reported on Forms CMS-64.9 Waiver and/or 64.9P Waiver. a) Beginning in DY 9, all expenditures for Demonstration Populations 1 and 2 who reside in Allegany, Cortland, Dutchess, Fulton, Montgomery, Putnam, Orange, Otsego, Schenectady, Seneca, Xxxxxxxx, Ulster, Washington, or Xxxxx counties are no longer considered expenditures subject to the budget neutrality agreement for this Demonstration and may not be reported on Forms CMS-64.9 Waiver and/or 64.9P for this Demonstration. These expenditures will be reported under the F-SHRP Demonstration (11-W-00234/2). b) Beginning in DY 9, expenditures for Demonstration Populations 3 and 4 defined in STC 69 (g54(g) will no longer be reported under this Demonstration. However, these eligibility groups remain as a placeholder in the event these populations are transferred from the F-SHRP Demonstration (11-W-00234/2) back to this Demonstration. The state State shall follow the amendment process outlined in STC 7 to effectuate this transfer. c) Beginning in DY 9, Demonstration Populations 3 and 4, as defined in paragraph 69 (g54(g), are no longer considered expenditures subject to the budget neutrality agreement for this Demonstration. These expenditures may not be reported on Forms CMS-64.9 Waiver and/or 64.9P under this Demonstration, except if permitted under the provisions of subparagraph (b). These expenditures will be reported under the F-SHRP Demonstration (11-W-00234/2), subject to the provisions of subparagraph (b) of this STC. d) Only the home and community-based services expenditures for Demonstration Population 9 shall be subject to the budget neutrality agreement.