Common use of EXPERIENCE REBATE TO STATE Clause in Contracts

EXPERIENCE REBATE TO STATE. 13.2.1 For THE CONTRACT PERIOD, HMO must pay to TDH an experience rebate calculated in accordance with the tiered rebate method listed below based on the excess of allowable HMO STAR revenues over allowable HMO STAR expenses as measured by any positive amount on Line 7 of "Part 1: Financial Summary, All Coverage Groups Combined" of the annual Managed Care Financial-Statistical Report set forth in Appendix I, as reviewed and confirmed by TDH. TDH reserves the right to have an independent audit performed to verify the information provided by HMO.

Appears in 2 contracts

Samples: Contract for Services (Amerigroup Corp), Contract for Services (Amerigroup Corp)

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EXPERIENCE REBATE TO STATE. 13.2.1 For THE CONTRACT PERIODthe contract period [deleted], HMO must pay to TDH an experience rebate calculated in accordance with the tiered rebate method listed below based on the excess of allowable HMO STAR revenues over allowable HMO STAR expenses as measured by any positive amount on Line 7 of "Part 1: Financial Summary, All Coverage Groups Combined" of the annual Managed Care Financial-Statistical Report set forth in Appendix I, as reviewed and confirmed by TDH. TDH reserves the right to have an independent audit performed to verify the information provided by HMO.

Appears in 1 contract

Samples: Contract for Services (Centene Corp)

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EXPERIENCE REBATE TO STATE. 13.2.1 For THE CONTRACT PERIODthe contract period, [Deletion] HMO must pay to TDH an experience rebate calculated in accordance with the tiered rebate method listed below based on the excess of allowable HMO STAR revenues over allowable HMO STAR expenses as measured by any positive amount on Line 7 of "Part 1: Financial Summary, All Coverage Groups Combined" of the annual Managed Care Financial-Statistical Report set forth in Appendix I, as reviewed and confirmed by TDH. TDH reserves the right to have an independent audit performed to verify the information provided by HMO.

Appears in 1 contract

Samples: Contract for Services (Centene Corp)

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