Common use of Financial Assistance Calculation, Disbursement and Settlement Procedures Clause in Contracts

Financial Assistance Calculation, Disbursement and Settlement Procedures. a. Funds awarded for MHS 22 Services that are identified in Exhibit D-1, “Financial Assistance Award”, (the “MHS 22 Limitation”) are not calculated, disbursed or settled under this Agreement. The Limitation is set forth in the Financial Assistance Award on MHS 22 lines that contain a “B” in column one. The Limitation is included in this Agreement for budgetary purposes. The provider of the Part B service needs to be enrolled as a Medicaid Provider and follow the procedures for billing OHA for Medicaid mental health services outlined in the Medicaid provider manual. OHA calculates the rates and the claims are processed through OHA’ Medicaid Management Information System (MMIS). OHA calculates the Part B limitation and OHA’ Division of Medical Assistance Programs (DMAP) disburses the payment directly to service providers on a fee-for-service basis. Rates are available on the OHA website located at .xxxx://xxx.xxxxxx.xxx/oha/amh/pages/tools-providers.aspx#m OHA will provide notice to Contractor in timely manner if there is a change in rates. All Medicaid reimbursable service xxxxxxxx shall be in accordance with the OHA Mental Health and Developmental Disability Services Medicaid Payment for Rehabilitative Mental Health Services Rule as listed in OAR 309-016-0000 through 309-016-0450 and the OHA AMH Mental Health and Chemical Dependency Medicaid Provider Manual available on the OHA website located at xxxx://xxx.xxxxxx.xxx/oha/amh/publications/other/provider2009manual.pdf.

Financial Assistance Calculation, Disbursement and Settlement Procedures. a. Funds awarded OHA provides financial assistance for MHS 22 31 Services that are identified in two different ways, through Part A and part B (“Limitation”) Awards. The Award is set in Exhibit D-1., “Financial Assistance Award”, (the “MHS 22 Limitation”) are not calculated, disbursed or settled under this Agreement. The Limitation is set forth in the Financial Assistance Award on MHS 22 31 lines in column one that contain a an “A” for Part A or “B” in column one. The Limitation is included in this Agreement for budgetary purposesPart B Award. The provider of the Part B service needs to be enrolled as a Medicaid Provider and follow the procedures for billing OHA for Medicaid mental health services outlined in the Medicaid provider manual. OHA calculates the rates and the Part B Limitation and the claims are processed through OHA’ ’s Medicaid Management Information System (MMIS). OHA calculates the Part B limitation and OHA’ ’s Division of Medical Assistance Programs (DMAP) disburses the payment directly to service providers on a fee-for-service basis. Rates are available on the OHA website located at .xxxx://xxx.xxxxxx.xxx/oha/amh/pages/tools-providers.aspx#m xxxx://xxx.xxxxxx.xxx/oha/amh/pages/tools-providers.aspx#m . OHA will provide notice to Contractor County in timely manner if there is a change in rates. All Medicaid reimbursable service xxxxxxxx shall be in accordance with the OHA Mental Health and Developmental Disability Services Medicaid Payment for Rehabilitative Mental Health Services Rule as listed in OAR 309-016-0000 0600 through 309-016-0450 0755 and the OHA AMH Mental Health and Chemical Dependency Medicaid Provider Manual available on the OHA website located at xxxx://xxx.xxxxxx.xxx/oha/amh/publications/other/provider2009manual.pdf.. The Part A Award financial assistance will be calculated, disbursed and settled as follows:

Financial Assistance Calculation, Disbursement and Settlement Procedures. a. Funds awarded OHA provides financial assistance for MHS 22 26 Services that are identified in three different ways, through Part A, Part B (“Limitation”), and Part C Awards. The Award is set forth in Exhibit D-1, “Financial Assistance Award”, on MHS 26 lines in column one (the 1) that contain an “MHS 22 Limitation”) are A” for Part A or “B” for Part B or “C” for Part C Award. The Part B award is not calculated, disbursed or settled under this Agreement. The Limitation is set forth in the Financial Assistance Award on MHS 22 lines that contain a “B” in column one. The Limitation , but is included in this Agreement for budgetary purposes. The provider of the Part B service needs to be enrolled as a Medicaid Provider and follow the procedures for billing the OHA for Medicaid mental health services outlined in the Medicaid provider manualProvider Manual. OHA calculates the rates and the claims are processed through OHA’ Medicaid Management Information System (MMIS). OHA calculates the Part B limitation and OHA’ Division of Medical Assistance Programs (DMAP) disburses the payment directly to service providers on a fee-for-for- service basis. Rates are available on the OHA website located at .xxxx://xxx.xxxxxx.xxx/oha/amh/pages/tools-providers.aspx#m xxxx://xxxx.xxxxxx.xxx/OHA/mentalhealth/publications/codebooks/mh0109rates.pdf. OHA will provide notice to Contractor in timely manner if there is a change in rates. All Medicaid reimbursable service xxxxxxxx shall be in accordance with the OHA OHA’ Mental Health and Developmental Disability Services Medicaid Payment for Rehabilitative Mental Health Services Rule as listed in OAR 309-016-0000 through 309-016-0450 0755 and the OHA AMH Mental Health and Chemical Dependency Medicaid Provider Manual available on the OHA website located at xxxx://xxx.xxxxxx.xxx/oha/amh/publications/other/provider2009manual.pdf.xxxx://xxx.xxxxxx.xxx/OHA/mentalhealth/publications/codebooks/manual.pdf. The Part A Award financial assistance will be calculated, disbursed and settled as follows:

Financial Assistance Calculation, Disbursement and Settlement Procedures. a. Funds awarded OHA provides financial assistance for MHS 22 26 Services that are identified in Exhibit D-1, “Financial Assistance Award”, two different ways. Certain funds (the “Part A Award”) are calculated, disbursed and settled as set forth below. The Part A Award is set forth in the Financial Assistance Award on MHS 22 26 lines that contain an “A” in column one. Other funds (the “Limitation”) are not calculated, disbursed or settled under this Agreement. The Limitation is set forth in the Financial Assistance Award on MHS 22 lines that contain a “B” in column one. The Limitation is included in this Agreement for budgetary purposes. The provider of the Part B service needs to be enrolled as a Medicaid Provider and follow the procedures for billing OHA for Medicaid mental health services outlined in the Medicaid provider manual. OHA calculates the rates and the Part B Limitation and the claims are processed through OHA’ Medicaid Management Information System (MMIS). OHA calculates the Part B limitation and OHA’ Division of Medical Assistance Programs (DMAP) disburses the payment directly to service providers on a fee-for-service basis. Rates are available on the OHA website located at .xxxx://xxx.xxxxxx.xxx/oha/amh/pages/tools-providers.aspx#m xxxx://xxxx.xxxxxx.xxx/OHA/mentalhealth/publications/codebooks/mh0109rates.pdf. OHA will provide notice to Contractor in timely manner if there is a change in rates. All Medicaid reimbursable service xxxxxxxx shall be in accordance with the OHA OHA’ Mental Health and Developmental Disability Services Medicaid Payment for Rehabilitative Mental Health Services Rule as listed in OAR 309-016-0000 through 309-016-0450 0755 and the OHA AMH Mental Health and Chemical Dependency Medicaid Provider Manual available on the OHA website located at xxxx://xxx.xxxxxx.xxx/oha/amh/publications/other/provider2009manual.pdf.xxxx://xxx.xxxxxx.xxx/OHA/mentalhealth/publications/codebooks/manual.pdf. The Part A Award financial assistance will be calculated, disbursed and settled as follows:

Financial Assistance Calculation, Disbursement and Settlement Procedures. a. Funds awarded OHA provides financial assistance for MHS 22 Services that are identified in Exhibit D-1, “Financial Assistance Award”, two different ways. Certain funds (the “Part A Award”) are calculated, disbursed and settled as set forth below. The Part A Award is set forth in the Financial Assistance Award on MHS 22 lines that contain an “A” in column one. Other funds (the “Limitation”) are not calculated, disbursed or settled under this Agreement. The Limitation is set forth in the Financial Assistance Award on MHS 22 lines that contain a “B” in column one. The Limitation is included in this Agreement for budgetary purposes. The provider of the Part B service needs to be enrolled as a Medicaid Provider and follow the procedures for billing OHA for Medicaid mental health services outlined in the Medicaid provider manual. OHA calculates the rates and the claims are processed through OHA’ Medicaid Management Information System (MMIS). OHA calculates the Part B limitation and OHA’ Division of Medical Assistance Programs (DMAP) disburses the payment directly to service providers on a fee-for-service basis. Rates are available on the OHA website located at .xxxx://xxx.xxxxxx.xxx/oha/amh/pages/tools-providers.aspx#m xxxx://xxxx.xxxxxx.xxx/OHA/mentalhealth/publications/codebooks/mh0109rates.pdf. OHA will provide notice to Contractor in timely manner if there is a change in rates. All Medicaid reimbursable service xxxxxxxx shall be in accordance with the OHA Mental Health and Developmental Disability Services Medicaid Payment for Rehabilitative Mental Health Services Rule as listed in OAR 309-016-0000 through 309-016-0450 and the OHA AMH Mental Health and Chemical Dependency Medicaid Provider Manual available on the OHA website located at xxxx://xxx.xxxxxx.xxx/oha/amh/publications/other/provider2009manual.pdf.xxxx://xxx.xxxxxx.xxx/OHA/mentalhealth/publications/codebooks/manual.pdf. The Part A Award financial assistance will be calculated, disbursed and settled as follows: