Common use of Financial Limitation Clause in Contracts

Financial Limitation. CCS’s maximum liability for costs associated with the provision of off-site medical or other healthcare services which include, but are not limited to, the off-site services identified in Paragraphs E, G, K, L, M and Q, shall be Two Hundred Fifty Thousand Dollars ($250,000.00) in the aggregate for all Inmates collectively per year, to be pro-rated for any partial contract years (the “Offsite Cap”). Costs for any medical or other health services which are provided to Inmates during any year or partial year which are in excess of the Offsite Cap shall be the responsibility of the County. When the Offsite Cap for the year or any pro-rated partial year is reached, CCS will continue to provide utilization management, extend all provider discounts to the County, and pay these expenses on behalf of the County, as long as the County remains current with payments due under this Agreement. Amounts paid by CCS which are over the Offsite Cap will be periodically reconciled with the County pursuant to Section 3. Should the costs associated with the provision of healthcare services listed above not exceed the Offsite Cap for any year or as pro-rated for a partial year, CCS shall reimburse the County at a rate of One Hundred Percent (100%) of the difference between the actual cost to CCS for these services and the Offsite Cap. The rebate shall be net of any other reconciliation amounts due to CCS under this Agreement. The rebate will be calculated three months after the end of the contract year or any partial year to allow for processing of claims incurred during such year or partial year. In the event CCS receives payment from any third party, including, without limitation, insurance providers, Medicare/Medicaid, Inmates and/or workers compensation, for offsite medical services or other healthcare services, the amount paid to CCS shall be credited against the amounts accrued under the Offsite Cap.