Historical Program Adjustments Sample Clauses

Historical Program Adjustments. The base experience data represents a historical time period from which projections were developed. Certain program changes have occurred during and subsequent to the base data time period. The program adjustments were estimated and applied to the portion of the base experience data prior to the program change effective date. For example, a program change implemented on January 1, 2006 will only be reflected in the second half of SFY 2006. As such, an adjustment was applied to all of SFY 2005 and half of SFY 2006 to include the program change in all periods of the base experience data. ODJFS has provided a listing of all program changes impacting the base experience data. Section IV, Table 5 summarizes the historical program changes that were reflected in the development of the CY 2008 capitation rates.
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Historical Program Adjustments. The base FFS data summaries represent a historical time period from which projections were developed. Certain program changes have occurred during and subsequent to the base data time period. The program adjustments were estimated and applied to the portion of the base experience data prior to the program Milliman makes no representations or warranties regarding the contents of this letter to third parties . Likewise, third parties are instructed that they are to place no reliance upon this letter prepared for ODJFS by Milliman that would result in the creation of any duty or liability under any theory of law by Milliman or its employees to third parties. Other parties receiving this letter must rely upon their own experts in drawing conclusions about the information presented. FINAL and CONFIDENTIAL change effective date. For example, a program change implemented on January 1, 2006 will only be reflected in the second half of SFY 2006. As such, an adjustment was applied to all of SFY 2005 and half of SFY 2006 to include the program change in all periods of the base experience data. ODJFS has provided a listing of all program changes impacting the base experience data. Table 5 summarizes the historical program changes that were reflected in the development of the CY 2008 capitation rates. Table 5 STATE OF OHIO DEPARTMENT OF JOB AND FAMILY SERVICES Historical Program Adjustments — FFS Effective Program Adjustment Date Service Category(s) Rate Group Inpatient Market Basket Increase 1/1/2005 Inpatient Hospital All Rate Groups (incl. Delivery) Dental Fee Schedule Reduction 1/1/2006 Dental All Rate Groups (incl. Delivery) Inpatient Recalibration and Outlier Policy 1/1/2006 Inpatient All Rate Groups (incl. Delivery) Pharmacy Co-pay ($2 Per Brand Prescription) 1/1/2006 Pharmacy HF M-19 to 44 HF F-19 to 44 HF M/F-45 to 64 Dental Co-pay ($3 Per Date of Service) 1/1/2006 Dental HF M-19 to 44 HF F-19 to 44 HF M/F-45 to 64 HST F-19 to 64 Vision Exam Co-Pay ($2 Per Exam) 1/1/2006 Vision / Optometric HF M-19 to 44 HF F-19 to 44 HF M/F-45 to 64 HST F-19 to 64 Vision Hardware Co-Pay ($1 Per Item) 1/1/2006 Vision / Optometric HF M-19 to 44 HF F-19 to 44 HF M/F-45 to 64 HST F-19 to 64 ER Co-Pay ($3 Per Non-Emergency Visit) 1/1/2006 Emergency Room HF M-19 to 44 HF F-19 to 44 HF M/F-45 to 64 HST F-19 to 64 Dental Benefit Reduction 1/1/2006 Dental HF M-19 to 44 HF F-19 to 44 HF M/F-45 to 64 HST F-19 to 64 Milliman makes no representations or warranties regarding the contents o...
Sample 1
Historical Program Adjustments. The base experience data represents a historical time period from which projections were developed. Certain program changes have occurred during and subsequent to the base data time period. The program adjustments were estimated and applied to the portion of the base experience data prior to the program change effective date. For example, a program change implemented on January 1. 2006 will only be reflected in the second half of SFY 2006. As such, an adjustment was applied to all of SFY 2005 and half of SFY 2006 to include the program change in all periods of the base experience data. Xx. Xxx Xxxxxx, Ph.D. December 12, 2007 ODJFS has provided a listing of all program changes impacting the base experience data. Table 4 summarizes the historical program changes that were reflected in the development of the CY 2008 capitation rates. Table 4 STATE OF OHIO DEPARTMENT OF JOB AND FAMILY SERVICES Historical Program Adjustments - FFS Program Adjustment Effective Date Service Category(s) Inpatient Market Basket Increase 1/1/2005 Inpatient Hospital Dental Fee Schedule Reduction 1/1/2006 Dental Inpatient Recalibration and Outlier Policy 1/1/2006 Inpatient Pharmacy Co-pay ($2 Per Brand Prescription) 1/1/2006 Pharmacy Dental Co-pay ($3 Per Date of Service) 1/1/2006 Dental Vision Exam Co-Pay ($2 Per Exam) 1/1/2006 Vision / Optometric Vision Hardware Co-Pay ($ 1 Per Item) 1/1/2006 Vision / Optometric ER Co-Pay ($3 Per Non-Emergency Visit) 1/1/2006 Emergency Room Dental Benefit Reduction 1/1/2006 Dental
Sample 1
Historical Program Adjustments. The base experience data represents a historical time period from which projections were developed. Certain program changes have occurred during and subsequent to the base data time period. The program adjustments were estimated and applied to the portion of the base experience data prior to the program change effective date. For example, a program change implemented on January 1, 2006 will only be reflected in the CY 2006 experience. As such, an adjustment was applied to CY 2005 to include the program change m all periods of the base experience data. ODJFS has provided a listing of all program changes impacting the base experience data. Section IV, Table 5 summarizes the historical program changes that were reflected in the development of the CY 2008 capitation rates. FINAL and CONFIDENTIAL d. Third-Party Liability and Fraud-Abuse Recoveries The cost reports submitted by the health plans contained information related to third-party liability and fraud-abuse recoveries. Milliman calculated the average recoveries and applied the reduction to the base cost report data.
Sample 1
Historical Program Adjustments. The base experience data represents a historical time period from which projections were developed. Certain program changes have occurred during and subsequent to the base data time period. The program adjustments were estimated and applied to the portion of the base experience data prior to the program change effective date. For example, a program change implemented on January 1, 2006 will only be reflected in the second half of SFY 2006. As such, an adjustment was applied to all of SFY 2005 and half of SFY 2006 to include the program change in all periods of the base experience data. Milliman makes no representations or warranties regarding the contents of this letter to third parties. Likewise, third parties are instructed that they are to place no reliance upon this letter prepared for ODJFS by Milliman that would result in the creation of any duty or liability under any theory of law by Milliman or its employees to third parties. Other parties receiving this letter must rely upon their own experts in drawing conclusions about the information presented. FINAL and CONFIDENTIAL ODJFS has provided a listing of all program changes impacting the base experience data. Table 4 summarizes the historical program changes that were reflected in the development of the CY 2008 capitation rates. Table 4 STATE OF OHIO DEPARTMENT OF JOB AND FAMILY SERVICES Historical Program Adjustments — FFS Program Adjustment Effective Date Service Category(s) Inpatient Market Basket Increase 1/1/2005 Inpatient Hospital Dental Fee Schedule Reduction 1/1/2006 Dental Inpatient Recalibration and Outlier Policy 1/1/2006 Inpatient Pharmacy Co-pay ($2 Per Brand Prescription) 1/1/2006 Pharmacy Dental Co-pay ($3 Per Date of Service) 1/1/2006 Dental Vision Exam Co-Pay ($2 Per Exam) 1/1/2006 Vision / Optometric Vision Hardware Co-Pay ($1 Per Item) 1/1/2006 Vision / Optometric ER Co-Pay ($3 Per Non-Emergency Visit) 1/1/2006 Emergency Room Dental Benefit Reduction 1/1/2006 Dental
Sample 1
Historical Program Adjustments. The base experience data represents a historical time period from which projections were developed. Certain program changes have occurred during and subsequent to the base data time period. The program adjustments were estimated and applied to the portion of the base experience data prior to the program change effective date. For example, a program change implemented on January 1, 2006 will only be reflected in the CY 2006 experience. As such, an adjustment was applied to CY 2005 to include the program change in all periods of the base experience data. ODJFS has provided a listing of all program changes impacting the base experience data. Section IV, Table 5 summarizes the historical program changes that were reflected in the development of the CY 2008 capitation rates. Milliman makes no representations or warranties regarding the contents of this letter to third parties. Likewise, third parties are instructed that they are to place no reliance upon this letter prepared for ODJFS by Milliman that would result in the creation of any duty or liability under any theory of law by Milliman or its employees to third parties. Other parties receiving this letter must rely upon their own experts in drawing conclusions about the information presented. Mx. Xxx Xxxxxx, Ph.D. December 12, 2007 Page 15 FINAL and CONFIDENTIAL
Sample 1

Related to Historical Program Adjustments

  • Processing Adjustments In the event of any error or delay with respect to these Fund/SERV and Networking Procedures that is caused by the Fund or its designee, the Fund will make any adjustments on its (or its transfer agent’s) accounting system necessary to correct such error or delay. The Company will make the corresponding adjustments on its record-keeping system. The Company and the Fund will each provide the other with prompt notice of any errors or delays of the type referred to in these Fund/SERV and Networking Procedures.

  • Fee Adjustments The fixed fees and other fees expressed as stated dollar amounts in this Schedule C and in this Agreement are subject to annual increases, commencing on the one-year anniversary date of the date of this Agreement, in an amount equal to the percentage increase in consumer prices for services as measured by the United States Consumer Price Index entitled “All Services Less Rent of Shelter,” or a similar index should such index no longer be published, since such one-year anniversary or since the date of the last fee increase, as applicable. SCHEDULE D SPECIAL DISTRIBUTION SERVICES AND FEES Services Fees

  • Adjustments to Capital Accounts At the end of each Fiscal Period, the Capital Accounts of the Partners shall be adjusted in the following manner:

  • True-Up Adjustments From time to time, until the Retirement of the Recovery Bonds, the Servicer shall identify the need for True-Up Adjustments and shall take all reasonable action to obtain and implement such True-Up Adjustments, all in accordance with the following:

  • Year-End Adjustment If necessary, on or before the last day of the first month of each fiscal year, an adjustment payment shall be made by the appropriate party in order that the amount of the investment advisory fees waived or reduced and other payments remitted by the Adviser to the Fund or Funds with respect to the previous fiscal year shall equal the Excess Amount.

  • Determining Number of Billable Accounts The Open Account Fee and the Closed Account Fee shall be paid only with respect to accounts serviced directly by the Transfer Agent and not with respect to accounts serviced by third parties pursuant to omnibus account service or sub-accounting agreements, as provided in Section 2.04 of the Agreement. Notwithstanding that the Transfer Agent does not collect an Open Account Fee on accounts serviced by third parties pursuant to omnibus account service or sub-accounting agreements, any Small Account Fees collected on such accounts shall be subtracted as provided above under “Open Account Fee.”

  • Payment and Year-End Adjustment Amounts accrued pursuant to this Agreement shall be payable to the Adviser as of the last day of each month. If necessary, on or before the last day of the first month of each fiscal year, an adjustment payment shall be made by the appropriate party in order that the actual Fund Operating Expenses of a Fund for the prior fiscal year (including any reimbursement payments hereunder with respect to such fiscal year) do not exceed the Maximum Annual Operating Expense Limit.

  • Pricing Adjustments a. In the event an adjustment is made to the computation of the net asset value of Fund shares as reported to Insurance Company under paragraph 7, (1) the correction will be handled in a manner consistent with SEC guidelines and the Investment Company Act of 1940, as amended and (2) the Funds or Transfer Agent shall notify Insurance Company as soon as practicable after discovering the need for any such adjustment. Notification may be made in the following manner: Method of Communication

  • Royalty Adjustments The following adjustments shall be made, on a Licensed Product-by-Licensed Product and country-by-country basis, to the royalties payable pursuant to this Section 5.5:

  • Inventory Adjustment (a) No more than three (3) days prior to Closing, a physical count of all saleable inventory, raw materials, castings, grates and other ancillary products included in the Seller Assets (the “Closing Inventory”) shall be carried out at the Designated Plants by representatives of each of the Seller and the Purchaser, which physical count shall be carried out in a manner mutually agreed upon by the parties. For the purposes of this Section 3.1(a), “saleable” inventory shall mean (i) finished goods, which are of first quality and saleable in the ordinary course without discount, and (ii) all raw materials, castings, grates and other ancillary products that are useable in the production of pipe and precast products or otherwise suitable for resale, unless obsolete, damaged or cosmetically impaired. The representatives of each of the Purchaser and the Seller shall attempt, in good faith, to resolve any disputes which may arise during the physical count of the inventory. Upon completion of the physical count of the inventory, the representatives of each of the Seller and the Purchaser shall agree upon and execute a statement setting forth either (i) the final physical count of the inventory in the event that the representatives agree on such final physical count or (ii) the final physical count of the inventory of each of the Seller and the Purchaser in the event that the representatives were unable to resolve in good faith any disputes during the physical inventory count, noting such items of dispute (the “Disputed Seller Inventory Items”) therein. The value of Closing Inventory shall be determined in accordance with the Inventory Methodology. In the event that there are any Disputed Seller Inventory Items, such Disputed Seller Inventory Items shall be resolved following the Closing pursuant to the dispute resolution procedures set forth in Section 3.2 and the final physical count agreed to by the parties or resolved pursuant to Section 3.2 shall be final and binding on the parties, including for purposes of determining the Closing Inventory. (b) No later than 90 days after the Closing Date (or if such day is not a Business Day, the next Business Day), the Purchaser shall deliver to the Seller a certificate executed by the

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