HMOs and CBPs; Quality Incentive Sample Clauses

HMOs and CBPs; Quality Incentive. The minimum and maximum MLRs will depend on the MCO rate cell/regional mix and MCO type as follows: (1) For MCOs licensed as Health Maintenance Organizations but not County-Based Purchasing organizations, (a) The minimum/maximum MLR for each MSHO/MSC+ rate cell and region is one and one-half (1.5) percentage point lower/higher than the Target MLR. The Target MLR is defined as the ratio of the following from the 2021 Rate Development Report: i) Projected service costs, calculated as the sum of
Sample 1Sample 2
AutoNDA by SimpleDocs
HMOs and CBPs; Quality Incentive. The minimum and maximum MLRs will depend on the MCO rate cell/regional mix and MCO type as follows: (1) For MCOs licensed as Health Maintenance Organizations but not County-Based Purchasing organizations, (a) The minimum/maximum MLR for each MSHO/MSC+ rate cell and region is one and one-half (1.5) percentage point lower/higher than the Target MLR. The Target MLR is defined as the ratio of the following from the 2020 Rate Development Report: i) Projected service costs, calculated as the sum of  “Base Rates Prior to Withhold” in Exhibit 3A  “CY 2020 Base Rates for non-CBP” × 97% in Exhibit 4 (including both “Elderly Waiver Services” and “Case Management”)  “Projected Costs” in Exhibit 7A ii) Projected revenue, calculated as the sum of  “Total Prior to Withhold” in Exhibit 3A  “CY 2020 Total Rates for non-CBP” in Exhibit 4 (including both “Elderly Waiver Services” and “Case Management”)
Sample 1

Related to HMOs and CBPs; Quality Incentive

  • COUNTY’S QUALITY ASSURANCE PLAN The County or its agent will evaluate the Contractor’s performance under this Contract on not less than an annual basis. Such evaluation will include assessing the Contractor’s compliance with all Contract terms and conditions and performance standards. Contractor deficiencies which the County determines are severe or continuing and that may place performance of the Contract in jeopardy if not corrected will be reported to the Board of Supervisors. The report will include improvement/corrective action measures taken by the County and the Contractor. If improvement does not occur consistent with the corrective action measures, the County may terminate this Contract or impose other penalties as specified in this Contract.

  • Quality Assurance Program An employee shall be entitled to leave of absence without loss of earnings from her or his regularly scheduled working hours for the purpose of writing examinations required by the College of Nurses of Ontario arising out of the Quality Assurance Program.

  • Quality Assurance/Quality Control Contractor shall establish and maintain a quality assurance/quality control program which shall include procedures for continuous control of all construction and comprehensive inspection and testing of all items of Work, including any Work performed by Subcontractors, so as to ensure complete conformance to the Contract with respect to materials, workmanship, construction, finish, functional performance, and identification. The program established by Contractor shall comply with any quality assurance/quality control requirements incorporated in the Contract.

  • Performance and Compliance Purchaser shall have performed all of the covenants and complied, in all material respects, with all the provisions required by this Agreement to be performed or complied with by it on or before the Closing.

  • Performance Standards The Contractor agrees to perform all tasks and provide deliverables as set forth in the Contract. The Department and the Customer will be entitled at all times, upon request, to be advised as to the status of work being done by the Contractor and of the details thereof.

  • TRAINING AND EMPLOYEE DEVELOPMENT 9.1 The Employer and the Union recognize the value and benefit of education and training designed to enhance an employee’s ability to perform their job duties. Training and employee development opportunities will be provided to employees in accordance with Employer policies and available resources. 9.2 Attendance at employer-required training will be considered time worked. The Employer will make reasonable attempts to schedule employer-required training during an employee’s regular work shift. The Employer will pay the registration and associated travel costs in accordance with Article 23, Travel, for employer-required training.

  • Quality Control Program Engineer shall have a quality control program in place that ensures that all deliverable work is of high quality. Engineer shall submit a plan detailing its program to the Inspection Branch of the TxDOT Bridge Division for review and approval prior to beginning work. State may review or audit the programs.

  • Staffing Plan The Board and the Association agree that optimum class size is an important aspect of the effective educational program. The Polk County School Staffing Plan shall be constructed each year according to the procedures set forth in Board Policy and, upon adoption, shall become Board Policy.

  • Human and Financial Resources to Implement Safeguards Requirements The Borrower shall make available necessary budgetary and human resources to fully implement the EMP and the RP.

  • EMPLOYEE PERFORMANCE REVIEW AND EMPLOYEE FILES 19.01 (a) When a formal assessment of an employee’s performance is made, the employee concerned must be given an opportunity to discuss and then sign the assessment form in question upon its completion to indicate that its contents have been read. A copy of the assessment form will be provided to the employee at that time. An employee’s signature on his or her assessment form will be considered to be an indication only that its contents have been read and shall not indicate the employee’s concurrence with the statements contained on the form.

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!