Common use of Loss on the ABA Add-On to the Risk Adjusted Capitation Rate Clause in Contracts

Loss on the ABA Add-On to the Risk Adjusted Capitation Rate. If the amount paid to the Contractor, as determined by the calculation described in Section 4.5.E.1.a above, is less than the Contractor’s adjusted expenditures, as determined by the calculation described in Section 4.5.E.1.b above, then the Contractor shall be considered to have experienced a loss with respect to ABA Services for the Contract Year. EOHHS and the Contractor shall share such loss in accordance with the table below: Loss MassHealth Share Contractor Share Loss up to $100,000 99% 1% Loss of more than $100,000 100% 0% HCV Risk Sharing Arrangement (Section 4.5.F)

Loss on the ABA Add-On to the Risk Adjusted Capitation Rate. If the amount paid to the Contractor, as determined by the calculation described in Section 4.5.E.1.a above, is less than the Contractor’s adjusted expenditures, as determined by the calculation described in Section 4.5.E.1.b above, then the Contractor shall be considered to have experienced a loss with respect to ABA Services for the Contract Year. EOHHS and the Contractor shall share such loss in accordance with the table below: Loss MassHealth Share Contractor Share Loss up to $100,000 99% 1% Loss of more than $100,000 100% 0% HCV H CV Risk Sharing Arrangement (Section 4.5.F)

Loss on the ABA Add-On to the Risk Adjusted Capitation Rate. ‌ If the amount paid to the Contractor, as determined by the calculation described in Section 4.5.E.1.a above, is less than the Contractor’s adjusted expenditures, as determined by the calculation described in Section 4.5.E.1.b above, then the Contractor shall be considered to have experienced a loss with respect to ABA Services for the Contract Year. EOHHS and the Contractor shall share such loss in accordance with the table below: Loss MassHealth Share Contractor Share Loss up to $100,000 99% 1% Loss MassHealth Share Contractor Share Loss of more than $100,000 100% 0% HCV Risk Sharing Arrangement (Section 4.5.F)