Managed Care Withhold Sample Clauses
Managed Care Withhold. For Capitation Payments made for months of service on or after January 1st of the Contract Year, the STATE shall withhold nine point five percent (9.5%) from the basic care portion of the SNBC rates. SNBC Medicaid Nursing Facility payments are excluded from the withhold provision. Of this total, 52/63% (5.0/9.5 x 100) of the withheld funds shall be returned no sooner than July 1st and no later than July 31st of the following year only if, in the judgment of the STATE, performance targets in the contract are achieved. The remaining 47.37% (4.5/9.5 x 100) of withheld funds shall be returned without any consideration of performance no sooner than July 1st and no later than July 31st of the following year as required by Minnesota Statutes, § 256B.69, subd. 5a.
Managed Care Withhold. 4.5.1 Return of Withhold Based on Performance. The STATE shall withhold as follows:
(A) For PMAP the STATE shall withhold eight percent (8%) from the base rates, including BHH. The funds to be passed through the enhanced hospital payments described in section 4.1.13,are excluded from the withhold provision. Of this total, 62.5% (5.0 /8.0 x 100) of the withheld funds (shown in section 4.5.4(B)(1)) shall be returned no sooner than July first and no later than July 31st of the year subsequent to the Contract Year only if, in the judgment of the STATE, performance targets in section
4.5.2 are achieved.
Managed Care Withhold