Common use of MCO Duties Clause in Contracts

MCO Duties. The MCO shall provide the STATE with a copy of its final Form 8963 and Schedule A at the controlled entity level, as submitted to the IRS, within ten (10) business days of the filing. The MCO shall also provide any corrected Form 8963 filings submitted to the IRS within ten (10) business days of the amended filing. The MCO shall also submit to the STATE: (a) A schedule that reconciles direct premium (Form 8963, Schedule A, item (f)) for the MCO to Line 8 of the Minnesota Supplement Report #1. (b) The dollar amount of revenue for Covered Services that the MCO determined should be excluded from Form 8963, Schedule A, item (f), including but not limited to long-term care, nursing home care, home health care, and community- based care. (c) If applicable, MCO shall provide information needed to calculate the effect of taxes upon the final fee. This may include taxes paid that affect the final total to be reimbursed to the MCO. The MCO shall provide the STATE with the preliminary calculation of the MCO’s Allocated Annual Fee (the amount of its Annual Fee allocable to this Contract at the controlled entity level), as determined by the IRS, within ten (10) days of receiving this information from the IRS. The MCO shall provide the STATE with the final calculation of the MCO’s Allocated Annual Fee as determined by the IRS, no later than ten (10) business days of receiving this information from the IRS, with a data certification pursuant to section 9.10. Upon request, the MCO shall provide any other documentation required by the STATE to validate the MCO’s Allocated Annual Fee or apportionment among Enrollee populations.

MCO Duties. (1) The MCO shall provide the STATE with a copy of its final Form 8963 and Schedule A at the controlled entity level, as submitted to the IRS, within ten (10) business days of the filing. The MCO shall also provide any corrected Form 8963 filings submitted to the IRS within ten (10) business days of the amended filing. . (2) The MCO shall also submit to the STATE: (a) A schedule that reconciles direct premium (Form 8963, Schedule A, item (f)) for the MCO to Line 8 of the Minnesota Supplement Report #1. (b) The dollar amount of revenue for Covered Services that the MCO determined should be excluded from Form 8963, Schedule A, item (f), including but not limited to long-term care, nursing home care, home health care, and community- based care. (c) If applicable, MCO shall provide information needed to calculate the effect of taxes upon the final fee. This may include taxes paid that affect the final total to be reimbursed to the MCO. . (3) The MCO shall provide the STATE with the preliminary calculation of the MCO’s Allocated Annual Fee (the amount of its Annual Fee allocable to this Contract at the controlled entity level), as determined by the IRS, within ten (10) days of receiving this information from the IRS. . (4) The MCO shall provide the STATE with the final calculation of the MCO’s Allocated Annual Fee as determined by the IRS, no later than ten (10) business days of receiving this information from the IRS, with a data certification pursuant to section 9.10. . (5) Upon request, the MCO shall provide any other documentation required by the STATE to validate the MCO’s Allocated Annual Fee or apportionment among Enrollee populations.

MCO Duties. ‌ 4.5.1.1 The MCO shall provide the STATE with a copy of its final Form 8963 and Schedule A at the controlled entity level, as submitted to the IRS, within ten (10) business days of the filing. The MCO shall also provide any corrected Form 8963 filings submitted to the IRS within ten (10) business days of the amended filing. . 4.5.1.2 The MCO shall also submit to the STATE: (a1) A schedule that reconciles direct premium (Form 8963, Schedule A, item (f)) for the MCO to Line 8 of the Minnesota Supplement Report #1. (b2) The dollar amount of revenue for Covered Services that the MCO determined should be excluded from Form 8963, Schedule A, item (f), including but not limited to long-term care, nursing home care, home health care, and community- community-based care. (c3) If applicable, MCO shall provide information needed to calculate the effect of taxes upon the final fee. This may include taxes paid that affect the final total to be reimbursed to the MCO. . 4.5.1.3 The MCO shall provide the STATE with the preliminary calculation of the MCO’s Allocated Annual Fee (the amount of its Annual Fee allocable to this Contract at the controlled entity level), as determined by the IRS, within ten (10) days of receiving this information from the IRS. . 4.5.1.4 The MCO shall provide the STATE with the final calculation of the MCO’s Allocated Annual Fee as determined by the IRS, no later than ten (10) business days of receiving this information from the IRS, with a data certification pursuant to section 9.10. 11.6.‌‌ 4.5.1.5 Upon request, the MCO shall provide any other documentation required by the STATE to validate the MCO’s Allocated Annual Fee or apportionment among Enrollee populations.

MCO Duties. (1) The MCO shall provide the STATE with a copy of its final Form 8963 and Schedule A at the controlled entity level, as submitted to the IRS, within ten (10) business days of the filing. The MCO shall also provide any corrected Form 8963 filings submitted to the IRS within ten (10) business days of the amended filing. . (2) The MCO shall also submit to the STATE: (a) A schedule that reconciles direct premium (Form 8963, Schedule A, item (f)) for the MCO to Line 8 of the Minnesota Supplement Report #1. (b) The dollar amount of revenue for Covered Services that the MCO determined should be excluded from Form 8963, Schedule A, item (f), including but not limited to long-term care, nursing home care, home health care, and community- community-based care. (c) If applicable, MCO shall provide information needed to calculate the effect of taxes upon the final fee. This may include taxes paid that affect the final total to be reimbursed to the MCO. . (3) The MCO shall provide the STATE with the preliminary calculation of the MCO’s Allocated Annual Fee (the amount of its Annual Fee allocable to this Contract at the controlled entity level), as determined by the IRS, within ten (10) days of receiving this information from the IRS. . (4) The MCO shall provide the STATE with the final calculation of the MCO’s Allocated Annual Fee as determined by the IRS, no later than ten (10) business days of receiving this information from the IRS, with a data certification pursuant to section 9.10. . (5) Upon request, the MCO shall provide any other documentation required by the STATE to validate the MCO’s Allocated Annual Fee or apportionment among Enrollee populations.

MCO Duties. ‌ 4.8.1.1 The MCO shall provide the STATE with a copy of its final Form 8963 and Schedule A at the controlled entity level, as submitted to the IRS, within ten (10) business days of the filing. The MCO shall also provide any corrected Form 8963 filings submitted to the IRS within ten (10) business days of the amended filing. . 4.8.1.2 The MCO shall also submit to the STATE: (a1) A schedule that reconciles direct premium (Form 8963, Schedule A, item (f)) for the MCO to Line 8 of the Minnesota Supplement Report #1. (b2) The dollar amount of revenue for Covered Services that the MCO determined should be excluded from Form 8963, Schedule A, item (f), including but not limited to long-term care, nursing home care, home health care, and community- community-based care. (c3) If applicable, MCO shall provide information needed to calculate the effect of taxes upon the final fee. This may include taxes paid that affect the final total to be reimbursed to the MCO. . 4.8.1.3 The MCO shall provide the STATE with the preliminary calculation of the MCO’s Allocated Annual Fee (the amount of its Annual Fee allocable to this Contract at the controlled entity level), as determined by the IRS, within ten (10) business days of receiving this information from the IRS. . 4.8.1.4 The MCO shall provide the STATE with the final calculation of the MCO’s Allocated Annual Fee as determined by the IRS, no later than ten (10) business days of receiving this information from the IRS, with a data certification pursuant to section 9.10. . 4.8.1.5 Upon request, the MCO shall provide any other documentation required by the STATE to validate the MCO’s Allocated Annual Fee or apportionment among Enrollee populations.populations.‌‌

MCO Duties. ‌ 4.6.1.1 The MCO shall provide the STATE with a copy of its final Form 8963 and Schedule A at the controlled entity level, as submitted to the IRS, within ten (10) business days of the filing. The MCO shall also provide any corrected Form 8963 filings submitted to the IRS within ten (10) business days of the amended filing. . 4.6.1.2 The MCO shall also submit to the STATE: (a1) A schedule that reconciles direct premium (Form 8963, Schedule A, item (f)) for the MCO to Line 8 of the Minnesota Supplement Report #1. (b2) The dollar amount of revenue for Covered Services that the MCO determined should be excluded from Form 8963, Schedule A, item (f), including but not limited to long-term care, nursing home care, home health care, and community- community-based care. (c3) If applicable, MCO shall provide information needed to calculate the effect of taxes upon the final fee. This may include taxes paid that affect the final total to be reimbursed to the MCO. . 4.6.1.3 The MCO shall provide the STATE with the preliminary calculation of the MCO’s Allocated Annual Fee (the amount of its Annual Fee allocable to this Contract at the controlled entity level), as determined by the IRS, within ten (10) days of receiving this information from the IRS. . 4.6.1.4 The MCO shall provide the STATE with the final calculation of the MCO’s Allocated Annual Fee as determined by the IRS, no later than ten (10) business days of receiving this information from the IRS, with a data certification pursuant to section 9.10. 11.6.‌‌‌‌‌ 4.6.1.5 Upon request, the MCO shall provide any other documentation required by the STATE to validate the MCO’s Allocated Annual Fee or apportionment among Enrollee populations.

MCO Duties. (1) The MCO shall provide the STATE with a copy of its final Form 8963 and Schedule A at the controlled entity level, as submitted to the IRS, within ten (10) business days of the filing. The MCO shall also provide any corrected Form 8963 filings submitted to the IRS within ten (10) business days of the amended filing. . (2) The MCO shall also submit to the STATE: (a) A schedule that reconciles direct premium (Form 8963, Schedule A, item (f)) for the MCO to Line 8 of the Minnesota Supplement Report #1. (b) The dollar amount of revenue for Covered Services that the MCO determined should be excluded from Form 8963, Schedule A, item (f), including but not limited to long-term care, nursing home care, home health care, and community- community-based care. (c) If applicable, MCO shall provide information needed to calculate the effect of taxes upon the final fee. This may include taxes paid that affect the final total to be reimbursed to the MCO. . (3) The MCO shall provide the STATE with the preliminary calculation of the MCO’s Allocated Annual Fee (the amount of its Annual Fee allocable to this Contract at the controlled entity level), as determined by the IRS, within ten (10) business days of receiving this information from the IRS. . (4) The MCO shall provide the STATE with the final calculation of the MCO’s Allocated Annual Fee as determined by the IRS, no later than ten (10) business days of receiving this information from the IRS, with a data certification pursuant to section 9.10. . (5) Upon request, the MCO shall provide any other documentation required by the STATE to validate the MCO’s Allocated Annual Fee or apportionment among Enrollee populations.