MCO Programs and Service Areas Sample Clauses

MCO Programs and Service Areas. This Contract applies to the following HHSC MCO Programs and Service Areas (check all that apply). All references in the Contract Attachments to MCO Programs or Service Areas that are not checked are superfluous and do not apply to the MCO. þ Medicaid STAR MCO Program Service Areas: o Bexar þ Medicaid RSA - Central o Dallas þ Medicaid RSA - Northeast o El Paso þ Medicaid RSA - West x Xxxxxx o Nueces þ Xxxxxxx x Xxxxxxx o Xxxxxxxxx x Xxxxxx o Lubbock See Attachment B-4, “Map of Counties with MCO Program Service Areas,” for listing of counties included within the STAR Service Areas. þ Medicaid STAR+PLUS MCO Program Service Areas: o Bexar o Jefferson o El Paso o Lubbock x Xxxxxx o Nueces þ Xxxxxxx o Travis See Attachment B-4.2, “Map of Counties with STAR+PLUS MCO Program Service Areas,” for listing of counties included within the STAR+PLUS Service Areas. o CHIP MCO Program Service Areas: o Bexar o Lubbock o Dallas o Nueces o El Paso o Tarrant x Xxxxxx o Xxxxxx x Xxxxxxxxx See Attachment B-4.1, “Map of Counties with MCO Program Service Areas,” for listing of counties included within the CHIP Service Areas. þ Medicaid STAR MCO Program Capitation: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the Capitation Rate-setting methodology and the Capitation Payment requirements for the STAR Program. The following Rate Cells and Capitation Rates will apply to Rate Period 1: 1 TANF Child > 12 months *** *** 2 TANF Child ≤ 12 months *** *** 3 TANF Adult *** *** 4 Pregnant Woman *** *** 5 Newborn ≤ 12 months *** *** 6 Expansion Child > 12 months *** *** 7 Expansion Child ≤ 12 months *** *** 8 Federal Mandate Child *** *** 9 Delivery Supplemental Payment *** *** 1 TANF Child > 12 months *** *** 2 TANF Child ≤ 12 months *** *** 3 TANF Adult *** *** 4 Pregnant Woman *** *** 5 Newborn ≤ 12 months *** *** 6 Expansion Child > 12 months *** *** 7 Expansion Child ≤ 12 months *** *** 8 Federal Mandate child *** *** 9 SSI - Aged, Blind, & Disabled *** *** 10 Delivery Supplemental Payment *** *** 1 TANF Child > 12 months *** *** 2 TANF Child ≤ 12 months *** *** 3 TANF Adult *** *** 4 Pregnant Woman *** *** 5 Newborn ≤ 12 months *** *** 6 Expansion Child > 12 months *** *** 7 Expansion Child ≤ 12 months *** *** 8 Federal Mandate child *** *** 9 SSI - Aged, Blind, & Disabled *** *** 10 Delivery Supplemental Payment *** *** 1 TANF Child > 12 months *** *** 2 TANF Child ≤ 12 months *** *** 3 TANF Adult *** *** 4 Pregnant Wom...
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MCO Programs and Service Areas. This Contract applies to the following HHSC MCO Programs and Service Areas (check all that apply). All references in the Contract Attachments to MCO Programs or Service Areas that are not checked are superfluous and do not apply to the MCO. þ Medicaid STAR MCO Program Service Areas: þ Bexar o Medicaid RSA - Central o Dallas o Medicaid RSA - Northeast þ El Paso o Medicaid RSA - West x Xxxxxx þ Nueces x Xxxxxxx x Xxxxxxx o Jefferson þ Xxxxxx þ Lubbock See Attachment B-4, “Map of Counties with MCO Program Service Areas,” for listing of counties included within the STAR Service Areas. þ Medicaid STAR+PLUS MCO Program Service Areas: þ Bexar o Jefferson o El Paso þ Lubbock x Xxxxxx þ Nueces x Xxxxxxx o Travis See Attachment B-4.2, “Map of Counties with STAR+PLUS MCO Program Service Areas,” for listing of counties included within the STAR+PLUS Service Areas. þ CHIP MCO Program Service Areas: þ Bexar þ Lubbock o Dallas þ Nueces þ El Paso o Tarrant x Xxxxxx þ Xxxxxx x Xxxxxxxxx See Attachment B-4.1, “Map of Counties with MCO Program Service Areas,” for listing of counties included within the CHIP Service Areas.
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Related to MCO Programs and Service Areas

  • Programs and Services Every aspect of the service you provide is considered part of your program, and therefore it must be accessible to individuals with disabilities. This includes parking lots, service counters and spaces, transportation (shuttles, etc.), agendas, flyers, emails, online services, phone calls, meetings, celebrations, classes, recreational activities and more. The guidance in this document is primarily intended to help you provide accessible programs by providing you with the tools to: ▪ survey facilities and identify common architectural barriers for people with disabilities; ▪ identify common ADA compliance problems in your communications and activities; and ▪ remove barriers and fix common ADA compliance problems in these areas. Your programs can be broken into three main categories, (Communications, Facilities, and Activities) which will be covered in more detail below.

  • Service Areas HHSC authorizes the MA Dual SNP to add the MA Product to Texas service areas that are not identified in Attachment C, Proposed MA Product Service Areas, provided it receives prior CMS approval and complies with the notice requirements specified in this Agreement.

  • Service Area (a) SORACOM shall provide the SORACOM Air Global Service within the area designated on the web site of SORACOM (the “Service Area”), provided, that, the Service Area may be different if stated otherwise as specified by SORACOM separately. However, within the Service Area, you may not use the SORACOM Air Global Service in places where transmissions are difficult to send or receive. (b) The parties of this Agreement acknowledge that there may be countries or locations within which SORACOM may be restricted from providing the SORACOM Air Global Service due to applicable laws, regulations, decisions, rules or orders (“Restrictions”). During the Term, SORACOM will use reasonable efforts to monitor whether there are any such Restrictions. SORACOM may in its sole discretion and at any time, suspend, discontinue, limit, or modify the SORACOM Air Global Service or impose additional requirements on the provision of the SORACOM Air Global Service, as may be reasonably required to comply with any such Restrictions. (c) In no event will SORACOM be required to provide the SORACOM Air Global Service in countries or locations, or in a manner that would be in violation of the Restrictions and its failure to provide the SORACOM Air Global Service due to the Restrictions will not be deemed to be a breach of its obligations under this Agreement. (d) In the event that any Restriction, or any change in applicable law, regulation, decision, rule or order materially or adversely affects the delivery of the SORACOM Air Global Service (including the economic viability thereof), SORACOM will notify Subscribers in writing and the parties will negotiate in good faith regarding changes to this Agreement. If the parties cannot reach agreement within 30 days after notification from SORACOM requesting renegotiation, SORACOM may terminate the Agreement upon 30 days’ written notice to the Subscriber.

  • Use of Basement and Service Areas The basement(s) and service areas, if any, as located within the

  • Pilot Programs The Employer may develop voluntary pilot programs to test the acceptability of various risk management programs. Incentives for participation in such programs may include limited short-term improvements to the benefits outlined in this Article. Implementation of such pilot programs is subject to the review and approval of the Joint Labor-Management Committee on Health Plans.

  • Use of Service Areas The service areas, as located within the Project, shall be ear- marked for purposes such as parking spaces and services including but not limited to electric sub-station, transformer, DG set rooms, underground water tanks, Pump rooms, maintenance and service rooms, firefighting pumps and equipment etc. and other permitted uses as per sanctioned plans. The Allottee shall not be permitted to use the services areas in any manner whatsoever, other than those earmarked as parking spaces and the same shall be reserved for use by the Association for rendering maintenance services.

  • First Source Hiring Program Contractor must comply with all of the provisions of the First Source Hiring Program, Chapter 83 of the San Francisco Administrative Code, that apply to this Agreement, and Contractor is subject to the enforcement and penalty provisions in Chapter 83.

  • Alignment with Modernization Foundational Programs and Foundational Capabilities The activities and services that the LPHA has agreed to deliver under this Program Element align with Foundational Programs and Foundational Capabilities and the public health accountability metrics (if applicable), as follows (see Oregon’s Public Health Modernization Manual, (xxxx://xxx.xxxxxx.xxx/oha/PH/ABOUT/TASKFORCE/Documents/public_health_modernization_man ual.pdf): a. Foundational Programs and Capabilities (As specified in Public Health Modernization Manual) b. The work in this Program Element helps Oregon’s governmental public health system achieve the following Public Health Accountability Metric: c. The work in this Program Element helps Oregon’s governmental public health system achieve the following Public Health Modernization Process Measure:

  • Marketing Plans Contractor and the Exchange recognize that Enrollees and other health care consumers benefit from efforts relating to outreach activities designed to increase heath awareness and encourage enrollment. The parties shall share marketing plans on an annual basis and with respect to periodic updates of material changes. The marketing plans of each of the Exchange and Contractor shall include proposed marketing approaches and channels and shall provide samples of any planned marketing materials and related collateral as well as planned, and when completed, expenses for the marketing budget. The Contractor shall include this information for both the Exchange and the outside individual market. The Exchange shall treat all marketing information provided under this Section as confidential information and the obligation of the Exchange to maintain confidentiality of this information shall survive termination or expiration of this Agreement.

  • Training Programs All employees shall successfully complete all necessary training prior to being assigned work (e.g., all employees will complete health and safety training prior to being assigned to task). Nothing in this Article or provision shall constitute a waiver of either party’s bargaining obligations or defenses. The Employer still has an obligation to notify and bargain changes in terms and conditions of employment with the exclusive representative.

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