MEDI-CAL CAPACITY Sample Clauses

MEDI-CAL CAPACITY. 8.1 CONTRACTOR is aware and understands that CDSS may change Medi-Cal rates without advance notification. COUNTY will advise CONTRACTOR upon notice from CDSS that rates have changed. As a result, reimbursement by COUNTY to CONTRACTOR may be less than the Maximum Obligation referenced in Paragraph 20 of this Contract. 8.2 CONTRACTOR shall contract with the County of Orange HCA for reimbursement of all Medi-Cal billable services provided by CONTRACTOR to Participant(s) that are not reimbursed through any contracts with ADMINISTRATOR. COUNTY will claim reimbursement to the California State Medi-Cal Program for services rendered by CONTRACTOR, to the extent these services are Medi-Cal eligible. 8.3 CONTRACTOR will be reimbursed by HCA for Medi-Cal eligible services hereunder; provided further that CONTRACTOR’s costs are reimbursable pursuant to County, State, and federal regulations. Reimbursements to CONTRACTOR by HCA are interim payments and subject to final settlement in accordance with cost reporting instructions to be provided by COUNTY. 8.4 CONTRACTOR is aware and understands that HCA will reimburse the actual cost of providing Medi-Cal services. ADMINISTRATOR will reimburse CONTRACTOR for actual allowable non-Medi-Cal eligible costs incurred and paid by CONTRACTOR, as defined in 2 CFR, Part 230, or as approved by COUNTY. 8.5 CONTRACTOR shall open a Medi-Cal case from the date the case is opened in Wrap OC for all Participants who are eligible for, and/or should be eligible for, Medi-Cal. All Medi-Cal services shall be billed to Medi-Cal from the date the case is opened in Wrap OC. 8.6 CONTRACTOR shall complete a Psychosocial Assessment to determine medical necessity and to identify Participants who meet Pathways to Well-Being subclass criteria but who may not have been identified previously. 8.7 CONTRACTOR shall obtain advance written approval from ADMINISTRATOR for all Medi-Cal eligible Participants for which CONTRACTOR will not bill Medi- Cal, in any given month. 8.8 CONTRACTOR shall notify ADMINISTRATOR if referred Participant(s) is/are not eligible for Medi-Cal at the time of referral, or if eligibility status changes while Participant(s) is/are enrolled in Wrap OC. 8.9 CONTRACTOR shall enter Medi-Cal data into HCA’s database, currently the Integrated Record Information System (IRIS) database, or as directed by HCA, shall comply with all Medi-Cal regulations, and shall retain all documentation required by HCA for Medi-Cal billing. 8.10 CONTRACTOR sh...
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MEDI-CAL CAPACITY. 8 CDSS may change Medi-Cal rates without advance notification. COUNTY will 9 advise CONTRACTOR upon notice from CDSS that rates have changed. As a result, 10 reimbursement by COUNTY to CONTRACTOR may be less than the Maximum Obligation 11 referenced in Subparagraph 19.1 of this Agreement. 12 For Medi-Cal billable services provided by CONTRACTOR to Participant(s), 13 COUNTY will claim reimbursement to the California State Medi-Cal Program for 14 services rendered by CONTRACTOR, to the extent these services are Medi-Cal 15 eligible. CONTRACTOR shall therefore be required to enter into an agreement 16 with the County of Orange Health Care Agency (HCA) for reimbursement of all 17 Medi-Cal eligible services that are not reimbursed through any agreements with 18 ADMINISTRATOR. 19 Reimbursements to CONTRACTOR by HCA are interim payments and subject to 20 final settlement in accordance with cost reporting instructions to be provided 21 by COUNTY. CONTRACTOR will be reimbursed by HCA for Medi-Cal billable services 22 hereunder; provided further that CONTRACTOR’s costs are reimbursable pursuant 23 to County, State, and federal regulations. 24 HCA will reimburse the actual cost of providing Medi-Cal services.
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MEDI-CAL CAPACITY. 22 CDSS may change Medi-Cal rates without advance notification. COUNTY will 23 advise CONTRACTOR upon notice from CDSS that rates have changed. As a result, 24 reimbursement by COUNTY to CONTRACTOR may be less than the Maximum Obligation 25 referenced in Subparagraph 19.1 of this Agreement. 26 For Medi-Cal billable services provided by CONTRACTOR to Participant(s), 27 COUNTY will claim reimbursement to the California State Medi-Cal Program for 28 services rendered by CONTRACTOR, to the extent these services are Medi-Cal WCB0618 Page 9 of 00 00-00-00 1 eligible. CONTRACTOR shall therefore be required to enter into an agreement 2 with the County of Orange Health Care Agency (HCA) for reimbursement of all 3 Medi-Cal eligible services that are not reimbursed through any agreements with 4 ADMINISTRATOR. 5 Reimbursements to CONTRACTOR by HCA are interim payments and subject to 6 final settlement in accordance with cost reporting instructions to be provided 7 by COUNTY. CONTRACTOR will be reimbursed by HCA for Medi-Cal billable services 8 hereunder; provided further that CONTRACTOR’s costs are reimbursable pursuant 9 to County, State, and federal regulations. 10 HCA will reimburse the actual cost of providing Medi-Cal services. 11 ADMINISTRATOR will reimburse CONTRACTOR for actual allowable non-Medi-Cal 12 billable costs incurred and paid by CONTRACTOR, as defined in 2 CFR, Part 230 13 or as approved by COUNTY.
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MEDI-CAL CAPACITY. 21 CDSS may change Medi-Cal rates without advance notification. COUNTY 22 will advise CONTRACTOR upon notice from CDSS that rates have changed. As a 23 result, reimbursement by COUNTY to CONTRACTOR may be less than the Maximum 24 Obligation referenced in Subparagraph 19.1 of this Agreement. 25 For Medi-Cal billable services provided by CONTRACTOR to Participant(s), 26 COUNTY will claim reimbursement to the California State Medi-Cal Program for 27 services rendered by CONTRACTOR, to the extent these services are Medi-Cal 28 eligible. CONTRACTOR shall therefore be required to enter into an agreement WCB0418 Page 9 of 00 00-00-00 1 with the County of Orange Health Care Agency (HCA) for reimbursement of all 2 Medi-Cal eligible services that are not reimbursed through any agreements with 3 ADMINISTRATOR.
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MEDI-CAL CAPACITY. 16 CDSS may change Medi-Cal rates without prior notice.advance 17 notification. COUNTY shallwill advise CONTRACTOR upon notice from CDSS that 18 rates have changed. As a result, total payment fromreimbursement by COUNTY to 19 CONTRACTOR may be less than the Maximum Obligation agreed uponreferenced in 20 Subparagraph 19.1 of this Agreement.
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MEDI-CAL CAPACITY. 14 CDSS may change Medi-Cal rates without prior notice.advance 15 notification. COUNTY shallwill advise CONTRACTOR upon notice from CDSS that 16 rates have changed. As a result, total payment fromreimbursement by COUNTY to 17 CONTRACTOR may be less than the Maximum Obligation agreed uponreferenced in 18 Subparagraph 19.1 of this Agreement. 19 For Medi-Cal billable services provided by CONTRACTOR to Participant(s), 20 COUNTY shallwill claim reimbursement to the California State Medi-Cal Program 21 for services rendered by CONTRACTOR, to the extent these services are Medi-Cal 22 eligible. CONTRACTOR shall therefore be required to enter into an agreement 23 with the County of Orange Health Care Agency (HCA) for reimbursement of all 24 Medi-Cal eligible services that are not reimbursed through any agreements with
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MEDI-CAL CAPACITY. 14 CDSS may change Medi-Cal rates without prior notice.advance 15 notification. COUNTY shall advise CONTRACTOR upon notice from CDSS that rates 16 have changed. As a result, total payment fromreimbursement by COUNTY to 17 CONTRACTOR may be less than the Maximum Obligation agreed uponreferenced in 18 Subparagraph 19.1 of this Agreement. 19 For Medi-Cal billable services provided by CONTRACTOR to Participant(s), 20 COUNTY shallwill claim reimbursement to the California State Medi-Cal Program 21 for services rendered by CONTRACTOR, to the extent these services are Medi-Cal 22 eligible. CONTRACTOR shallwill therefore be required to enter into an 23 agreement with the County of Orange Health Care Agency (HCA) for reimbursement 24 of all Medi-Cal eligible services that are not reimbursed through any 25 agreements with ADMINISTRATOR. 26 All paymentsReimbursements to CONTRACTOR made by HCA shall beare interim 27 payments only, and subject to Final Settlementfinal settlement in accordance 28 with Cost Reportingcost reporting instructions to be provided by COUNTY. WCB0418 Page 10 of 75 4-17-18 1 CONTRACTOR shallwill be reimbursed by HCA for the actual cost, up to the 2 maximum obligation in the contract, of providing the Medi-Cal billable 3 services hereunder; provided further that CONTRACTOR’s costs are reimbursable 4 pursuant to County, State, and federal regulations. 5 HCA will reimburse the actual cost of providing Medi-Cal services. 6 ADMINISTRATOR shall paywill reimburse CONTRACTOR for actual allowable non-
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Related to MEDI-CAL CAPACITY

  • Legal Capacity All parties to the Mortgage Note and the Mortgage had legal capacity to enter into the Mortgage Loan and to execute and deliver the Mortgage Note and the Mortgage, and the Mortgage Note and the Mortgage have been duly and properly executed by such parties. The Mortgagor is a natural person;

  • Individual Capacity The Administrative Agent and its Affiliates may make loans to, accept deposits from and generally engage in any kind of business with the Borrower and its Affiliates as though the Administrative Agent were not an Agent. With respect to the Loans made by it and all obligations owing to it, the Administrative Agent shall have the same rights and powers under this Agreement as any Lender and may exercise the same as though it were not an Agent, and the terms “Required Lenders”, “Lender” and “Lenders” shall include the Administrative Agent in its individual capacity.

  • Financial Capacity (a) Taking into account the Financing Commitment, such Purchaser has, and at the Closing will have, sufficient resources to pay, in cash any and all amounts necessary for it to consummate the transactions contemplated hereby at the Closing, including payment of its Pro Rata Share of the Seller Purchase Price and the Company Purchase Price, and in the case of Purchaser A only, the Additional Company Purchase Price and the Election Purchase Price (to the extent payable hereunder) and all the fees and expenses expressly required to be paid by such Purchaser hereunder without any restrictions to transfer such funds at Closing to the Seller and the Company, as and to the extent required to be paid pursuant to, and subject to the terms of, this Agreement. The Sponsor affiliated with such Purchaser has, and at the Closing will have, sufficient resources to meet its obligations under its Commitment Letter as they become due. (b) As of the date of this Agreement, such Purchaser has delivered to the Seller a true, correct and complete copy of the Commitment Letter provided by its affiliated Sponsor, dated as of the date hereof. Such Commitment Letter has not been amended or modified, and the respective commitments contained in such Commitment Letter have not been withdrawn, terminated or rescinded. Such Commitment Letter (i) is in full force and effect, (ii) constitutes the legal, valid and binding obligation of such Purchaser and the Sponsor party thereto, and (iii) is enforceable by the Seller and the Company against such Purchaser and the Sponsor party thereto, in accordance with its terms, subject to bankruptcy, insolvency, reorganization and other Legal Requirements of general applicability relating to or affecting creditors’ rights and to general equity principles. There are no side letters or other Contracts related to the funding or investing, as applicable, of the applicable Financing Commitment other than such Commitment Letter. There are no conditions precedent to the consummation of such Financing Commitment other than those set forth in such Commitment Letter. As of the date of this Agreement, the Sponsor affiliated with such Purchaser is not subject to bankruptcy proceedings. (c) Notwithstanding anything to the contrary contained herein, in no event shall this Section 4.4 be deemed breached (and no condition set forth in Section 6.3 shall be deemed to have failed as a result of any actual or alleged breach of this Section 4.4), if (notwithstanding any actual or alleged breach), such Purchaser is willing and able to consummate its obligations at the Closing if and when it is otherwise required to do so under the terms and conditions of this Agreement.

  • Contract Capacity The electric power producing capability of the Generating Facility which is committed to Edison.

  • Shareholder Capacity No Person executing this Agreement who, during the term hereof, is or becomes a director or officer of the Company makes any agreement or understanding herein in his or her capacity as a director or officer of the Company. Each Principal Shareholder signs solely in his, her or its capacity as the record holder and beneficial owner of, or the trustee of a trust whose beneficiaries are the beneficial owners of, Principal Shareholder Shares.

  • INDEPENDENT CAPACITY The employees or agents of each party who are engaged in the performance of this Agreement shall continue to be employees or agents of that party and shall not be considered for any purpose to be employees or agents of the other party.

  • Agent in Individual Capacity Xxxxx Fargo and its Affiliates may make loans to, issue letters of credit for the account of, accept deposits from, provide Bank Products to, acquire Equity Interests in, and generally engage in any kind of banking, trust, financial advisory, underwriting, or other business with any Loan Party and its Subsidiaries and Affiliates and any other Person party to any Loan Document as though Xxxxx Fargo were not Agent hereunder, and, in each case, without notice to or consent of the other members of the Lender Group. The other members of the Lender Group acknowledge (and by entering into a Bank Product Agreement, each Bank Product Provider shall be deemed to acknowledge) that, pursuant to such activities, Xxxxx Fargo or its Affiliates may receive information regarding a Loan Party or its Affiliates or any other Person party to any Loan Documents that is subject to confidentiality obligations in favor of such Loan Party or such other Person and that prohibit the disclosure of such information to the Lenders (or Bank Product Providers), and the Lenders acknowledge (and by entering into a Bank Product Agreement, each Bank Product Provider shall be deemed to acknowledge) that, in such circumstances (and in the absence of a waiver of such confidentiality obligations, which waiver Agent will use its reasonable best efforts to obtain), Agent shall not be under any obligation to provide such information to them. The terms “Lender” and “Lenders” include Xxxxx Fargo in its individual capacity.

  • Stockholder Capacity No Person executing this Agreement who is or becomes during the term hereof a director or officer of the Company shall be deemed to make any agreement or understanding herein in his or her capacity as such director or officer. Stockholder signs solely in his, her or its capacity as the beneficial owner of the Subject Shares and nothing herein shall limit or prohibit Stockholder or any of its Representatives, in his or her capacity as an officer or director of the Company, from taking any action or failing to take any action in such capacity.

  • Maximum Capacity The Sick Leave Bank shall accumulate unused Bank days from year to year to a maximum capacity which shall not exceed double the number of eligible employees as defined in the above Section C, Eligibility for Membership.

  • Not Acting in Individual Capacity Except as provided in this Article VI, in accepting the trusts hereby created Wilmington Trust Company acts solely as Owner Trustee hereunder and not in its individual capacity, and all Persons having any claim against the Owner Trustee by reason of the transactions contemplated by this Trust Agreement or any Basic Document shall look only to the Owner Trust Estate for payment or satisfaction thereof.

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