Medicaid Managed Care Withhold Sample Clauses

Medicaid Managed Care Withhold. The STATE shall withhold eight percent (8%) from the Basic Care Rate and BHH portions of the MCS+ and MSHO rates of the MCO’s payments. MSHO and MSC+ Medicaid Nursing Facility, and Home and Community Based Services, payments are excluded from the withhold provision.
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Medicaid Managed Care Withhold. The STATE shall withhold eight percent (8%) from the basic care and the BHH portion of the SNBC rates. SNBC Medicaid Nursing Facility payments are excluded from the withhold provision.
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Medicaid Managed Care Withhold. ‌ The STATE shall withhold eight percent (8%) from the basic care SNBC rates. SNBC Medicaid Nursing Facility payments are excluded from the withhold provision. [Minnesota Statutes, §256B.39, subd. 5a]
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Medicaid Managed Care Withhold. For Capitation Payments made on or after January 1, 2010, the STATE shall withhold nine point five percent (9.5%) from the Basic Care Rate portion of the MCS+ and MSHO rates of the MCO’s payments. MSHO and MSC+ Medicaid Nursing Facility and Home and Community Based Services payments are excluded from the withhold provision.
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Medicaid Managed Care Withhold. ‌ Due to the COVID-19 pandemic, production of the 2020 withhold measures will be a continuation of the 2019 measures. Accordingly and notwithstanding measurements listed in this Article, the STATE will not report the previews in section 4.13.3 below but the STATE will calculate final versions of the measures. The 2019 year end rates will be compared to the 2020 year end rates for each measure. The STATE will use the better of the 2019 and 2020 rates for the final calculation of the 2020 withhold returns.‌‌ Additionally, the MCO shall provide to the STATE by March 31, 2021 a report detailing the specific efforts the MCO has conducted to improve the dental service utilization rates for children and adults in 2018, 2019, and 2020 as well as the efforts planned for 2021. The STATE will provide a format for the report. The STATE shall withhold eight percent (8%) from the Basic Care Rate and BHH portions of the MCS+ and MSHO rates of the MCO’s payments. MSHO and MSC+ Medicaid Nursing Facility, and Home and Community Based Services, payments are excluded from the withhold provision. [Minnesota Statutes, §256B.39, subd. 5a]‌‌‌‌‌‌‌
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Medicaid Managed Care Withhold. ‌ Due to the COVID-19 pandemic, production of the 2020 withhold measures will be a continuation of the 2019 measures. Accordingly and notwithstanding measurements listed in this Article, the STATE will not report the previews in section 4.13.3 below but the STATE will calculate final versions of the measures. The 2019 year end rates compared to the 2020 year end rates for each measure. The STATE will use the better of the 2019 and 2020 rates for the final calculation of the 2020 withhold returns.‌‌ Additionally, the MCO shall provide to the STATE by March 31, 2021 a report detailing the specific efforts the MCO has conducted to improve the dental service utilization rates for children and adults in 2018, 2019, and 2020 as well as the efforts planned for 2021. The STATE will provide a format for the report. The STATE shall withhold eight percent (8%) from the basic care SNBC rates. SNBC Medicaid Nursing Facility payments are excluded from the withhold provision. [Minnesota Statutes, §256B.39, subd. 5a]
Sample 1
Medicaid Managed Care Withhold. For Capitation Payments made on or after January 1, 2011, the STATE shall withhold nine point five percent (9.5%) from the Basic Care Rate portion of the MCS+ and MSHO rates of the MCO’s payments. MSHO and MSC+ Medicaid Nursing Facility and Home and Community Based Services payments are excluded from the withhold provision. 4.20.1 Return of Withhold. Of the total, 52.63% (50 divided by 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 section 4.20.3 are achieved. The remaining 47.37% (4.5 divided by 9.5 x 100) of withheld funds shall be returned with no consideration of performance, no sooner than July 1st and no later than July 31st of the subsequent Contract Year as required by Minnesota Statutes, § 256B.69, subd. 5a.
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