Methodology for Payment Sample Clauses

Methodology for Payment. The per diem amount in the APM PAYMENT for APM Year 1 was derived using the following factors: • Historical Contractor inpatient utilization incurred by the Department of Mental Health (DMH) and DVHA; • Projected Contractor inpatient utilization in APM Year 1; • Recent cost-per-day values incurred by Contractor for direct care, fixed and administrative costs; and • A negotiated allowance for annual changes for direct care, fixed and administrative costs. The APM PAYMENT for APM Year 1 was derived by multiplying the per diem amount of $1,838.33 by the number of expected Inpatient Days. The State shall make a monthly APM PAYMENT to Contractor as shown in Table 1. Table 1. APM Year 1 APM Year 1 March April May June July Aug Sept Oct Nov Dec Expec xxx Inpati ent Days 1,240 1,320 1,426 1,410 1,674 1,674 1,680 1,736 1,680 1,736 Month ly Payme nt Amou nt $2,781, 058 $2,781, 058 $2,781, 058 $2,781, 058 $2,918, 267 $2,918, 267 $2,918, 267 $2,918, 267 $2,918, 267 $2,918, 267
Sample 1
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Methodology for Payment. 3.1. APM Year 1 The per diem amount in the APM Payment for APM Year 1 was derived using the following factors:
Sample 1
Methodology for Payment. APM Year 1 The per diem amount in the APM Payment for APM Year 1 was derived using the following factors: • Historical Contractor inpatient utilization incurred by the Department of Mental Health (DMH) and DVHA; • Projected Contractor inpatient utilization in APM Year 1; • Recent cost-per-day values incurred by Contractor for direct care, fixed and administrative costs; and • A negotiated allowance for annual changes for direct care, fixed and administrative costs. The APM Payment for APM Year 1 was derived by multiplying the per diem amount of $1,838.33 by the number of expected Inpatient Days. The State shall make a monthly APM Payment to Contractor as shown in Table 1. Table 1. APM Year 1 Month Expected Inpatient Days Monthly Payment Amount March 2021 1,240 $2,781,058 April 2021 1,320 $2,781,058 May 2021 1,426 $2,781,058 June 2021 1,410 $2,781,058 July 2021 1,674 $2,918,267 August 2021 1,674 $2,918,267 September 2021 1,680 $2,918,267 October 2021 1,736 $2,918,267 November 2021 1,680 $2,918,267 December 2021 1,736 $2,918,267 Total 15,576 $28,633,834 APM Year 2 The per diem amount in the APM Payment for APM Year 2 was derived using the following factors: • Historical Contractor inpatient utilization incurred by DMH and DVHA; • Projected Contractor inpatient utilization in APM Year 2; • Recent cost-per-day values incurred by Contractor for direct care, fixed and administrative costs; and • A negotiated allowance for annual changes for direct care, fixed and administrative costs. The APM Payment for APM Year 2 January through June months of services is derived by multiplying the per diem amount of $2,550 by the number of expected Inpatient Days. The APM Payment for July through December months of service is derived by multiplying the per diem amount of $3,100 by the number of expected Inpatient Days. The State shall make a monthly APM Payment to Contractor as shown in Table 2. Table 2. APM Year 2 Month Expected Inpatient Days Expected Beds per Day Monthly Payment Amount January 2022 1,240 40 $3,162,000 February 2022 1,120 40 $2,856,000 March 2022 1,240 40 $3,162,000 April 2022 1,260 42 $3,213,000 May 2022 1,302 42 $3,320,100 June 2022 1,260 42 $3,213,000 July 2022 1,581 51 $4,901,100 August 2022 1,581 51 $4,901,100 September 2022 1,530 51 $4,743,000 October 2022 1,581 51 $4,901,100 November 2022 1,530 51 $4,743,000 December 2022 1,581 51 $4,901,100 Totals 16,806 - $48,016,500 4. Claims Submission Requirements Contractor will submit claims for Inpatient Days...
Sample 1

Related to Methodology for Payment

  • Basis for Payment Payment(s) to Consultant for services performed under this Contract shall be made as follows and shall [not] include payment for reimbursable expenses:

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  • Application for Payment The form acceptable to Owner that is to be used by the Contractor during the course of the Work in requesting payment from the Owner and that is to be accompanied by such supporting documentation as is required by the Contract Documents.

  • Time for Payment Interconnection Customer must provide the additional Security, in a form and with terms as required by Section 212.4, within 15 days after its receipt of Transmission Provider’s notice under this section. The requirement for additional Security under this section shall be treated as a milestone included in the Interconnection Service Agreement pursuant to Section 212.5.

  • Due date for payment The settlement date for each Tax Invoice issued by the Distributor must be the 20th day of the month in which the Tax Invoice is received, or if the 20th day of the month is not a Working Day, the first Working Day after the 20th day. However, if the Distributor fails to send a Tax Invoice to the Trader within 10 Working Days after the last day of the month to which the Tax Invoice relates, the due date for payment is extended by 1 Working Day for each Working Day that the Tax Invoice is late.

  • Procedure for Payment Whenever a payment for fractional Rights, Preferred Shares or Common Shares is to be made by the Rights Agent pursuant to this Agreement, the Company will (i) promptly prepare and deliver to the Rights Agent a certificate setting forth in reasonable detail the facts related to such payment and the prices or formulas utilized in calculating such payments; and (ii) provide sufficient monies to the Rights Agent to make such payments. The Rights Agent will be fully protected in relying upon such certificate and will have no duty with respect thereto, and will not be deemed to have knowledge of any payment for fractional Rights, Preferred Shares or Common Shares pursuant to this Agreement unless and until the Rights Agent has received such certificate and sufficient monies.

  • Eligibility for Payment a) i) Except in the case of a disability arising out of an accident, an employee shall be eligible to receive an amount of disability benefit in accordance with Section 3 hereof, for a period not exceeding 52 weeks for any one illness, beginning after three (3) continuous days from the commencement of the disability, or beginning on the first day of hospital confinement as a bed patient, if earlier.

  • Recognition for Past Experience All RNs hired during the term of this Agreement shall be given full credit (year for year) for continuous recent experience when placed on the wage scale. For the purpose of this section, continuous recent experience as a registered nurse shall be defined as clinical nursing experience in an accredited hospital or skilled nursing facility (including temporary employment with an employer) without a break in nursing experience that would reduce the level of nursing skills in the opinion of the Employer.

  • PREREQUISITES FOR PAYMENT The following applicable requirements shall be fulfilled in order to establish an employee's eligibility for sick leave benefits.

  • Treatment of Unallowable Costs Previously Submitted for Payment Defendants further agree that within 90 days of the Effective Date of this Agreement they shall identify to applicable Medicare and TRICARE fiscal intermediaries, carriers, and/or contractors, and Medicaid and FEHBP fiscal agents, any Unallowable Costs (as defined in this Paragraph) included in payments previously sought from the United States, or any State Medicaid program, including, but not limited to, payments sought in any cost reports, cost statements, information reports, or payment requests already submitted by Defendants or any of their subsidiaries or affiliates, and shall request, and agree, that such cost reports, cost statements, information reports, or payment requests, even if already settled, be adjusted to account for the effect of the inclusion of the Unallowable Costs. Defendants agree that the United States, at a minimum, shall be entitled to recoup from Defendants any overpayment plus applicable interest and penalties as a result of the inclusion of such Unallowable Costs on previously-submitted cost reports, information reports, cost statements, or requests for payment. Any payments due after the adjustments have been made shall be paid to the United States pursuant to the direction of the Department of Justice and/or the affected agencies. The United States reserves its rights to disagree with any calculations submitted by Defendants or any of their subsidiaries or affiliates on the effect of inclusion of Unallowable Costs (as defined in this Paragraph) on Defendants or any of their subsidiaries or affiliates’ cost reports, cost statements, or information reports.

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