MLR Reporting Requirements Sample Clauses

MLR Reporting Requirements. ‌ Insurer shall provide a quarterly MLR report to FHKC in the format established by FHKC. The format established by FHKC shall include claims runout periods. The quarterly MLR report is an ongoing report. As such, Insurer shall update the report each quarter to include any additional claims information received since the prior report. The quarterly MLR report is due as follows: Reporting Quarter Due Date July 1 – September 30 November 30 October 1 – December 31 February 28 January 1 – March 30 May 31 April 1 – June 30 August 31 Insurer shall provide an updated annual MLR report with Insurer’s premium rate adjustment request. Insurer shall also identify all non-benefit and medical expense payments to affiliate and subsidiary companies, including an explanation of the relationship.
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MLR Reporting Requirements a. Each PIHP expense must be included under only one type of expense category defined for MLR reporting, unless a proration between expense categories is required to reflect accuracy and a description of the allocation is provided.
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MLR Reporting Requirements. 1) Contractor must submit a report to DHCS that includes at least the following information for each MLR reporting year:
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MLR Reporting Requirements. Each CHC-MCO must annually, within 11 months of the reporting year, report an MLR specific to its statewide CHC experience in accordance with 42 CFR § 438.8 or subsequently modified by the CMS. This will include reporting the CHC- specific results for each individual required element of the numerator as required by 42 C.F.R. § 438.8(e) and the denominator required by 42 C.F.R. § 438.8(f) and making a credibility adjustment, if applicable, as described in 42 C.F.R. § 438.8(h). As outlined in 42 C.F.R. § 438.8(f)(2)(vi), the MLR calculation must include net payments or receipts related to risk sharing mechanisms developed in accordance with 42 C.F.R. § 438.5 or 42 CFR 438.6. This includes any CHC risk corridor payments and receipts made in accordance with this Appendix. Per 42 CFR §438.8(c) the Department has chosen a minimum MLR of 85.00 percent (85.00%). For MLR reporting years, the Department requires remittance. Settlement of a remittance obligation will be due 75 calendar days after the annual report due date.
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MLR Reporting Requirements a. Each HMO expense must be included under only one type of expense category defined for MLR reporting, unless a proration between expense categories is required to reflect accuracy and a description of the allocation is provided.
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Related to MLR Reporting Requirements

  • Reporting Requirements The Company, during the period when the Prospectus is required to be delivered under the 1933 Act or the 1934 Act, will file all documents required to be filed with the Commission pursuant to the 1934 Act within the time periods required by the 1934 Act and the 1934 Act Regulations.

  • Other Reporting Requirements ‌ The following describes certain other reports required under this Contract:

  • Reporting Requirement (1) In the event the Contractor identifies covered telecommunications equipment or services used as a substantial or essential component of any system, or as critical technology as part of any system, during contract performance, or the Contractor is notified of such by a subcontractor at any tier or by any other source, the Contractor shall report the information in paragraph (d)(2) of this clause to the Contracting Officer, unless elsewhere in this contract are established procedures for reporting the information; in the case of the Department of Defense, the Contractor shall report to the website at xxxxx://xxxxxx.xxx.xxx. For indefinite delivery contracts, the Contractor shall report to the Contracting Officer for the indefinite delivery contract and the Contracting Officer(s) for any affected order or, in the case of the Department of Defense, identify both the indefinite delivery contract and any affected orders in the report provided at xxxxx://xxxxxx.xxx.xxx.

  • Child Abuse Reporting Requirements A. Grantees shall comply with child abuse and neglect reporting requirements in Texas Family Code Chapter 261. This section is in addition to and does not supersede any other legal obligation of the Grantee to report child abuse.

  • General Reporting Requirements The MA-PD Sponsor agrees to submit to information to CMS according to 42 CFR §§423.505(f), 423.514, and the “Final Medicare Part D Reporting Requirements,” a document issued by CMS and subject to modification each program year.

  • Grant Reporting Requirements The Grantee must submit the following reports to the Division. All reports shall document the completion of any deliverables/tasks, expenses and activities that occurred during that reporting period. All reports on grant progress will be submitted online via xxx.xxxxxxxxx.xxx. [INSERT PROGRESS REPORT DUE DATES]

  • Financial Reporting Requirements The Charter School shall follow the financial requirements of the Charter Schools Section of the Department’s Financial Management for Georgia Local Units of Administration Manual. The Charter School shall submit all information required by the State Accounting Office for inclusion in the State of Georgia Comprehensive Annual Financial Report.

  • Forecasting Requirements 19.5.1 The Parties shall exchange technical descriptions and forecasts of their Interconnection and traffic requirements in sufficient detail necessary to establish the Interconnections necessary for traffic completion to and from all Customers in their respective designated service areas.

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