Modification of Payment. The PMPM capitation rate is subject to modification in accordance with Section 9.07 if HHSC reasonably determines that: (1) changes in state or federal laws, rules, regulations, or policies materially affect the rate; (2) an amendment, modification, or change to the MA Agreement materially affects the rate; or (3) other information justifies a modification to the rate. HHSC will provide the MA Dual SNP notice of a modification to the rate sixty (60) days prior to the effective date of the change, unless HHSC determines that circumstances warrant a shorter notice period. If the MA Dual SNP does not accept the rate change, the parties may terminate this Agreement in accordance with Section 7.03.
Appears in 27 contracts
Modification of Payment. The PMPM capitation rate is subject to modification in accordance with Section 9.07 9.08 if HHSC reasonably determines that: (1) changes in state or federal laws, rules, regulations, or policies materially affect the rate; (2) an amendment, modification, or change to the MA Agreement materially affects the rate; or (3) other information justifies a modification to the rate. HHSC will provide the MA Dual SNP notice of a modification to the rate sixty (60) calendar days prior to the effective date of the change, unless HHSC determines that circumstances warrant a shorter notice period. If the MA Dual SNP does not accept the rate change, the parties Parties may terminate this Agreement in accordance with Section 7.03Article VIII.
Appears in 21 contracts
Samples: contracts.hhs.texas.gov, contracts.hhs.texas.gov, contracts.hhs.texas.gov
Modification of Payment. The PMPM capitation rate is subject to modification in accordance with Section 9.07 if HHSC reasonably determines that: (1) changes in state or federal laws, rules, regulations, or policies materially affect the rate; (2) an amendment, modification, or change to the MA Agreement materially affects the rate; or (3) other information justifies a modification to the rate. HHSC will provide the MA Dual SNP Health Plan notice of a modification to the rate sixty (60) calendar days prior to the effective date of the change, unless HHSC determines that circumstances warrant a shorter notice period. If the MA Dual SNP Health Plan does not accept the rate change, the parties may terminate this Agreement in accordance with Section 7.03Article VIII.
Appears in 8 contracts
Samples: HHSC Contract, contracts.hhs.texas.gov, contracts.hhs.texas.gov
Modification of Payment. The PMPM capitation rate is subject to modification in accordance with Section 9.07 if HHSC reasonably determines that: (1) changes in state or federal laws, rules, regulations, or policies materially affect the rate; (2) an amendment, modification, or change to the MA Agreement materially affects the rate; or (3) other information justifies a modification to the rate. HHSC will provide the MA Dual SNP Health Plan notice of a modification to the rate sixty (60) days prior to the effective date of the change, unless HHSC determines that circumstances warrant a shorter notice period. If the MA Dual SNP Health Plan does not accept the rate change, the parties may terminate this Agreement in accordance with Section 7.03.
Appears in 7 contracts
Samples: Agreement Between, Agreement Between, Agreement Between
Modification of Payment. The PMPM capitation rate is subject to modification in accordance with Section 9.07 if HHSC reasonably determines that: (1) changes in state or federal laws, rules, regulations, or policies materially affect the rate; (2) an amendment, modification, or change to the MA Agreement materially affects the rate; or (3) other information justifies a modification to the rate. HHSC will provide the MA Dual SNP notice of a modification to the rate sixty (60) 60 days prior to the effective date of the change, unless HHSC determines that circumstances warrant a shorter notice period. If the MA Dual SNP does not accept the rate change, the parties may terminate this Agreement in accordance with Section 7.03.
Appears in 2 contracts
Samples: www.integratedcareresourcecenter.com, www.integratedcareresourcecenter.com