Common use of Payment Rates Clause in Contracts

Payment Rates. The Contractor shall be paid for authorized and delivered services as agreed to by the parties of this Contract. Rate setting authority originates from this Contract and not from MMIS Service Agreements. Rates as agreed to in this Contract must agree and be accurately reflected in MMIS. a. No advance payments will be made under this Contract. b. Payment for leave days is not permitted through the CADI, DD or BI waivers. The Contractor’s payment rate may include, however, overhead expenses of days when a person is away from a residence. (See the Disability Program Services Manual on Waiver Leave Days for a list of affected wavier services and for acceptable ways to include absences in overhead expenses.) c. If the Minnesota Legislature approves a rate increase, requires a rate decrease, or makes any other changes to the reimbursement rates for any services included in this Contract, the new rate shall be in effect under this Contract. i. The Lead County will send the Contractor a written confirmation of the new rate. If the County of Financial Responsibility has accessed the Agency contract and amended the rates, it will send the Contractor notices. ii. The Contractor agrees to abide by any conditions imposed upon the use of increased funds that may be established by law or direction from the State of Minnesota, Department of Human Services. iii. Any interpretation pertaining to eligibility for a rate change as well as the exact amount of the rate change shall be subject to applicable law, rule, or regulation and shall be consistent with guidelines developed by the State of Minnesota and the Lead County. d. The Agency may allow the Contractor to negotiate the rate it will charge for some services, subject to MMIS rate limits. The Contractor must provide sixty (60) calendar days written notice to the Lead County, eligible persons, and the responsible parties to change rates as required by individual service needs. Existing eligible person’s service authorizations continue at the previous rate for the duration of the authorization unless the Agency agrees otherwise. Rate changes must be approved by the Agency prior to being implemented. i. The sixty (60) day written notice, as described in this Contract will be waived in case of emergency or extenuating circumstances. In such cases, the Contractor must provide the Agency with reasonable notice in order to change rates. Timeliness of the notice will be determined by the Agency.

Appears in 4 contracts

Samples: Home and Community Based Services Contract, Home and Community Based Services Contract, Home and Community Based Services Contract

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Payment Rates. The Contractor Provider shall be paid for authorized and delivered services as agreed to by the parties of this Contractcontract. Rate setting authority originates from this Contract and not from MMIS Service Agreements. Rates as agreed to in this Contract must agree and be accurately reflected in MMIS. Rate schedules attached to this agreement via Attachment(s). Alee Services rate is $11.50 per unit for SILS, Waiver services are set through DHS, are incorporated into this Contract by reference herein and are deemed part of this Contract. a. 1. No advance payments will be made under this Contract. b. 2. Payment for leave days residential absence is not permitted through the CADI, DD or BI waiverswaiver. The ContractorProvider’s payment rate may includein 5.B may, however, include overhead expenses of days when a person is away from a residence. (See the Disability Program Services Manual on Waiver Leave Days Reimbursement for Overhead Expenses due to Residential Absence for a list of affected wavier waiver services and for acceptable ways to include absences in overhead expenses.) c. 3. If the Minnesota Legislature approves a rate increase, requires a rate decrease, or makes make any other changes to the reimbursement rates for any services included in this Contract, the new rate shall be in effect under this Contract. i. a. The Lead County will send the Contractor Provider a written confirmation of the new rate. If the County of Financial Responsibility Financially Responsible Agency has accessed the Agency Lead County contract and amended the ratesrate, it will send the Contractor provider notices. ii. b. The Contractor Provider agrees to abide by any conditions imposed upon the use of increased funds that may be established by law or direction from the State of Minnesota, Department of Human Services. iii. c. Any interpretation pertaining to eligibility for a rate change as well as the exact amount of the rate change shall be subject to applicable law, rule, rule or regulation and shall be consistent with guidelines developed by the State of Minnesota and the Lead County. d. 4. The Agency Lead County may allow the Contractor Provider to negotiate the rate it will charge for some services, subject to MMIS rate limits. The Contractor Provider must provide sixty (60) calendar days written notice to the Lead County, eligible persons, persons and the responsible parties to change rates as required by individual service needs. Existing eligible person’s service authorizations continue at the previous rate for the duration of the authorization unless the Agency Lead County agrees otherwise. Rate changes must be approved by the Agency Lead County prior to being implemented. i. a. The sixty (60) 60- day written notice, as described in this Contract 5B (4), will be waived in case cases of emergency or extenuating circumstances. In such cases, case the Contractor Provider must provide the Agency Lead County with reasonable notice in order to change rates. Timeliness of the notice will be determined by the Agency.Lead

Appears in 1 contract

Samples: Home and Community Based Waiver Services Contract

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