Payment Reform Initiatives Sample Clauses

Payment Reform Initiatives. DVHA may engage the Contractor in new payment reform initiatives during the term of this Contract. These initiatives will be detailed within an Exhibit to both Attachment A for scope and Attachment B for payment provisions describing the initiative and adopting the relevant provisions of those Attachments. The Contractor may propose initiatives for the State’s consideration. EXHIBIT 1 TO ATTACHMENT A Included and Excluded Service Codes {PROVIDED SEPARATELY} EXHIBIT 2 TO ATTACHMENT A Attribution Technical Specifications Table 1. Qualifying Evaluation & Management (QEM) Services Code Description Office or Other Outpatient Services 99201 New Patient, brief 99202 New Patient, limited 99203 New Patient, moderate 99204 New Patient, comprehensive 99205 New Patient, extensive 99211 Established Patient, brief 99212 Established Patient, limited 99213 Established Patient, moderate 99214 Established Patient, comprehensive 99215 Established Patient, extensive 99241 Consultation: Office and Outpatient, 15 minutes 99242 Consultation: Office and Outpatient, 30 minutes 99243 Consultation: Office and Outpatient, 40 minutes 99244 Consultation: Office and Outpatient, 60 minutes 99245 Consultation: Office and Outpatient, 80 minutes Nursing Facility Care 99304 Initial Nursing Facility Care, brief 99305 Initial Nursing Facility Care, moderate 99306 Initial Nursing Facility Care, comprehensive 99307 Subsequent Nursing Facility Care, brief 99308 Subsequent Nursing Facility Care, limited 99309 Subsequent Nursing Facility Care, comprehensive 99310 Subsequent Nursing Facility Care, extensive 99315 Nursing Facility Discharge Services, brief 99316 Nursing Facility Discharge Services, comprehensive 99318 Other Nursing Facility Services Domiciliary, Rest Home, or Custodial Care Services 99324 New Patient, brief 99325 New Patient, limited 99326 New Patient, moderate 99327 New Patient, comprehensive 99328 New Patient, extensive 99334 Established Patient, brief 99335 Established Patient, moderate 99336 Established Patient, comprehensive 99337 Established Patient, extensive Domiciliary, Rest Home, or Home Care Plan Oversight Services 99339 Brief 99340 Comprehensive Home Services 99341 New Patient, brief 99342 New Patient, limited 99343 New Patient, moderate 99344 New Patient, comprehensive 99345 New Patient, extensive 99347 Established Patient, brief 99348 Established Patient, moderate 99349 Established Patient, comprehensive 99350 Established Patient, extensive Preventative Care/Wellness Vi...