Common use of Payments for Health Plan Performance Clause in Contracts

Payments for Health Plan Performance. The State makes annual payments to recognize health plan performance of contractual targets during the previous calendar year. Such payments should be allocated on the CMS-64 waiver pages to reflect the amounts attributable to waiver group and waiver year in the following manner. First, determine the percentage distribution of each calendar year’s payment amount by waiver year and waiver group. Then apply those same proportions to the payment totals for the same calendar year.

Payments for Health Plan Performance. The State makes annual payments to recognize health plan performance of contractual targets during the previous calendar year. Such payments should be allocated on the CMS-64 waiver pages to reflect the amounts attributable to waiver group and waiver year in the following manner. First, determine the percentage distribution of each calendar year’s 's payment amount by waiver year and waiver group. Then apply those same proportions to the payment totals for the same calendar year.