Common use of Proposed Plan Benefit Packages Clause in Contracts

Proposed Plan Benefit Packages. (PBPs) and Bids.‌ The MCO/SNP will provide a copy of its CMS submitted bid to the STATE’s actuarial firm within thirty (30) days of final submission to CMS for the purpose of assuring that the STATE does not duplicate payments on any provided services. The MCO will provide a copy of the MCO’s approved CMS bid to the STATE’s actuarial firm, if the approved bid differs significantly from the submitted bid. The STATE will not directly review this information. The MCO must identify information as “Trade Secret” prior to or at the time of its submission for the STATE to consider classifying it as non-public, as described in section 9.7.‌

Proposed Plan Benefit Packages. (PBPs) and Bids.‌ Bids. The MCO/SNP will provide a copy of its CMS submitted bid to the STATE’s contracted actuarial firm within thirty (30) days of final submission to CMS for the purpose of assuring that the STATE does not duplicate payments on any provided services. The MCO will provide a copy of the MCO’s approved CMS bid to the STATE’s actuarial firm, if the approved bid differs significantly from the submitted bid. The STATE will not directly review this information. The MCO must identify information as “Trade Secret” trade secret prior to or at the time of its submission for the STATE to consider classifying it as non-non- public, as described in section 9.7.‌9.6.

Proposed Plan Benefit Packages. (PBPs) and Bids.‌ The MCO/SNP will provide a copy of its CMS submitted bid to the STATE’s actuarial firm within thirty (30) days of final submission to CMS for the purpose of assuring that the STATE does not duplicate payments on any provided services. The MCO will provide a copy of the MCO’s approved CMS bid to the STATE’s actuarial firm, if the approved bid differs significantly from the submitted bid. The STATE will not directly review this information. The MCO must identify information as “Trade Secret” prior to or at the time of its submission for the STATE to consider classifying it as non-public, as described in section 9.7.‌12.10.