Provider Payments. The state will establish and implement the necessary processes for ensuring accurate encounter payments to providers entitled to the prospective payment services (PPS) rate (e.g., certain FQHCs and RHCs) or the all-inclusive rate (e.g., certain Indian Health providers).
Provider Payments. 11.1 Notification of the Provider Payment Schedule for each payment plan will be provided to you by the DentiCare provider portal, or by email.
Provider Payments. 12.1 Notification of the Provider Payment Schedule for each Payment Plan, and of any changes to the Payment Plan schedule, will be provided to you by the Portal, or by email.
Provider Payments. The Department will determine Pilot care management payments and document them in the Department’s Healthy Opportunities Pilot Payment Protocol.
Provider Payments. $500 per Calendar Day beginning on or after September 1, 2022
Provider Payments. (1) The MCO shall submit medical provider bills electronically to the Bureau within seven (7) Business Days from the MCO's provider bill Receipt Date. The Bureau shall review all bills for allowed conditions and allowed claims and shall pay the MCO for allowed payments after receipt of a proper invoice and after a final adjudication permitting payment for the claim. The Bureau shall make Electronic Fund Transfer ("EFT") to the MCO within seven (7) Business Days after receipt of a proper invoice and after a final adjudication permitting payment for the claim. The MCO shall pay the provider within seven (7) Business Days from receipt of the EFT. The MCO shall pay interest to the Bureau at the rate established by the Office of Budget and Management, if the provider is not paid within thirty (30) days of receipt of the EFT from the Bureau.
Provider Payments. 12.1 Notification of the Provider Payment Schedule for each Payment Plan, and of any changes to the Payment Plan schedule, will be provided to you by the Portal, or by email.
12.2 Provider Payments subject to DentiCare Plus and or DentiCare Plus combined with DentiCare Connect will be in monthly disbursement cycles including Payment Plans with a frequency of weekly or fortnightly debits, which will be aggregated and rounded to the monthly disbursement amount.
12.3 Payments to you subject to Clause 12.2, as nominated by you, will be made on one of the following payment cycles:
12.3.1 the 1st day of each month, or 12.3.2 the 15th day of each month, or
Provider Payments. 3. For all members enrolled in the Innovations Waiver, regardless of whether they engage in Tailored Care Management, the PIHP shall ensure that Waiver care coordination includes:
Provider Payments. Provider shall pay BBTV its BBTV Share of all Net AdSense Ad Revenue from BBTV Claimed Content received by or credited to Provider in any month, within thirty (30) days of receipt by Provider of such Net AdSense Ad Revenue, and shall provide BBTV with a report, in form and substance reasonably satisfactory to BBTV, indicating how such BBTV Share was arrived at.
Provider Payments. Providers who deliver services to Members attributed to a Pilot ACO will continue to be paid in the same manner as providers who deliver services to PCC Plan enrollees, including from MassHealth’s managed behavioral health vendor. Pilot ACOs will be accountable for total cost of care through a retrospective reconciliation process, as further detailed in Attachment L.
