PROVISIONALLY QUALIFIED Sample Clauses
PROVISIONALLY QUALIFIED. Children and youth provisionally qualified as SEBD are defined as those: • Who have a substance abuse condition and are suspected to suffer from a qualifying condition due to their symptoms and functional limitations. These children and youth have ongoing and recent substance abuse, which prevents the clinician from making a definitive qualifying diagnosis. • Cases in which the impairment is profound and short-term. • Whose degrees of impairment falls mainly within the emotional/self-harm domains that show strong evidence of serious disturbance. The services of the Provider under this Contract shall commence upon execution of the Contract to June 30, 2011. However, performance and payment obligations for each successive fiscal year shall be subject to the availability and appropriation of funds. DHS shall have the option to extend the contract with the Provider for (3) three fiscal years beyond June 30, 2011. Any renewal or extension of the contract will be subject to available funding. Delivery of services to members under this Contract will commence on November 1, 2008. The total compensation of One Billion, Two Hundred Thirty Nine Million, Two Hundred Twenty Four Thousand, Two Hundred Twenty Six Dollars ($1,239,224,226.00) for the period November 1, 2008 to June 30, 2011 will be paid directly to the Provider using HIPAA 834/820 transactions, based on the attached Exhibit A. Performance and payment obligations for each fiscal year shall be subject to the availability and appropriation of funds. Age - Medicare Eligible Aged - Medicaid Only Blind/Disabled – Medicare Eligible Blind/Disabled - Medicaid Only Oahu 13,171 12,552 115,887 759 1,440 20,051 1,365 3,725 58,250 1,011 3,975 99,417 331,603 Kauai 2,236 1,023 6,097 78 76 558 289 185 3,959 128 214 7,612 22,455 Hawaii 4,888 2,780 16,549 172 260 2,092 377 740 15,038 291 859 33,494 77,540 Maui 3,255 1,234 8,221 135 178 1,214 291 386 6,780 194 375 11,196 33,459 Molokai 37 151 941 2 4 107 3 52 604 1 95 1,484 3,481 Lanai 41 6 371 2 1 43 0 12 42 0 14 153 685 Oahu $ 5,850.92 $ 2,833.91 $ 167.34 $ 5,817.60 $ 3,722.67 $ 422.59 $ 6,916.33 $ 3,106.88 $ 253.60 $ 9,669.30 $ 5,821.95 $ 837.10 $ 911.34 Kauai $ 6,303.38 $ 4,027.90 $ 202.89 $ 6,128.56 $ 3,967.82 $ 427.40 $ 6,998.87 $ 3,292.08 $ 201.17 $ 9,797.40 $ 5,754.22 $ 736.27 $ 1,424.54 Hawaii $ 5,682.65 $ 3,776.04 $ 199.86 $ 5,872.34 $ 3,756.63 $ 445.62 $ 6,819.18 $ 3,092.92 $ 221.56 $ 9,347.37 $ 5,828.38 $ 674.52 $ 1,070.56 Maui $ 5,940.83 $ 4,019.68 $ 119.98 $ 5,7...
