Common use of Rates/Premiums Clause in Contracts

Rates/Premiums. Subject to the Sanctions provisions of this Section, HCA will pay a monthly premium for each Enrollee in full consideration of the work to be performed by the Contractor under this Contract. HCA will pay the Contractor, on or before the fifteenth (15th) calendar day of the month based on the HCA list of Enrollees whose enrollment is ongoing or effective on the first day of said calendar month. Such payment will be denied for new Enrollees when, and for so long as, payment for those Enrollees is denied by the Centers for Medicare and Medicaid Services (CMS) under 42 C.F.R. § 438.726(b) or 42 C.F.R. § 438.730(e).

Appears in 2 contracts

Samples: Washington Apple Health, Washington Apple Health

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Rates/Premiums. 5.1.1 Subject to the Sanctions provisions of this Section, HCA will shall pay a monthly premium for each Enrollee enrollee in full consideration of the work to be performed by the Contractor under this Contract. HCA will shall pay the Contractor, on or before the fifteenth (15th) calendar day of the month based on the HCA list of Enrollees enrollees whose enrollment is ongoing or effective on the first day of said calendar month. Such payment will be denied for new Enrollees enrollees when, and for so long as, payment for those Enrollees enrollees is denied by the Centers for Medicare and Medicaid Services (CMS) under 42 C.F.R. § 438.726(b) or 42 C.F.R. § 438.730(e).

Appears in 2 contracts

Samples: Washington Apple Health 2015 Managed Care Contract, Washington Apple

Rates/Premiums. 5.1.1 Subject to the Sanctions provisions of this Section, HCA will shall pay a monthly premium for each Enrollee enrollee in full consideration of the work to be performed by the Contractor under this Contract. HCA will shall pay the Contractor, on or before the fifteenth (15th) calendar day of the month based on the HCA list of Enrollees enrollees whose enrollment is ongoing or effective on the first day of said calendar month. Such payment will be denied for new Enrollees enrollees when, and for so long as, payment for those Enrollees enrollees is denied by the Centers for Medicare and Medicaid Services (CMS) under 42 C.F.R. § CFR 438.726(b) or 42 C.F.R. § CFR 438.730(e).

Appears in 1 contract

Samples: www.dshs.wa.gov

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Rates/Premiums. 4.1.1 Subject to the Sanctions provisions of this SectionSection 12.31, Sanctions, HCA will shall pay a monthly premium for each Enrollee enrollee in full consideration of the work to be performed by the Contractor under this Contract. HCA will shall pay the Contractor, on or before the fifteenth (15th) calendar working day of the month based on the HCA list of Enrollees enrollees whose enrollment is ongoing or effective on the first day of said calendar month. Such payment will be denied for new Enrollees enrollees when, and for so long as, payment for those Enrollees enrollees is denied by the Centers for Medicare and Medicaid Services (CMS) under 42 C.F.R. § CFR 438.726(b) or and 42 C.F.R. § CFR 438.730(e).

Appears in 1 contract

Samples: Health Care (Molina Healthcare Inc)

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