Renegotiation of Prepaid Capitation Rates. The prepaid capitation rates for Recipients enrolled in the MCO shall be subject to renegotiation not more than once per contract term unless required by State or federal law, regulation or directive, or necessary due to changes in eligibility or benefits. Renegotiated rates will require CMS approval.
Appears in 2 contracts
Samples: Contract for Minnesota Special Needs Basic Care Program Services, Contract for Minnesota Special Needs Basiccare Program Services
Renegotiation of Prepaid Capitation Rates. The prepaid capitation rates for Recipients enrolled in the MCO shall be subject to renegotiation not more than once per contract term annually unless required by State or federal law, regulation or directive, or necessary due to changes in eligibility or and benefits. Renegotiated rates will require CMS approval.approval according to section 4.14.
Appears in 2 contracts
Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services
Renegotiation of Prepaid Capitation Rates. The prepaid capitation rates for Recipients enrolled in the MCO shall be subject to renegotiation not more than once per contract term annually unless required by State state or federal law, regulation law or directiveregulation, or necessary due to changes in eligibility or and/or benefits. Renegotiated rates will require CMS approvalapproval according to section 4.3.
Appears in 2 contracts
Samples: Contract for Medical Assistance and Minnesotacare Medical Care Services, Contract for Medical Assistance and Minnesotacare Medical Care Services
Renegotiation of Prepaid Capitation Rates. The prepaid capitation rates for Recipients Enrollees enrolled in the MCO shall be subject to renegotiation not more than once per contract term annually unless required by State or federal law, regulation or directive, or necessary due to changes in eligibility or benefits. Renegotiated rates will require CMS approval.
Appears in 1 contract
Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services
Renegotiation of Prepaid Capitation Rates. The prepaid capitation rates for Recipients enrolled in the MCO shall be subject to renegotiation not more than once per contract term annually unless required by State state or federal law, regulation law or directiveregulation, or necessary due to changes in eligibility or and/or benefits. Renegotiated rates will require CMS approval.approval according to section 4.3.
Appears in 1 contract
Samples: Contract for Medical Assistance, General Assistance and Minnesotacare Medical Care Services
Renegotiation of Prepaid Capitation Rates. The prepaid capitation rates for Recipients enrolled in the MCO shall be subject to renegotiation not more than once per contract term annually unless required by State or federal law, regulation or directive, or necessary due to changes in eligibility or and benefits. Renegotiated rates will require CMS approvalapproval according to section 4.18.
Appears in 1 contract
Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services
