Common use of Residential Limitation Clause in Contracts

Residential Limitation. The Residential Limitation Part B, is disbursed by OHA directly to service providers based on monthly rates authorized by County or Contractor after consultation with OHA, subject to the following: (1) All payment rates authorized by County under this section 4.b. for delivery of MHS 27 Services must meet the following requirements: (a) The rates must be reasonable under the facts and circumstances in existence at the time each rate is set, including but not limited to the state of the market for MHS 27 Services in the geographic area in which the services will be delivered and the needs of the particular individual receiving services; (b) County may (i) set different rates for delivery of MHS 27 Services to different individuals and (ii) revise existing rates to reflect cost of living adjustments or other scheduled increases in payment for MHS 27 Services to the extent approved or authorized by the Oregon Legislative Assembly or the Legislative Emergency Board; (c) County must document its methodology for determining a particular rate and furnish such documentation to OHA. County or Contractor shall retain such documentation in accordance with section 10 of Exhibit E of this Agreement. (2) County shall not authorize, in aggregate under this section 4.b., financial assistance for MHS 27 Services in excess of the Residential Limitation. Total aggregate financial assistance means the total of all financial assistance authorized before reducing payments to account for client resources received by the provider from a client, or another on behalf of the client, in support of client care and services provided; (3) The monthly rate will be prorated for any month in which the individual is not served for a portion of the month; (4) Financial assistance will be reduced (offset) by the amount of client resources received by the provider from the client or the client’s health insurance in support of client care and services provided; and (5) The Residential Limitation is included in this Agreement for budgetary purposes. If OHA anticipates that payments for MHS 27 Services authorized by County under this section 4.b. will exceed the amount of the Residential Limitation, OHA may unilaterally reduce the award of funds, as set forth in Exhibit D-1, “Financial Assistance Award”, for any other MHS Service or Services to the extent of the general fund portion of the anticipated Residential Limitation shortfall. OHA and County or Contractor shall execute an appropriate amendment to the Financial Assistance Award to reflect the reduction of the Part A Award and the increase in the Residential Limitation. Service Name: RESIDENTIAL TREATMENT SERVICES Service ID Code: MHS 28

Residential Limitation. The Residential Limitation Limitation, Part B, B is disbursed by OHA directly to service providers based on monthly rates authorized by County or Contractor after consultation with OHA, subject to the following: (1) All payment rates authorized by County under this section 4.b. Section IV (B) for delivery of MHS 27 28 Services must meet the following requirements: (a) The rates must be reasonable under the facts and circumstances in existence at the time each rate is set, including but not limited to the state of the market for MHS 27 28 Services in the geographic area in which the services will be delivered and the needs of the particular individual receiving services; (b) County may (i) set different rates for delivery of MHS 27 Services to different individuals and (ii) revise existing rates to reflect cost of living adjustments or other scheduled increases in payment for MHS 27 Services to the extent approved or authorized by the Oregon Legislative Assembly or the Legislative Emergency Board; (c) County must document its methodology for determining a particular rate and furnish such documentation to OHA. County or Contractor shall retain such documentation in accordance with section 10 of Exhibit E of this Agreement. (2) County shall not authorize, in aggregate under this section 4.b.Section IV (B), financial assistance for MHS 27 28 Services in excess of the Residential Limitation. Total aggregate financial assistance means the total of all financial assistance authorized before reducing payments to account for client resources received by the provider from a client, or another on behalf of the client, in support of client care and services provided; (3) The monthly rate will be prorated for any month in which the individual is not served for a portion of the month; (4) Financial assistance will be reduced (offset) by the amount of client resources received by the provider from the client or the client’s health insurance in support of client care and services provided; and; (5) The Residential Limitation is included in this Agreement for budgetary purposes. If OHA anticipates that payments for MHS 27 28 Services authorized by County under this section 4.b. Section IV (B) will exceed the amount of the Residential Limitation, OHA may unilaterally reduce the award of funds, as set forth in Exhibit D-1, “the Financial Assistance Award”award, for any other MHS Service or Services to the extent of the general fund portion of the anticipated Residential Limitation shortfall. OHA and County or Contractor shall execute an appropriate amendment to the Financial Assistance Award to reflect the reduction of the Part A Award and the increase in the Residential Limitation. ; and (6) OHA is not obligated to provide financial assistance for any MHS 28 Services that are not properly reported in accordance with section 3., “Specialized Reporting Requirements” above or as required in an applicable Specialized Service Name: RESIDENTIAL TREATMENT SERVICES Service ID Code: Requirement by the date 60 days after the earlier of termination or expiration of this Agreement, termination of OHA’ obligation to provide financial assistance for MHS 2828 Services or termination of County’s obligation to include the Program Area, in which MHS 28 Services fall, in its CMHP.