Retrospective Capitation Rate Amendment Sample Clauses

Retrospective Capitation Rate Amendment. The Department will provide reimbursement for the Annual Fee and gross-up to the HMOs by approximately September 30, of each calendar year. As the means to report this reimbursement to the federal Centers for Medicare and Medicaid Services (CMS) the prior year’s capitation rate be retrospectively adjusted to reflect the reimbursement. The Department will issue a retroactive capitation rate amendment for HMO signature incorporating the HMO specific HIT reimbursement by approximately December 31, of each calendar year. The rate will be based on the annual enrollment from the prior calendar year. The HIT capitation rate amendment will not be subject to retroactive enrollment adjustments as the HMO’s reimbursement and member months will be fixed at the time of the amendment. This rate adjustment is solely for the purpose of reporting to CMS and will not result in additional payment to the HMO.
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Related to Retrospective Capitation Rate Amendment

  • SUPPLEMENTAL SALARY SCHEDULE 12.01 Every effort shall be made by the Board to post supplemental positions in a timely manner each school year. Teachers in the bargaining unit may apply for the supplemental vacancy within ten (10) working days of each posting. If no qualified bargaining unit member applies for the supplemental position, the Board may fill the vacancy with individuals not in the bargaining unit.

  • Effective Date of Coverage An eligible employee is entitled to benefits provided he is actively at work on the first day the Long Term Disability Benefit Plan becomes effective. An eligible employee absent from work due to sickness or accident at the effective date of the Plan, shall only be eligible for Long Term Disability Plan benefits upon the return to continuous active full-time employment for a period of more than four consecutive weeks. The Company shall have the right to give medical examinations to employees returning from such lay-off to determine their eligibility under the Plan.

  • SALARY STEP INCREASES a. Increases to steps above the entry step shall be based on performance and length of service. The employee must have earned the equivalent of at least twenty-six

  • Annual Increases On each anniversary of Employee's termination from employment, any remaining amounts to be paid during the next year pursuant to this Paragraph 9 shall be increased to an amount equal to one hundred ten percent (110%) of the amounts required to be paid by Employer hereunder under the provisions of this Paragraph 9 during the preceding year.

  • Increment Date for Salary Grid Placement Upon achieving one (1) year of experience, an increment shall be awarded on the first of the month following the month in which the experience accumulation is earned.

  • Reallocation to a Class with a Lower Salary Range Maximum 1. If the employee meets the skills and abilities requirements of the position and chooses to remain in the reallocated position, the employee retains existing appointment status and has the right to be placed on the Employer’s internal layoff list for the classification occupied prior to the reallocation.

  • Salary Pay Date/Schedule 3.1.1 Save and except for substitute teachers, each teacher shall be paid 1/12 of their annual rate of salary on or before the 25 day of the month from September to August inclusive provided that the December payment shall be made prior to the last teaching day in December.

  • Reallocation to a Class with a Higher Salary Range Maximum Upon appointment to the higher class, the employee’s base salary will be increased to a step of the range for the new class that is nearest to five percent (5.0%) higher than the amount of the pre-promotional step, or to the entry step of the new range, whichever is higher.

  • Placement on Salary Schedule The following rules shall be applicable in determining placement of a teacher on the appropriate salary schedule:

  • Promotional Increases Employees promoted from one job to another within the bargaining unit will be accorded the following pay treatment:

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