Return of Withheld Funds for Contract Year 2013 Sample Clauses

Return of Withheld Funds for Contract Year 2013. The funds returned shall be calculated as follows: (A) The difference between: (1) The total Contract Year 2013 Basic Care Rate portion of the MSHO Capitation Payments and the total Contract Year 2013 MSC+ Capitation payments made to the MCO, (as of May 31st of the year subsequent to the Contract Year), divided by 0.905 (90.5%); and (2) The total Contract Year 2013 Basic Care Rate portion of the MSHO Capitation Payments and the total Contract Year 2013 MSC+ Capitation Payments made to the MCO (as of May 31 of the year subsequent to the Contract Year). (3) This amount has been reduced to reflect removal of the MERC funding (for MSC+). (B) The amount of the withheld funds to be returned to the MCO shall be calculated as follows: (1) The amount determined in 4.6.4(A) shall be multiplied by 0.5263 (5.0 / 9.5) or 52.63%. (2) The amount in 4.6.4(B)(1) shall be multiplied by the percentage determined in 4.6.2(B), subject to the limitation in 4.6.4(B)(3) below. (3) The difference between 4.6.4(B)(1) and 4.6.4(B)(2), the amount of the unreturned funds that are kept by the STATE, shall not exceed five percent (5%) of funds in 4.6.4(B)(1). (4) The amount in 4.6.4(A) shall be multiplied by 0.4737 (4.5 / 9.5) or 47.37%. (5) The resulting amount from the calculation in 4.6.4(B)(2) and 4.6.4(B)(4) will be returned to the MCO.
Sample 1
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