Service Unit Rates. A. The unit rates for the program services chart referenced at Section IV of this Attachment B, Program Services and Unit Rates, are located at the System Agency Substance Use Disorder Service Provider’s webpage, under the heading, “Forms,” and the document name, “Treatment Rate Sheet.” The Substance Use Disorder Service Provider’s webpage is located at the following URL: ▇▇▇▇▇://▇▇▇.▇▇▇▇▇.▇▇▇/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers. If the link to the webpage and/or location of the applicable unit rate document changes, System Agency will provide Grantee notice via email. Note, all unit rates identified at the preceding URL are subject to change and contingent on available funding. B. If unit rates are adjusted in accordance with Subsection III(A) of this Attachment B, Program Services and Unit Rates, System Agency will provide Grantee notice via email. All System Agency emails will be maintained in Grantee’s Contract file, and will document the following: 1. Treatment Program/Service Type unit rate adjustments; 2. Treatment Program/Service Type unit rate adjustments effective date; and 3. Treatment Program/Service Type method for receiving payments for the unit rate adjustment, in accordance with Subsection III(C) of this Attachment B, Program Services and Unit Rates. C. There may be a delay between the effective date of the rate adjustment and those updated rates being reflected in CMBHS. In the event of a difference in the posted adjusted rate and the rate in CMBHS, the posted rate controls and Grantee’s payment will be adjusted as described in Subsection III(D) of this Attachment B, Program Services and Unit Rates. D. System Agency’s effective date for the rate adjustment will determine the method(s) to implement the unit rate adjustment, as follows: 1. During the FY close-out, System Agency may conduct reconciliation to extract paid claims data for services provided by Grantee during the unit rate adjustment approval period. System Agency may calculate the difference between ▇▇▇▇▇▇▇’s payment utilizing the unit rate in CMBHS versus the revised unit rate. System Agency will thereafter issue Grantee a final reconciliation payment for the difference between the two service unit rates. ▇▇▇▇▇▇▇’s FY payment may not exceed the total FY allocation set forth in Section V, Budget, of the Contract. 2. System Agency may revise the service unit rates in CMBHS to ensure all service claims during the approved service period may be reimbursed at the revised rate. 3. System Agency reserves the right to utilize different method(s) to process unit rate adjustments. 4. Method(s) used to process unit rate adjustments will be described in the broadcast message in Subsection III(A) of this Attachment B, Program Services and Unit Rates.
Appears in 7 contracts
Sources: Grant Agreement, Grant Agreement, Grant Agreement
Service Unit Rates. A. 1. The unit rates for the program services chart service charts referenced at in Section IV N of this Attachment B, Program Services and Unit Rates, are located at the System Agency HHSC Substance Use Disorder Service Provider’s webpage, under the headingForms, “Forms,” and the document name, “: Treatment Rate Sheet.” The Substance Use Disorder Service Provider’s , the link to the webpage is located at the following URL: below. All unit rates are subject to change and contingent on available funding. ▇▇▇▇▇://▇▇▇.▇▇▇▇▇.▇▇▇/doing-business-hhs/provider-portals/behavioral-behavioral- health-services- services-providers/substance-use-disorder-service-providers. providers If the link to the webpage and/or location of the applicable unit rate document changes, System Agency HHSC will provide Grantee notice through a broadcast message via email. Note, all unit rates identified at the preceding URL are subject to change and contingent on available funding.
B. 2. If unit rates are adjusted in accordance with Subsection III(A) Section K.1. of this Attachment BAttachment., Program Services and Unit Rates, System Agency HHSC will provide Grantee notice through a broadcast message via email. All System Agency emails broadcast messages will be maintained in Grantee▇▇▇▇▇▇▇’s Contract file, and will document the following:
1. a. Treatment Program/Service Type unit rate adjustments;
2. b. Treatment Program/Service Type unit rate adjustments effective date; and;
3. c. Treatment Program/Service Type method for receiving payments for the unit rate adjustment, in accordance with Subsection III(C) Section K.3. of this Attachment B, Program Services and Unit RatesAttachment.
C. 3. There may be a delay between the effective date of the rate adjustment and those updated rates being reflected in CMBHS. In the event of a difference in the posted adjusted rate and the rate in CMBHS, the posted rate controls and Grantee’s payment will be adjusted as described in Subsection III(D) Section K.4. of this Attachment B, Program Services and Unit RatesAttachment.
D. System Agency’s 4. The HHSC effective date for of the rate adjustment will determine the method(s) to implement the unit rate adjustment, as follows:
1. a. During the FY fiscal year close-out, System Agency HHSC may conduct reconciliation to extract paid claims data for services provided by Grantee during the unit rate adjustment approval period. System Agency HHSC may calculate the difference between ▇▇▇▇▇▇▇’s payment utilizing the unit rate in CMBHS versus the revised unit rate. System Agency HHSC will thereafter issue Grantee a final reconciliation payment for the difference between the two service unit rates. ▇▇▇▇▇▇▇’s FY fiscal year payment may not exceed the total FY fiscal year allocation set forth in Section V, Budget, E of the Contractthis Attachment.
2. System Agency b. HHSC may revise the service unit rates in CMBHS to ensure all service claims during the approved service period may be reimbursed at the revised rate.
3. System Agency c. HHSC reserves the right to utilize different method(s) to process unit rate adjustments.
4. d. Method(s) used to process unit rate adjustments will be described in the broadcast message in Subsection III(A) Section K..1. of this Attachment B, Program Services and Unit RatesAttachment.
Appears in 5 contracts
Sources: Grant Agreement, Grant Agreement, Grant Agreement
Service Unit Rates. A. 1. The unit rates for the program services chart service charts referenced at Section IV of this Attachment B, Program Services and Unit Rates, in Item M. are located at the System Agency HHSC Substance Use Disorder Service Provider’s webpage, under the headingForms, “Forms,” and the document name, “: Treatment Rate Sheet.” The Substance Use Disorder Service Provider’s , the link to the webpage is located at the following URL: below. All unit rates are subject to change and contingent on available funding. ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/doing-business-hhs/provider-portals/providers/behavioral-health-services- services-providers/substance-use-use- disorder-service-providers. providers If the link to the webpage and/or location of the applicable unit rate document changes, System Agency HHSC will provide Grantee notice through a broadcast message via email. Note, all unit rates identified at the preceding URL are subject to change and contingent on available funding.
B. 2. If unit rates are adjusted in accordance with Subsection III(A) of this Attachment BItem K. 1., Program Services and Unit Rates, System Agency HHSC will provide Grantee notice through a broadcast message via email. All System Agency emails broadcast messages will be maintained in Grantee▇▇▇▇▇▇▇’s Contract file, and will document the following:
1. a. Treatment Program/Service Type unit rate adjustments;
2. b. Treatment Program/Service Type unit rate adjustments effective date; and;
3. c. Treatment Program/Service Type method for receiving payments for the unit rate adjustment, in accordance with Subsection III(C) of this Attachment B, Program Services and Unit RatesItem K. 3.
C. 3. There may be a delay between the effective date of the rate adjustment and those updated rates being reflected in CMBHS. In the event of a difference in the posted adjusted rate and the rate in CMBHS, the posted rate controls and Grantee’s payment will be adjusted as described in Subsection III(D) of this Attachment B, Program Services and Unit RatesItem K.4.
D. System Agency’s 4. The HHSC effective date for of the rate adjustment will determine the method(s) to implement the unit rate adjustment, as follows:
1. a. During the FY fiscal year close-out, System Agency HHSC may conduct reconciliation to extract paid claims data for services provided by Grantee during the unit rate adjustment approval period. System Agency HHSC may calculate the difference between ▇▇▇▇▇▇▇’s payment utilizing the unit rate in CMBHS versus the revised unit rate. System Agency HHSC will thereafter issue Grantee a final reconciliation payment for the difference between the two service unit rates. ▇▇▇▇▇▇▇Grantee’s FY fiscal year payment may not exceed the total FY allocation set forth amount allocated per fiscal year as specified in Section V, Budget, of the Contract.
2. System Agency may revise the service unit rates in CMBHS to ensure all service claims during the approved service period may be reimbursed at the revised rate.
3. System Agency reserves the right to utilize different method(s) to process unit rate adjustments.
4. Method(s) used to process unit rate adjustments will be described in the broadcast message in Subsection III(A) of this Attachment B, Program Services and Unit Rates.Article IV,
Appears in 4 contracts
Sources: Health and Human Services Commission Contract, Neonatal Abstinence Syndrome Medication Assisted Treatment Contract, Health and Human Services Commission Contract
Service Unit Rates. A. 1. The unit rates for the program services chart service charts referenced at in Section IV N of this Attachment B, Program Services and Unit Rates, are located at the System Agency Substance Use Disorder Service Provider’s webpage, under the headingForms, “Forms,” and the document name, “: Treatment Rate Sheet.” The Substance Use Disorder Service Provider’s , the link to the webpage is located at the following URL: below. All unit rates are subject to change and contingent on available funding. ▇▇▇▇▇://▇▇▇.▇▇▇▇▇.▇▇▇/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers. providers If the link to the webpage and/or location of the applicable unit rate document changes, System Agency will provide Grantee notice through a broadcast message via email. Note, all unit rates identified at the preceding URL are subject to change and contingent on available funding.
B. 2. If unit rates are adjusted in accordance with Subsection III(A) Section J.1. of this Attachment B, Program Services and Unit RatesAttachment., System Agency will provide Grantee notice through a broadcast message via email. All System Agency emails broadcast messages will be maintained in Grantee’s Grantees Contract file, and will document the following:
1. a. Treatment Program/Service Type unit rate adjustments;
2. b. Treatment Program/Service Type unit rate adjustments effective date; and;
3. c. Treatment Program/Service Type method for receiving payments for the unit rate adjustment, in accordance with Subsection III(C) Section J.3. of this Attachment B, Program Services and Unit RatesAttachment.
C. 3. There may be a delay between the effective date of the rate adjustment and those updated rates being reflected in CMBHS. In the event of a difference in the posted adjusted rate and the rate in CMBHS, the posted rate controls and Grantee’s payment will be adjusted as described in Subsection III(D) Section J.4. of this Attachment B, Program Services and Unit RatesAttachment.
D. 4. The System Agency’s Agency effective date for of the rate adjustment will determine the method(s) to implement the unit rate adjustment, as follows:
1. a. During the FY fiscal year close-out, System Agency may conduct reconciliation to extract paid claims data for services provided by Grantee during the unit rate adjustment approval period. System Agency may calculate the difference between ▇▇▇▇▇▇▇’s payment utilizing the unit rate in CMBHS versus the revised unit rate. System Agency will thereafter issue Grantee a final reconciliation payment for the difference between the two service unit rates. ▇▇▇▇▇▇▇’s FY fiscal year payment may not exceed the total FY fiscal year allocation set forth in Contract Signature Document, Section V, Budget, of the ContractIV and/or Amendments documenting revisions to FY allocations.
2. b. System Agency may revise the service unit rates in CMBHS to ensure all service claims during the approved service period may be reimbursed at the revised rate.
3. c. System Agency reserves the right to utilize different method(s) to process unit rate adjustments.
4. d. Method(s) used to process unit rate adjustments will be described in the broadcast message in Subsection III(A) Section J.1. of this Attachment B, Program Services and Unit RatesAttachment.
Appears in 2 contracts
Sources: Co Occurring Psychiatric and Substance Use Disorders (Copsd) Contract, Co Occurring Psychiatric and Substance Use Disorders (Copsd) Contract
Service Unit Rates. A. 1. The unit rates for the program services chart service charts referenced at Section IV of this Attachment B, Program Services and Unit Rates, in Item P. are located at the System Agency HHSC Substance Use Disorder Service Provider’s webpage, under the headingForms, “Forms,” and the document name, “: Treatment Rate Sheet.” The Substance Use Disorder Service Provider’s , the link to the webpage is located at the following URL: below. All unit rates are subject to change and contingent on available funding. ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/doing-business-hhs/provider-portals/providers/behavioral-health-services- services-providers/substance-use-use- disorder-service-providers. providers If the link to the webpage and/or location of the applicable unit rate document changes, System Agency HHSC will provide Grantee notice through a broadcast message via email. Note, all unit rates identified at the preceding URL are subject to change and contingent on available funding.
B. 2. If unit rates are adjusted in accordance with Subsection III(A) of this Attachment BItem N. 1., Program Services and Unit Rates, System Agency HHSC will provide Grantee notice through a broadcast message via email. All System Agency emails broadcast messages will be maintained in Grantee▇▇▇▇▇▇▇’s Contract file, and will document the following:
1. a. Treatment Program/Service Type unit rate adjustments;
2. b. Treatment Program/Service Type unit rate adjustments effective date; and;
3. c. Treatment Program/Service Type method for receiving payments for the unit rate adjustment, in accordance with Subsection III(C) of this Attachment B, Program Services and Unit RatesItem N. 3.
C. 3. There may be a delay between the effective date of the rate adjustment and those updated rates being reflected in CMBHS. In the event of a difference in the posted adjusted rate and the rate in CMBHS, the posted rate controls and Grantee’s payment will be adjusted as described in Subsection III(D) of this Attachment B, Program Services and Unit RatesItem N.4.
D. System Agency’s 4. The HHSC effective date for of the rate adjustment will determine the method(s) to implement the unit rate adjustment, as follows:
1. a. During the FY fiscal year close-out, System Agency HHSC may conduct reconciliation to extract paid claims data for services provided by Grantee during the unit rate adjustment approval period. System Agency HHSC may calculate the difference between ▇▇▇▇▇▇▇’s payment utilizing the unit rate in CMBHS versus the revised unit rate. System Agency HHSC will thereafter issue Grantee a final reconciliation payment for the difference between the two service unit rates. ▇▇▇▇▇▇▇Grantee’s FY fiscal year payment may not exceed the total FY allocation set forth amount allocated per fiscal year as specified in Section V, Budget, of the Contract.
2. System Agency may revise the service unit rates in CMBHS to ensure all service claims during the approved service period may be reimbursed at the revised rate.
3. System Agency reserves the right to utilize different method(s) to process unit rate adjustments.
4. Method(s) used to process unit rate adjustments will be described in the broadcast message in Subsection III(A) of this Attachment B, Program Services and Unit Rates.Article IV,
Appears in 2 contracts
Sources: Health and Human Services Contract, Health and Human Services Commission Contract
Service Unit Rates. A. 1. The unit rates for the program services chart service charts referenced at Section IV in Item N of this Attachment B, Program Services and Unit Rates, are located at the System Agency HHSC Substance Use Disorder Service Provider’s webpage, under the headingForms, “Forms,” and the document name, “: Treatment Rate Sheet.” The Substance Use Disorder Service Provider’s , the link to the webpage is located at the following URL: below. All unit rates are subject to change and contingent on available funding. ▇▇▇▇▇://▇▇▇.▇▇▇▇▇.▇▇▇/doing-business-hhs/provider-portals/behavioral-healthhealth- services-services- providers/substance-use-disorder-service-providers. providers If the link to the webpage and/or location of the applicable unit rate document changes, System Agency HHSC will provide Grantee notice through a broadcast message via email. Note, all unit rates identified at the preceding URL are subject to change and contingent on available funding.
B. 2. If unit rates are adjusted in accordance with Subsection III(A) Item K. 1. of this Attachment BAttachment, Program Services and Unit Rates, System Agency HHSC will provide Grantee notice through a broadcast message via email. All System Agency emails broadcast messages will be maintained in Grantee▇▇▇▇▇▇▇’s Contract file, and will document the following:
1. a. Treatment Program/Service Type unit rate adjustments;
2. b. Treatment Program/Service Type unit rate adjustments effective date; and;
3. c. Treatment Program/Service Type method for receiving payments for the unit rate adjustment, in accordance with Subsection III(C) Section K. 3 of this Attachment B, Program Services and Unit RatesAttachment.
C. 3. There may be a delay between the effective date of the rate adjustment and those updated rates being reflected in CMBHS. In the event of a difference in the posted adjusted rate and the rate in CMBHS, the posted rate controls and Grantee’s payment will be adjusted as described in Subsection III(D) Section K.4 of this Attachment B, Program Services and Unit RatesAttachment.
D. System Agency’s 4. The HHSC effective date for of the rate adjustment will determine the method(s) to implement the unit rate adjustment, as follows:
1. a. During the FY fiscal year close-out, System Agency HHSC may conduct reconciliation to extract paid claims data for services provided by Grantee during the unit rate adjustment approval period. System Agency HHSC may calculate the difference between ▇▇▇▇▇▇▇’s payment utilizing the unit rate in CMBHS versus the revised unit rate. System Agency HHSC will thereafter issue Grantee a final reconciliation payment for the difference between the two service unit rates. ▇▇▇▇▇▇▇’s FY fiscal year payment may not exceed the total FY fiscal year allocation set forth in Section V, Budget, E of the Contractthis Attachment.
2. System Agency b. HHSC may revise the service unit rates in CMBHS to ensure all service claims during the approved service period may be reimbursed at the revised rate.
3. System Agency c. HHSC reserves the right to utilize different method(s) to process unit rate adjustments.
4. d. Method(s) used to process unit rate adjustments will be described in the broadcast message in Subsection III(A) Section K.1 of this Attachment B, Program Services and Unit RatesAttachment.
Appears in 2 contracts
Sources: Grant Agreement, Grant Agreement
Service Unit Rates. A. 1. The unit rates for the program services chart service charts referenced at in Section IV N of this Attachment B, Program Services and Unit Rates, are located at the System Agency HHSC Substance Use Disorder Service Provider’s webpage, under the headingForms, “Forms,” and the document name, “: Treatment Rate Sheet.” The Substance Use Disorder Service Provider’s , the link to the webpage is located at the following URL: below. All unit rates are subject to change and contingent on available funding. ▇▇▇▇▇://▇▇▇.▇▇▇▇▇.▇▇▇/doing-business-hhs/provider-portals/behavioral-healthhealth- services-services- providers/substance-use-disorder-service-providers. providers If the link to the webpage and/or location of the applicable unit rate document changes, System Agency HHSC will provide Grantee notice through a broadcast message via email. Note, all unit rates identified at the preceding URL are subject to change and contingent on available funding.
B. 2. If unit rates are adjusted in accordance with Subsection III(A) Section K-1 of this Attachment BAttachment, Program Services and Unit Rates, System Agency HHSC will provide Grantee notice through a broadcast message via email. All System Agency emails broadcast messages will be maintained in Grantee▇▇▇▇▇▇▇’s Contract file, and will document the following:
1. a. Treatment Program/Service Type unit rate adjustments;
2. b. Treatment Program/Service Type unit rate adjustments effective date; and;
3. c. Treatment Program/Service Type method for receiving payments for the unit rate adjustment, in accordance with Subsection III(C) Section K. 3. of this Attachment B, Program Services and Unit RatesAttachment.
C. 3. There may be a delay between the effective date of the rate adjustment and those updated rates being reflected in CMBHS. In the event of a difference in the posted adjusted rate and the rate in CMBHS, the posted rate controls and Grantee’s payment will be adjusted as described in Subsection III(D) Section K.4. of this Attachment B, Program Services and Unit Rates.Attachment
D. System Agency’s 4. The HHSC effective date for of the rate adjustment will determine the method(s) to implement the unit rate adjustment, as follows:
1. a. During the FY fiscal year close-out, System Agency HHSC may conduct reconciliation to extract paid claims data for services provided by Grantee during the unit rate adjustment approval period. System Agency HHSC may calculate the difference between ▇▇▇▇▇▇▇’s payment utilizing the unit rate in CMBHS versus the revised unit rate. System Agency HHSC will thereafter issue Grantee a final reconciliation payment for the difference between the two service unit rates. ▇▇▇▇▇▇▇’s FY fiscal year payment may not exceed the total FY fiscal year allocation set forth in Section V, Budget, E of the Contractthis Attachment.
2. System Agency b. HHSC may revise the service unit rates in CMBHS to ensure all service claims during the approved service period may be reimbursed at the revised rate.
3. System Agency c. HHSC reserves the right to utilize different method(s) to process unit rate adjustments.
4. d. Method(s) used to process unit rate adjustments will be described in the broadcast message in Subsection III(A) item K.1 of this Attachment B, Program Services and Unit RatesAttachment.
Appears in 2 contracts
Sources: Grant Agreement, Grant Agreement
Service Unit Rates. A. 1. The unit rates for the program services chart service charts referenced at Section IV of this Attachment B, Program Services and Unit Rates, in Item N. are located at the System Agency HHSC Substance Use Disorder Service Provider’s webpage, under the headingForms, “Forms,” and the document name, “: Treatment Rate Sheet.” The Substance Use Disorder Service Provider’s , the link to the webpage is located at the following URL: below. All unit rates are subject to change and contingent on available funding. ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/doing-business-hhs/provider-portals/providers/behavioral-health-services- services-providers/substance-use-use- disorder-service-providers. providers If the link to the webpage and/or location of the applicable unit rate document changes, System Agency HHSC will provide Grantee notice through a broadcast message via email. Note, all unit rates identified at the preceding URL are subject to change and contingent on available funding.
B. 2. If unit rates are adjusted in accordance with Subsection III(A) of this Attachment BItem M. 1., Program Services and Unit Rates, System Agency HHSC will provide Grantee notice through a broadcast message via email. All System Agency emails will be maintained in Grantee’s Contract file, and will email to document the following:
1. a. Treatment Program/Service Type unit rate adjustments;
2. b. Treatment Program/Service Type unit rate adjustments effective date; and;
3. c. Treatment Program/Service Type method for receiving payments for the unit rate adjustment, in accordance with Subsection III(C) of this Attachment B, Program Services and Unit RatesItem M. 3. All broadcast messages will be maintained in Grantee’s Contract file.
C. 3. There may be a delay between the effective date of the rate adjustment and those updated rates being reflected in CMBHS. In the event of a difference in the posted adjusted rate and the rate in CMBHS, the posted rate controls and Grantee’s payment will be adjusted as described in Subsection III(D) of this Attachment B, Program Services and Unit RatesItem M.4.
D. System Agency’s 4. The HHSC effective date for of the rate adjustment will determine the method(s) to implement the unit rate adjustment, as follows:
1. a. During the FY fiscal year close-out, System Agency HHSC may conduct reconciliation to extract paid claims data for services provided by Grantee during the unit rate adjustment approval period. System Agency HHSC may calculate the difference between ▇▇▇▇▇▇▇’s payment utilizing the unit rate in CMBHS versus the revised unit rate. System Agency HHSC will thereafter issue Grantee a final reconciliation payment for the difference between the two service unit rates. ▇▇▇▇▇▇▇’s FY fiscal year payment may not exceed the total FY fiscal year allocation set forth documented in Section V, Budget, of the Contract.Item E.
2. System Agency b. HHSC may revise the service unit rates in CMBHS to ensure all service claims during the approved service period may be reimbursed at the revised rate.
3. System Agency c. HHSC reserves the right to utilize different method(s) to process unit rate adjustments.
4. d. Method(s) used to process unit rate adjustments will be described in the broadcast message in Subsection III(A) of this Attachment B, Program Services and Unit Ratesitem M.1.
Appears in 1 contract
Service Unit Rates. A. 1. The unit rates for the program services chart service charts referenced at in Section IV of this Attachment B, Program Services and Unit Rates, N below are located at the System Agency HHSC Substance Use Disorder Service Provider’s webpage, under the headingForms, “Forms,” and the document name, “: Treatment Rate Sheet.” The Substance Use Disorder Service Provider’s , the link to the webpage is located at the following URL: below. All unit rates are subject to change and contingent on available funding. ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/doing-business-hhs/provider-portals/providers/behavioral-health-services- providers/substance-use-disorder-service-providers. providers If the link to the webpage and/or location of the applicable unit rate document changes, System Agency HHSC will provide Grantee notice through a broadcast message via email. Note, all unit rates identified at the preceding URL are subject to change and contingent on available funding.
B. 2. If unit rates are adjusted in accordance with Subsection III(ASection K(1) of this Attachment Babove, Program Services and Unit Rates, System Agency HHSC will provide Grantee notice through a broadcast message via email. All System Agency emails broadcast messages will be maintained in Grantee’s Contract file, and will document the following:
1. a. Treatment Program/Service Type unit rate adjustments;
2. b. Treatment Program/Service Type unit rate adjustments effective date; and;
3. c. Treatment Program/Service Type method for receiving payments for the unit rate adjustment, as shown below in accordance with Subsection III(C) of this Attachment B, Program Services and Unit RatesSection K(3).
C. 3. There may be a delay between the effective date of the rate adjustment and those updated rates being reflected in CMBHS. In the event of a difference in the posted adjusted rate and the rate in CMBHS, the posted rate controls and Grantee’s payment will be adjusted as described below in Subsection III(D) of this Attachment B, Program Services and Unit RatesSection K(4).
D. System Agency’s 4. The HHSC effective date for of the rate adjustment will determine the method(s) to implement the unit rate adjustment, as follows:
1. a. During the FY fiscal year close-out, System Agency HHSC may conduct reconciliation to extract paid claims data for services provided by Grantee during the unit rate adjustment approval period. System Agency HHSC may calculate the difference between ▇▇▇▇▇▇▇’s payment utilizing the unit rate in CMBHS versus the revised unit rate. System Agency HHSC will thereafter issue Grantee a final reconciliation payment for the difference between the two service unit rates. ▇▇▇▇▇▇▇’s FY fiscal year payment may not exceed the total FY fiscal year allocation set forth documented above in Section V, Budget, of the Contract.E.
2. System Agency b. HHSC may revise the service unit rates in CMBHS to ensure all service claims during the approved service period may be reimbursed at the revised rate.
3. System Agency c. HHSC reserves the right to utilize different method(s) to process unit rate adjustments.
4. d. Method(s) used to process unit rate adjustments will be described in the broadcast message above in Subsection III(A) of this Attachment B, Program Services and Unit RatesSection K(1).
Appears in 1 contract
Sources: Grant Agreement
Service Unit Rates. A. 1. The unit rates for the program services chart service charts referenced at Section IV of this Attachment B, Program Services and Unit Rates, in Item N. are located at the System Agency HHSC Substance Use Disorder Service Provider’s webpage, under the headingForms, “Forms,” and the document name, “: Treatment Rate Sheet.” The Substance Use Disorder Service Provider’s , the link to the webpage is located at the following URL: below. All unit rates are subject to change and contingent on available funding. ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/doing-business-hhs/provider-portals/providers/behavioral-health-services- services-providers/substance-use-use- disorder-service-providers. providers If the link to the webpage and/or location of the applicable unit rate document changes, System Agency HHSC will provide Grantee notice through a broadcast message via email. Note, all unit rates identified at the preceding URL are subject to change and contingent on available funding.
B. 2. If unit rates are adjusted in accordance with Subsection III(A) of this Attachment BItem K.1, Program Services and Unit Rates, System Agency HHSC will provide Grantee notice through a broadcast message via email. All System Agency emails broadcast messages will be maintained in Grantee▇▇▇▇▇▇▇’s Contract file, and will document the following:
1. a. Treatment Program/Service Type unit rate adjustments;
2. b. Treatment Program/Service Type unit rate adjustments effective date; and;
3. c. Treatment Program/Service Type method for receiving payments for the unit rate adjustment, in accordance with Subsection III(C) of this Attachment B, Program Services and Unit RatesItem K.3.
C. 3. There may be a delay between the effective date of the rate adjustment and those updated rates being reflected in CMBHS. In the event of a difference in the posted adjusted rate and the rate in CMBHS, the posted rate controls and Grantee’s payment will be adjusted as described in Subsection III(D) of this Attachment B, Program Services and Unit RatesItem K.4.
D. System Agency’s 4. The HHSC effective date for of the rate adjustment will determine the method(s) to implement the unit rate adjustment, as follows:
1. a. During the FY fiscal year close-out, System Agency HHSC may conduct reconciliation to extract paid claims data for services provided by Grantee during the unit rate adjustment approval period. System Agency HHSC may calculate the difference between ▇▇▇▇▇▇▇’s payment utilizing the unit rate in CMBHS versus the revised unit rate. System Agency HHSC will thereafter issue Grantee a final reconciliation payment for Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the difference between Health and Human Services Commission (HHSC) and the two service unit ratesDepartment of State Health Services (DSHS). ▇▇▇▇▇▇▇’s FY payment may not exceed System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands, and agrees to comply with the total FY allocation set forth in Section V, Budget, following items through the life of the Contract:
1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.
2. System Agency may revise the service unit rates in CMBHS to ensure all service claims during the approved service period may be reimbursed at the revised rate.
3. System Agency reserves the right to utilize different method(s) to process unit rate adjustments.
4. Method(s) used to process unit rate adjustments will be described in the broadcast message in Subsection III(A) of this Attachment B, Program Services and Unit Rates.
Appears in 1 contract
Sources: Grant Agreement
Service Unit Rates. A. 1. The unit rates for the program services chart service charts referenced at in Section IV N of this Attachment B, Program Services and Unit Rates, are located at the System Agency Substance Use Disorder Service Provider’s webpageForms, under the heading, “Forms,” and the document name, “: Treatment Rate Sheet.” The Substance Use Disorder Service Provider’s , the link to the webpage is located below. All unit rates are subject to change and contingent on available funding. ▇▇▇▇▇://▇▇▇.▇▇▇▇▇.▇▇▇/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers If the link to the webpage and/or location of the applicable unit rate document changes, System Agency will provide Grantee notice through a broadcast message via email.
2. If unit rates are adjusted in accordance with Section J.1. of this Attachment., System Agency will provide Grantee notice through a broadcast message via email. All broadcast messages will be maintained in Grantee Contract file, and document the following:
a. Treatment Program/Service Type unit rate adjustments;
b. Treatment Program/Service Type unit rate adjustments effective date;
c. Treatment Program/Service Type method for receiving payments for the unit rate adjustment, in accordance with Section J.3. of this Attachment.
3. There may be a delay between the effective date of the rate adjustment and those updated rates being reflected in CMBHS. In the event of a difference in the posted adjusted rate and the rate in CMBHS, the posted rate controls and payment will be adjusted as described in Section J.4. of this Attachment.
4. The System Agency effective date of the rate adjustment will determine the method(s) to implement the unit rate adjustment, as follows:
a. During the fiscal year close-out, System Agency may conduct reconciliation to extract paid claims data for services provided by Grantee during the unit rate adjustment payment utilizing the unit rate in CMBHS versus the revised unit rate. System Agency will thereafter issue Grantee a final reconciliation payment for the difference between year allocation set forth in Contract Signature document, Section IV, and/or amendments documenting FY revisions.
b. System Agency may revise the service unit rates in CMBHS to ensure all service claims during the approved service period may be reimbursed at the following URLrevised rate.
c. System Agency reserves the right to utilize different method(s) to process unit rate adjustments.
d. Method(s) used to process unit rate adjustments will be described in the broadcast message in Section J.1. of this Attachment. Forms, document name: Clinic Request Form, the link to the webpage is below: ▇▇▇▇▇://▇▇▇.▇▇▇▇▇.▇▇▇/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers. If the link to the webpage and/or location of the applicable unit rate document changes, System Agency will provide Grantee notice via email. Note, all unit rates identified at the preceding URL are subject to change and contingent on available funding.
B. If unit rates are adjusted in accordance with Subsection III(A) of this Attachment B, Program Services and Unit Rates, System Agency will provide Grantee notice via email. All System Agency emails will be maintained in Grantee’s Contract file, and will document the following:
1. Treatment Program/Service Type unit rate adjustments;
2. Treatment Program/Service Type unit rate adjustments effective date; and
3. Treatment Program/Service Type method for receiving payments for the unit rate adjustment, in accordance with Subsection III(C) of this Attachment B, Program Services and Unit Rates.
C. There may be a delay between the effective date of the rate adjustment and those updated rates being reflected in CMBHS. In the event of a difference in the posted adjusted rate and the rate in CMBHS, the posted rate controls and Grantee’s payment will be adjusted as described in Subsection III(D) of this Attachment B, Program Services and Unit Rates.
D. System Agency’s effective date for the rate adjustment will determine the method(s) to implement the unit rate adjustment, as follows:
1. During the FY close-out, System Agency may conduct reconciliation to extract paid claims data for services provided by Grantee during the unit rate adjustment approval period. System Agency may calculate the difference between ▇▇▇▇▇▇▇’s payment utilizing the unit rate in CMBHS versus the revised unit rate. System Agency will thereafter issue Grantee a final reconciliation payment for the difference between the two service unit rates. ▇▇▇▇▇▇▇’s FY payment may not exceed the total FY allocation set forth in Section V, Budget, of the Contract.
2. System Agency may revise the service unit rates in CMBHS to ensure all service claims during the approved service period may be reimbursed at the revised rate.
3. System Agency reserves the right to utilize different method(s) to process unit rate adjustments.
4. Method(s) used to process unit rate adjustments will be described in the broadcast message in Subsection III(A) of this Attachment B, Program Services and Unit Rates.
Appears in 1 contract
Service Unit Rates. A. 1. The unit rates for the program services chart service charts referenced at Section IV of this Attachment B, Program Services and Unit Rates, in Item N. are located at the System Agency HHSC Substance Use Disorder Service Provider’s webpage, under the headingForms, “Forms,” and the document name, “: Treatment Rate Sheet.” The Substance Use Disorder Service Provider’s , the link to the webpage is located at the following URL: below. All unit rates are subject to change and contingent on available funding. ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/doing-business-hhs/provider-portals/providers/behavioral-health-services- services-providers/substance-use-use- disorder-service-providers. providers If the link to the webpage and/or location of the applicable unit rate document changes, System Agency HHSC will provide Grantee notice through a broadcast message via email. Note, all unit rates identified at the preceding URL are subject to change and contingent on available funding.
B. 2. If unit rates are adjusted in accordance with Subsection III(A) of this Attachment BItem M. 1., Program Services and Unit Rates, System Agency HHSC will provide Grantee notice through a broadcast message via email. All System Agency emails will be maintained in Grantee’s Contract file, and will email to document the following:
1. a. Treatment Program/Service Type unit rate adjustments;
2. b. Treatment Program/Service Type unit rate adjustments effective date; and;
3. c. Treatment Program/Service Type method for receiving payments for the unit rate adjustment, in accordance with Subsection III(C) of this Attachment B, Program Services and Unit RatesItem M. 3.
C. 3. There may be a delay between the effective date of the rate adjustment and those updated rates being reflected in CMBHS. In the event of a difference in the posted adjusted rate and the rate in CMBHS, the posted rate controls and Grantee’s payment will be adjusted as described in Subsection III(D) of this Attachment B, Program Services and Unit RatesItem M.4.
D. System Agency’s 4. The HHSC effective date for of the rate adjustment will determine the method(s) to implement the unit rate adjustment, as follows:
1. a. During the FY fiscal year close-out, System Agency HHSC may conduct reconciliation to extract paid claims data for services provided by Grantee during the unit rate adjustment approval period. System Agency HHSC may calculate the difference between ▇▇▇▇▇▇▇’s payment utilizing the unit rate in CMBHS versus the revised unit rate. System Agency HHSC will thereafter issue Grantee a final reconciliation payment for the difference between the two service unit rates. ▇▇▇▇▇▇▇’s FY fiscal year payment may not exceed the total FY fiscal year allocation set forth documented in Section V, Budget, of the Contract.Item E.
2. System Agency b. HHSC may revise the service unit rates in CMBHS to ensure all service claims during the approved service period may be reimbursed at the revised rate.
3. System Agency c. HHSC reserves the right to utilize different method(s) to process unit rate adjustments.
4. d. Method(s) used to process unit rate adjustments will be described in the broadcast message in Subsection III(A) of this Attachment B, Program Services and Unit Ratesitem M.1.
Appears in 1 contract
Service Unit Rates. A. 1. The unit rates for the program services chart service charts referenced at Section IV of this Attachment B, Program Services and Unit Rates, in Item P. are located at the System Agency HHSC Substance Use Disorder Service Provider’s webpage, under the headingForms, “Forms,” and the document name, “: Treatment Rate Sheet.” The Substance Use Disorder Service Provider’s , the link to the webpage is located at the following URL: below. All unit rates are subject to change and contingent on available funding. ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/doing-business-hhs/provider-portals/providers/behavioral-health-services- services-providers/substance-use-use- disorder-service-providers. providers If the link to the webpage and/or location of the applicable unit rate document changes, System Agency HHSC will provide Grantee notice through a broadcast message via email. Note, all unit rates identified at the preceding URL are subject to change and contingent on available funding.
B. 2. If unit rates are adjusted in accordance with Subsection III(A) of this Attachment BItem N. 1., Program Services and Unit Rates, System Agency HHSC will provide Grantee notice through a broadcast message via email. All System Agency emails broadcast messages will be maintained in Grantee▇▇▇▇▇▇▇’s Contract file, and will document the following:
1. a. Treatment Program/Service Type unit rate adjustments;
2. b. Treatment Program/Service Type unit rate adjustments effective date; and;
3. c. Treatment Program/Service Type method for receiving payments for the unit rate adjustment, in accordance with Subsection III(C) of this Attachment B, Program Services and Unit RatesItem N. 3.
C. 3. There may be a delay between the effective date of the rate adjustment and those updated rates being reflected in CMBHS. In the event of a difference in the posted adjusted rate and the rate in CMBHS, the posted rate controls and Grantee’s payment will be adjusted as described in Subsection III(D) of this Attachment B, Program Services and Unit RatesItem N.4.
D. System Agency’s 4. The HHSC effective date for of the rate adjustment will determine the method(s) to implement the unit rate adjustment, as follows:
1. a. During the FY fiscal year close-out, System Agency HHSC may conduct reconciliation to extract paid claims data for services provided by Grantee during the unit rate adjustment approval period. System Agency HHSC may calculate the difference between ▇▇▇▇▇▇▇’s payment utilizing the unit rate in CMBHS versus the revised unit rate. System Agency HHSC will thereafter issue Grantee a final reconciliation payment for the difference between the two service unit rates. ▇▇▇▇▇▇▇Grantee’s FY fiscal year payment may not exceed the total FY allocation set forth in Section V, Budget, of the Contractfiscal year.
2. System Agency b. HHSC may revise the service unit rates in CMBHS to ensure all service claims during the approved service period may be reimbursed at the revised rate.
3. System Agency c. HHSC reserves the right to utilize different method(s) to process unit rate adjustments.
4. d. Method(s) used to process unit rate adjustments will be described in the broadcast message in Subsection III(A) of this Attachment B, Program Services and Unit Ratesitem N.1.
Appears in 1 contract
Sources: Health and Human Services Contract