Common use of Service Unit Rates Clause in Contracts

Service Unit Rates. 1. The unit rates for the service charts referenced in Item P. are located at the HHSC 2. If unit rates are adjusted in accordance with Item N. 1., HHSC will provide Grantee notice through a broadcast message via email. All broadcast messages will be maintained in 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 Item N. 3. 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 Item N.4. 4. The HHSC 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, HHSC may conduct reconciliation to extract paid claims data for services provided by Grantee during the unit rate adjustment approval unit rate in CMBHS versus the revised unit rate. HHSC will thereafter issue Grantee a final reconciliation payment for the difference between the two service unit rates. 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. c. HHSC 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 item N.1.

Service Unit Rates. 1. The unit rates for the service charts referenced in Item P. N. are located at the HHSC 2. If unit rates are adjusted in accordance with Item N. M. 1., HHSC will provide Grantee notice through a broadcast message via email. All broadcast messages will be maintained inemail to 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 Item N. M. 3. . 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 Item N.4M.4. 4. The HHSC 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, HHSC may conduct reconciliation to extract paid claims data for services provided by Grantee during the unit rate adjustment approval unit rate in CMBHS versus the revised unit rate. HHSC will thereafter issue Grantee a final reconciliation payment for the difference between the two service unit rates.. in Item E. 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. c. HHSC 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 item N.1M.1.

Service Unit Rates. 1. The unit rates for the service charts referenced in Item P. N. are located at the HHSC 2. If unit rates are adjusted in accordance with Item N. M. 1., HHSC will provide Grantee notice through a broadcast message via email. All broadcast messages will be maintained inemail to 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 Item N. M. 3. file. 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 Item N.4M.4. 4. The HHSC 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, HHSC may conduct reconciliation to extract paid claims data for services provided by Grantee during the unit rate adjustment approval unit rate in CMBHS versus the revised unit rate. HHSC will thereafter issue Grantee a final reconciliation payment for the difference between the two service unit rates.. in Item E. 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. c. HHSC 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 item N.1M.1.