Standard Methodology Sample Clauses

Standard Methodology. If the DSP methodology is not approved by HCFA, the monthly capitation amounts established for each risk group in the El Paso Service Area using the methodology set forth in Article 13.1.1, without the DSP, are as follows: ------------------------------------------------------------- Risk Group December 1, 1999 - August 31, 2000 ------------------------------------------------------------- TANF Adults $150.27 ------------------------------------------------------------- TANF Children $ 66.93 ------------------------------------------------------------- Expansion Children $ 83.66 ------------------------------------------------------------- Newborns $317.14 ------------------------------------------------------------- Federal Mandate Children $ 43.21 ------------------------------------------------------------- CHIP $ 85.35 ------------------------------------------------------------- Pregnant Women $531.65 ------------------------------------------------------------- Disabled/Blind $ 14.00 Administration ------------------------------------------------------------- El Paso Service Area HMO Contract

Standard Methodology. If the DSP methodology is not approved by HCFA, the monthly capitation amounts established for each risk group in the Xxxxxx Service Area using the Methodology set forth in Article 13.1.1, without the DSP, are as follows: -------------------------------------------------------------- Risk Group Monthly Capitation Amounts September 1,1999 - August 31, 2000 -------------------------------------------------------------- TANF Adults $138.32 -------------------------------------------------------------- TANF Children $75.09 -------------------------------------------------------------- Expansion Children $90.48 -------------------------------------------------------------- Newborns $455.14 -------------------------------------------------------------- Federal Mandate Children $42.25 -------------------------------------------------------------- CHIP Phase I $77.26 -------------------------------------------------------------- Pregnant Women $546.69 -------------------------------------------------------------- Disabled/Blind Administration $14.00 -------------------------------------------------------------- 13.1.4 TDH will re-examine the capitation rates paid to HMO under this contract during the first year of the contract period and will provide HMO with capitation rates for the second year of the contract period no later than 30 days before the date of the one-year anniversary of the contract's effective date. Capitation rates for state fiscal year 2001 will be re-examined based on the most recent available traditional Medicaid cost data for the contracted risk groups in the service area, trended forward and discounted. 13.1.4.1 Once HMO has received their capitation rates established by TDH for the second year of this contract, HMO may terminate this contract as provided in Article 18.1.6 of this contract. HMO may also terminate this contract as provided in Article 18.

Standard Methodology. If the DSP methodology is not approved by HCFA, the monthly capitation amounts established for each risk group in the Harrxx Xxxvice Area using the Methodology set forth in Article 13.1.1, without the DSP, are as follows:

Standard Methodology. If the DSP methodology is not approved by HCFA, the monthly capitation amounts established for each risk group in the Dallas Service Area using the methodology set forth in 13.1.1, without the DSP, are as follows: -------------------------------------------------------------------------- RISK GROUP MONTHLY CAPITATION AMOUNTS SEPTEMBER 1, 1999 - AUGUST 31, 2000 -------------------------------------------------------------------------- TANF ADULTS $155.91 -------------------------------------------------------------------------- TANF CHILDREN $68.09 -------------------------------------------------------------------------- EXPANSION CHILDREN $136.73 -------------------------------------------------------------------------- NEWBORNS $322.45 -------------------------------------------------------------------------- FEDERAL MANDATE CHILDREN $55.72 -------------------------------------------------------------------------- CHIP PHASE 1 $99.35 -------------------------------------------------------------------------- PREGNANT WOMEN $646.38 -------------------------------------------------------------------------- 100 Dallas Service Area Contract 107 -------------------------------------------------------------------------- DISABLED/BLIND ADMINISTRATION $14.00 --------------------------------------------------------------------------

Standard Methodology