STATE Duties. The STATE shall calculate an adjustment for non-deductibility of the Annual Fee for federal and state income taxes, if any; and premium and surcharge taxes. The result will be the MCO’s “Adjusted Fee.” The STATE’s payment to the MCO’s for the Adjusted Fee shall be made when the STATE determines the MCO has satisfactorily completed its duties in section 4.2.11(A). The STATE reserves the right to update the calculation and method of payment for the MCO’s Adjusted Fee based upon CMS requirements, including the exclusion of appropriate Medicaid payments for long-term care, nursing home care, home health care, and community-based care, or changes to regulations governing the Annual Fee.
Appears in 8 contracts
Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services
STATE Duties. The STATE shall calculate an adjustment for non-deductibility of the Annual Fee for federal and state income taxes, if any; and premium and surcharge taxes. The result will be the MCO’s “Adjusted Fee.” The STATE’s payment to the MCO’s MCO for the Adjusted Fee shall be made when the STATE determines the MCO has satisfactorily completed its duties in section 4.2.11(A4.1.14(A). The STATE reserves the right to update the calculation and method of payment for the MCO’s Adjusted Fee based upon CMS requirements, including the exclusion of appropriate Medicaid payments for long-term care, nursing home care, home health care, and community-based care, or changes to regulations governing the Annual Fee.
Appears in 3 contracts
Samples: Contract for Medical Assistance and Minnesotacare Services, Contract for Medical Assistance and Minnesotacare Services, Contract for Medical Assistance and Minnesotacare Services
STATE Duties.
4.6.2.1 The STATE shall calculate an adjustment for non-deductibility of the Annual Fee for federal and state income taxes, if any; and premium and surcharge taxes. The result will be the MCO’s “Adjusted Fee.” ”
4.6.2.2 The STATE’s payment to the MCO’s for the Adjusted Fee shall be made when the STATE determines the MCO has satisfactorily completed its duties in section 4.2.11(A). 4.6.1.
4.6.2.3 The STATE reserves the right to update the calculation and method of payment for the MCO’s Adjusted Fee based upon CMS requirements, including the exclusion of appropriate Medicaid payments for long-term care, nursing home care, home health care, and community-community- based care, or changes to regulations governing the Annual Fee.
Appears in 2 contracts
Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services
STATE Duties. (1) The STATE shall calculate an adjustment for non-deductibility of the Annual Fee for federal and state income taxes, if any; and premium and surcharge taxes. The result will be the MCO’s “Adjusted Fee.” ”
(2) The STATE’s payment to the MCO’s for the Adjusted Fee shall be made when the STATE determines the MCO has satisfactorily completed its duties in section 4.2.11(A). .
(3) The STATE reserves the right to update the calculation and method of payment for the MCO’s Adjusted Fee based upon CMS requirements, including the exclusion of appropriate Medicaid payments for long-term care, nursing home care, home health care, and community-based care, or changes to regulations governing the Annual Fee.
Appears in 1 contract
Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services
STATE Duties. (1) The STATE shall calculate an adjustment for non-deductibility of the Annual Fee for federal and state income taxes, if any; and premium and surcharge taxes. The result will be the MCO’s “Adjusted Fee.” ”
(2) The STATE’s payment to the MCO’s MCO for the Adjusted Fee shall be made when the STATE determines the MCO has satisfactorily completed its duties in section 4.2.11(A4.1.14(A). .
(3) The STATE reserves the right to update the calculation and method of payment for the MCO’s Adjusted Fee based upon CMS requirements, including the exclusion of appropriate Medicaid payments for long-term care, nursing home care, home health care, and community-based care, or changes to regulations governing the Annual Fee.
Appears in 1 contract
Samples: Contract for Medical Assistance and Minnesotacare Services
STATE Duties.
4.9.2.1 The STATE shall calculate an adjustment for non-deductibility of the Annual Fee for federal and state income taxes, if any; and premium and surcharge taxes. The result will be the MCO’s “Adjusted Fee.” ”
4.9.2.2 The STATE’s payment to the MCO’s MCO for the Adjusted Fee shall be made when the STATE determines the MCO has satisfactorily completed its duties in section 4.2.11(A). 4.8.1.
4.9.2.3 The STATE reserves the right to update the calculation and method of payment for the MCO’s Adjusted Fee based upon CMS requirements, including the exclusion of appropriate Medicaid payments for long-term care, nursing home care, home health care, and community-community- based care, or changes to regulations governing the Annual Fee.
Appears in 1 contract
Samples: Contract for Special Needs Basiccare Program Services
STATE Duties. The STATE shall calculate an adjustment for non-deductibility of the Annual Fee for federal and state income taxes, if any; and premium and surcharge taxes. The result will be the MCO’s “Adjusted Fee.” The STATE’s payment to the MCO’s MCO for the Adjusted Fee shall be made when the STATE determines the MCO has satisfactorily completed its duties in section 4.2.11(A4.1.12(A). The STATE reserves the right to update the calculation and method of payment for the MCO’s Adjusted Fee based upon CMS requirements, including the exclusion of appropriate Medicaid payments for long-term care, nursing home care, home health care, and community-based care, or changes to regulations governing the Annual Fee.
Appears in 1 contract
Samples: Contract for Medical Assistance and Minnesotacare Services
STATE Duties. The STATE shall calculate an adjustment for non-deductibility of the Annual Fee for federal and state income taxes, if any; and premium and surcharge taxes. The result will be the MCO’s “Adjusted Fee.” The STATE’s payment to the MCO’s MCO for the Adjusted Fee shall be made when the STATE determines the MCO has satisfactorily completed its duties in section 4.2.11(A4.2.4(A). The STATE reserves the right to update the calculation and method of payment for the MCO’s Adjusted Fee based upon CMS requirements, including the exclusion of appropriate Medicaid payments for long-term care, nursing home care, home health care, and community-based care, or changes to regulations governing the Annual Fee.
Appears in 1 contract
Samples: Contract for Special Needs Basiccare Program Services
STATE Duties.
4.8.2.1 The STATE shall calculate an adjustment for non-deductibility of the Annual Fee for federal and state income taxes, if any; and premium and surcharge taxes. The result will be the MCO’s “Adjusted Fee.” ”
4.8.2.2 The STATE’s payment to the MCO’s MCO for the Adjusted Fee shall be made when the STATE determines the MCO has satisfactorily completed its duties in section 4.2.11(A). 4.8.1.
4.8.2.3 The STATE reserves the right to update the calculation and method of payment for the MCO’s Adjusted Fee based upon CMS requirements, including the exclusion of appropriate Medicaid payments for long-term care, nursing home care, home health care, and community-community- based care, or changes to regulations governing the Annual Fee.
Appears in 1 contract
Samples: Contract for Special Needs Basiccare Program Services