State Hospital Beds Sample Clauses

State Hospital Beds. 5.2.1 HCA will provide a target for the utilization of State Hospital beds to the Contractor as described in this contract for each RSA in which the Contractor operates under the Contract. The utilization target will be determined by HCA. The Contractor for each RSA will not be held accountable in the event of a regional overage fee and will not collect any portion of an incentive payment. HCA will notify the Contractor of changes to the hospital bed allocation. 5.2.2 The Contractor may not enter into any agreement or make other arrangements for use of State Hospital beds outside of this Contract.
Sample 1
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State Hospital Beds. 5.2.1 This subsection sets out the conditions under which State Hospital beds that are allocated to HCA by (DSHS) may be used by the Contractor, the conditions under which a bed utilization target will be set for the Contractor, and the conditions under which an overage fee or incentive payment will be applied to the Contractor based on regional bed utilization. 5.2.2 HCA will provide a quarterly target for the utilization of State Hospital beds to the Contractor as described in Section 14.1 for each Regional Service Area (RSA) in which the Contractor operates under the Contract. This target shall be used by the Contractor as the goal for maximum Hospital Bed utilization by the clients they serve under this Contract. The utilization target will be set such that the sum of the utilization targets in the RSA for HCA contractors is equal to the total bed allocation from DSHS to HCA. The utilization target for each contractor will be proportionate to enrollment as determined by HCA. The Contractor for each RSA will not be held accountable in the event of a regional overage fee and will not collect any portion of an incentive payment.. 5.2.3 At the end of each quarter, DSHS will issue a statement to HCA of the quarterly bed utilization by HCA’s contractors in each region, and DSHS will establish an incentive payment amount or overage fee for each RSA based on its actual utilization of hospital beds. If utilization by HCA’s contractors in the region exceeds the total allocation of beds to HCA from DSHS for the RSA, then a regional overage fee will apply as set out in Exhibit P. The contracted Behavioral Health Administrative Service Organization (ASO) for each RSA will not be held accountable in the event of a regional overage fee and will not collect any portion of an incentive payment. 5.2.4 In the event of an overage fee for a given quarter, HCA will collect from contractors in the RSA an amount sufficient to cover the full amount of the overage fee. The overage fee will be allocated to HCA’s contracting MCO’s in the RSA proportional to the percentage of the MCOs total quarterly bed utilization.. 5.2.5 In the event of an incentive payment for a given quarter, HCA will distribute the incentive payment to HCA’s contracting MCOs in the RSA in amounts proportionate to enrollment in the quarter. 5.2.6 The Contractor may not enter into any agreement or make other arrangements for use of State Hospital beds outside of this Contract. 5.2.7 The Contractor will be noti...
Sample 1
State Hospital Beds. 5.2.1 The Contractor is allocated seven (7) beds at WSH. This allocation shall be used by the Contractor as a ceiling for the State Hospital Bed utilization by the Consumers they serve under this Contract. 5.2.2 The Contractor may be required to pay a reimbursement for each State Hospital Patient Day of Care that exceeds the Contractor’s daily allocation of State Hospital beds based on a quarterly calculation of the bed usage by the Contractor. 5.2.2.1 The Contractor may not enter into any agreement or make other arrangements for use of State Hospital beds outside of the agreed-upon allocation. 5.2.2.2 HCA may bill the Contractor quarterly for State Hospital Patient Days of Care exceeding the Contractor’s daily allocation of State Hospital beds. The amount due will be based on the quarterly net census overage. HCA will bill the Contractor within thirty (30) days of notification by DSHS that the Contractor exceeded the allocation. The Contractor shall pay HCA within 30 days of the date on the reimbursement bill. The Contractor shall only use the GFS for the potential State Hospital Bed Allocation overage fee. 5.2.2.2.1 The rate of payment for reimbursement for Eastern State Hospital is $611.00 per day/per bed. 5.2.2.2.2 The rate of payment for reimbursement for Western State Hospital is $541.00 per day/per bed. 5.2.2.3 If the region as a whole has exceeded the quarterly bed allocation, HCA will combine the amount paid by the Contractor with the amounts paid by the other Contractors and will pay DSHS on the Contractor’s behalf. 5.2.2.4 If HCA requests for a reimbursement pursuant to 5.1.11 or 5.1.11.3, contractor shall be entitled to waive all or part of its obligation to pay by verifying that the over-allocation of bed usage was solely and completely outside of the contractor’s control. This waiver shall be liberally interpreted in the contractor’s favor for the first three months of the contact. If the contractor had a prior opportunity to provide for crisis intervention services to an individual who ends up allocating a bed, then the contractor will not be allowed a full waiver of payment for such incident. The amount of any waived portion of the penalty shall be up to the sole discretion of HCA on an incident by incident analysis 5.2.3 If at the end of a Quarter, the Contractor has utilized less than the Contractor’s allocation of State Hospital beds and the region as a whole has utilized less than the regional allocated share, the Contractor shall recei...
Sample 1

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