Supplemental Dispensing Fee Sample Clauses

Supplemental Dispensing Fee. To develop PMPM add-on amounts related to the supplemental dispensing fee, we utilized:  Per script supplemental dispensing fee amounts to be paid to each non-exempt retail pharmacy, provided by ODM;  CY 2020 projected pharmacy utilization, by retail pharmacy, rate cell, and region; and  CY 2020 projected member months, by rate cell and region.
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Supplemental Dispensing Fee. The certified CY 2020 capitation rates effective January through June 2020 included PMPM amounts attributable to a supplemental dispensing fee directed payment arrangement. However, the capitation rates included in the July 2020 MMC Capitation Rate Amendment (dated June 16, 2020) did not include amounts for the fee, as it was assumed the fee would not be applicable for July through December 2020 service dates. This rate amendment serves to update the capitation rates effective July through December 2020 to include supplemental dispensing fee amounts anticipated for the 2H 2020 rating period.
Sample 1

Related to Supplemental Dispensing Fee

  • Treatment of Unallowable Costs Previously Submitted for Payment Arthrex further agrees that within 90 days of the Effective Date of this Agreement it shall identify to applicable Medicare and TRICARE fiscal intermediaries, carriers, and/or contractors, and Medicaid and FEHBP fiscal agents, any Unallowable Costs (as defined in this paragraph) included in payments previously sought from the United States, or any State Medicaid program, including, but not limited to, payments sought in any cost reports, cost statements, information reports, or payment requests already submitted by Arthrex or any of its subsidiaries or affiliates, and shall request, and agree, that such cost reports, cost statements, information reports, or payment requests, even if already settled, be adjusted to account for the effect of the inclusion of the Unallowable Costs. Arthrex agrees that the United States, at a minimum, shall be entitled to recoup from Arthrex any overpayment plus applicable interest and penalties as a result of the inclusion of such Unallowable Costs on previously-submitted cost reports, information reports, cost statements, or requests for payment. Any payments due after the adjustments have been made shall be paid to the United States pursuant to the direction of the Department of Justice and/or the affected agencies. The United States reserves its rights to disagree with any calculations submitted by Arthrex or any of its subsidiaries or affiliates on the effect of inclusion of Unallowable Costs (as defined in this paragraph) on Arthrex or any of its subsidiaries or affiliates’ cost reports, cost statements, or information reports.

  • Leading Hand Allowance A person appointed as a leading hand shall be paid at the rate of the undermentioned hourly amounts above the hourly rates of the highest classification supervised in accordance with the number of persons supervised. In charge of not more than one person $0.38 per hour In charge of two and not more than five persons $0.83 per hour In charge of six and not more than 10 persons $1.06 per hour In charge of more than 10 persons $1.41 per hour

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