Timing of Capitation Payments. Enrollments. CMS and EOHHS will make monthly per member per month capitation payments to the Contractor. The PMPM capitation payment for a particular month will reflect payment for the beneficiaries with effective enrollment into the Contractor’s One Care Plan as of the first day of that month, as described in Section 2.3.1.
Timing of Capitation Payments. 1. New Enrollments EOHHS will make capitation payments for Enrollees. Enrollments received and approved by EOHHS on or before the last business day of the month will be effective the first calendar day of the following month. EOHHS will make monthly capitation payments to the Contractor for the month beginning on the effective date of enrollment.
Timing of Capitation Payments. 4.2.2.1. CMS and DMAS will each make monthly Capitation Payments to the Contractor. If an individual is enrolled with the Contractor on the first day of a month, the Contractor has the responsibility of providing covered services to that Enrollee for that month, even if the Enrollee moves to another locality. If the Enrollee moves to a locality outside of the Contractor’s Service Area, the Enrollee will be disenrolled from the Contractor at the end of the month that the move is confirmed. Any and all costs incurred by the Contractor in excess of the Capitation Payment will be borne in full by the Contractor. The Contractor shall accept the Department’s electronic transfer of funds to receive Capitation Payments.
Timing of Capitation Payments. 4.3.2.1. Enrollments. CMS and the NYSDOH will make monthly per member per month Capitation payments to the FIDA Plan. The per member per month (PMPM) Capitation payment for a particular month will reflect payment for the Participants with effective Enrollment into the FIDA Plan as of the first day of that month, as described in Section 2.3.1.
Timing of Capitation Payments. 4.3.4.1. The timing of the capitation payment will be in accordance with ODM’s capitation payment schedule. The payment cycle will be run prospectively and the payment will be released during the current month.
Timing of Capitation Payments. 4.4.1.1. CMS and MDCH will each make monthly Capitation Payments to the ICO. If an individual is enrolled with the ICO on the first day of a month, the ICO has the responsibility of providing Covered Services to that Enrollee for that month, even if the Enrollee moves to another locality. Any and all costs incurred by the ICO in excess of the Capitation Payment will be borne in full by the ICO, except as described in Section 4.3.1 and in the application of rules related to Medicare Part D. The ICO shall accept MDCH electronic transfer of funds to receive Capitation Payments.
Timing of Capitation Payments. 4.4.2.1 Enrollments
Timing of Capitation Payments. 4.4.2.1.CMS and HHSC will each make monthly payments to the STAR+PLUS MMP. The STAR+PLUS MMP shall accept electronic transfer of funds to receive Capitation Payments.
Timing of Capitation Payments. The State will make capitation payments to the CONTRACTOR on the first Friday of the enrollment month for all Members enrolled in that month and for any retroactive enrollments being made.
Timing of Capitation Payments
