Withhold Return Scoring for the Contract Year Sample Clauses

Withhold Return Scoring for the Contract Year. (A) The withheld funds will be returned to the MCO for calendar year 2010 based on the following scoring system for each of the six performance targets listed below: (1) Denial, termination or reduction of services notice (DTR) shall be worth a total of twenty-five (25) points; (2) Grievance and Appeal reporting shall be worth a total of twenty-five (25) points; (3) Identifying treating Provider in encounters shall be worth a total of thirty
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Withhold Return Scoring for the Contract Year. (A) The withheld funds will be returned to the MCO for the Contract Year based on the following scoring system for each of the performance targets listed below: (1) Denial, termination or reduction of services notice shall be worth a total of twenty (20) points. (2) Grievance and Appeal reporting shall be worth a total of twenty (20) points. (3) Provider number measures shall be worth a total of thirty (30) points, ten (10) points for each measure as follows: (a) Xxxxx Xxxxxxxx Provider, ten (10) points; (b) NPI Pay-To-Provider, ten (10) points; and (c) PCA Treating provider UMPI/NPI, ten (10) points (4) Repeat deficiencies on the MDH QA Examination, related to Minnesota Health Care Programs, shall be worth a total of ten (10) points. (5) Lead Screening shall be worth ten (10) points. (6) Reduction in the MCO’s Emergency Department Utilization Rate by a measurable rate of five percent (5%) from the MCO’s baseline utilization rate for calendar year 2009. The STATE has established the MCO’s 2009 ED utilization baseline rate on MCO-submitted encounter data through the first warrant cycle of September 2010. This performance target shall be worth a total of ten (10) points. (a) Partial Scoring for ED Utilization Withhold Measure: Portion of Target Points. As required by Minnesota Statutes, § 256B.69, subd.5a (g), a portion of the withhold target points will be awarded commensurate with the achieved reduction in emergency department utilization less than the targeted amount. The percentage of ED utilization reduction will be calculated to the nearest whole number. The number of points will be awarded based on the following ED utilization reduction scale:
Withhold Return Scoring for the Contract Year. ‌ (A) The withheld funds will be returned to the MCO the Contract Year based on the following scoring system for each of the six performance targets listed below: (1) Denial, termination or reduction of services (DTR) notice shall be worth a total of twenty-five (25) points; (2) Grievance and Appeal reporting shall be worth a total of twenty-five (25) points; (3) Provider Number measures shall be worth a total of thirty (30) points, ten (10) points for each measure; (a) Xxxxx Xxxxxxxx Provider, ten (10) points; (b) NPI Pay-To-Provider, ten (10) points; and (c) Valid treating provider PCA UMPI/NPI, ten (10) points. (4) Repeat deficiencies on the MDH QA Examination shall be worth a total of ten
Withhold Return Scoring for the Contract Year. (A) The withheld funds will be returned to the MCO for the Contract Year based on the following scoring system for each of the performance targets listed below: (1) Denial, termination or reduction of services (DTR) notice shall be worth a total of twenty (20) points; (2) Grievance and Appeal reporting shall be worth a total of twenty(20) points; (3) Provider Number measures shall be worth a total of thirty (30) points, ten (10) points for each measure; (a) Xxxxx Xxxxxxxx Provider, ten (10) points; (b) NPI Pay-To-Provider, ten (10) points; and (c) Valid treating provider PCA UMPI/NPI, ten (10) points. (4) Repeat deficiencies on the MDH QA Examination, for Minnesota Health Care Programs, shall be worth a total of ten (10) points; (5) Completion of and submission to STATE of the Care Plan audit in section 7.9.3, following the care planning audit data abstraction protocol developed by the Care Plan audit work group, shall be worth five (5) points; and (6) Initial Health Risk Screening or Assessment. Completion of initial health risk screening or assessments within seventy-five (75) calendar days for community non- EW Enrollees new to the MCO (that is, newly enrolled with the MCO during calendar year 2011 and enrolled a minimum of sixty (60) days) shall be worth five

Related to Withhold Return Scoring for the Contract Year

  • Minimum Site Requirements for TIPS Sales (when applicable to TIPS Sale). Cleanup: When performing work on site at a TIPS Member’s property, Vendor shall clean up and remove all debris and rubbish resulting from their work as required or directed by the TIPS Member or as agreed by the parties. Upon completion of work, the premises shall be left in good repair and an orderly, neat, clean and unobstructed condition. Preparation: Vendor shall not begin a project for which a TIPS Member has not prepared the site, unless Vendor does the preparation work at no cost, or until TIPS Member includes the cost of site preparation in the TIPS Sale Site preparation includes, but is not limited to: moving furniture, installing wiring for networks or power, and similar pre‐installation requirements. Registered Sex Offender Restrictions: For work to be performed at schools, Vendor agrees that no employee of Vendor or a subcontractor who has been adjudicated to be a registered sex offender will perform work at any time when students are, or reasonably expected to be, present unless otherwise agreed by the TIPS Member. Vendor agrees that a violation of this condition shall be considered a material breach and may result in the cancellation of the TIPS Sale at the TIPS Member’s discretion. Vendor must identify any additional costs associated with compliance of this term. If no costs are specified, compliance with this term will be provided at no additional charge. Safety Measures: Vendor shall take all reasonable precautions for the safety of employees on the worksite, and shall erect and properly maintain all necessary safeguards for protection of workers and the public. Vendor shall post warning signs against all hazards created by the operation and work in progress. Proper precautions shall be taken pursuant to state law and standard practices to protect workers, general public and existing structures from injury or damage. Smoking: Persons working under Agreement shall adhere to the TIPS Member’s or local smoking statutes, codes, ordinances, and policies.

  • Early and Safe Return to Work The Hospital and the Union are committed to a consistent, fair approach to meeting the needs of disabled workers, to restoring them to work which is meaningful for them and valuable to the Hospital, and to meeting the parties’ responsibilities under the law. To that end, the Hospital and the Union agree to cooperate in facilitating the return to work of disabled employees. The Employer and the Union agree that ongoing and timely communication by all participants in this process is essential to the success of the process. (a) At the regular HAC meeting or at least bi-monthly the Employer will provide an updated list of information to the bargaining unit president including the following: i) Nurses absent from work because of disability who are in receipt of Workplace Safety and Insurance Board benefits; ii) Nurses absent from work because of disability who are in receipt of Long Term Disability benefits including the last day worked; iii) Nurses who have been absent from work because of disability for more than twenty-four (24) months; iv) Nurses who are currently on a temporary modified work program; v) Nurses who are currently permanently accommodated in the workplace; vi) Nurses awaiting temporary modified work; vii) Nurses awaiting permanent accommodation in the workplace. (b) A disabled nurse returning to work from a disability including WSIB to a modified/light/alternative work program, will have a joint Return to Work Team (RTW) attend a return to work meeting. The RTW team will be comprised of the Bargaining Unit President or designate, the Occupational Health representative, the manager and Human Resources. If the Bargaining Unit President or designate attends RTW meetings on her day off, she / he will receive pay at straight time or time in lieu where possible for hours spent in RTW meetings. Such hours are invisible for the purposes of determining premium. L-2 The nurse will advise her manager and Occupational Health Services that she wishes to return to work. A disabled nurse who is ready to return to work will provide the Occupational Health Service with medical verification of her ability to return to work including information regarding any restrictions.

  • Indemnity Limitation for TIPS Sales Texas and other jurisdictions restrict the ability of governmental entities to indemnify others. Vendor agrees that if any "Indemnity" provision which requires the TIPS Member to indemnify Vendor is included in any TIPS sales agreement/contract between Vendor and a TIPS Member, that clause must either be stricken or qualified by including that such indemnity is only permitted, "to the extent permitted by the laws and constitution of [TIPS Member's State]” unless the TIPS Member expressly agrees otherwise. Any TIPS Sale Supplemental Agreement containing an "Indemnity" clause that conflicts with these terms is rendered void and unenforceable.

  • Adjustment of Minimum Quarterly Distribution and Target Distribution Levels (a) The Minimum Quarterly Distribution, First Target Distribution, Second Target Distribution, Third Target Distribution, Common Unit Arrearages and Cumulative Common Unit Arrearages shall be proportionately adjusted in the event of any distribution, combination or subdivision (whether effected by a distribution payable in Units or otherwise) of Units or other Partnership Securities in accordance with Section 5.10. In the event of a distribution of Available Cash that is deemed to be from Capital Surplus, the then applicable Minimum Quarterly Distribution, First Target Distribution, Second Target Distribution and Third Target Distribution, shall be adjusted proportionately downward to equal the product obtained by multiplying the otherwise applicable Minimum Quarterly Distribution, First Target Distribution, Second Target Distribution and Third Target Distribution, as the case may be, by a fraction of which the numerator is the Unrecovered Capital of the Common Units immediately after giving effect to such distribution and of which the denominator is the Unrecovered Capital of the Common Units immediately prior to giving effect to such distribution. (b) The Minimum Quarterly Distribution, First Target Distribution, Second Target Distribution and Third Target Distribution, shall also be subject to adjustment pursuant to Section 6.9.

  • Entitlements Upon Return to Work ‌ (a) An employee who returns to work after the expiration of maternity, parental, or pre-adoption leaves shall retain the seniority the employee had accumulated prior to commencing the leave and shall be credited with seniority for the period of time covered by the leave. (b) On return from maternity, parental, or pre-adoption leaves, an employee shall be placed in the employee's former position or in a position of equal rank and basic pay. (c) Notwithstanding Clauses 18.1(b) and 18.6, vacation entitlements and vacation pay shall continue to accrue while an employee is on leave pursuant to Clause 21.1 providing: (1) the employee returns to work for a period of not less than six months, and (2) the employee has not received parental allowance pursuant to 21.6; and (3) the employee was employed prior to March 28, 2001. Notwithstanding Clause 18.6(a) vacation earned pursuant to this clause may be carried over to the following year, or be paid out, at the employee's option. (d) Employees who are unable to complete the return to work period in (c) as a result of proceeding on maternity, parental or pre-adoption leave shall be credited with their earned vacation entitlements and vacation pay providing the employee returns to work for a period of not less than six months following the expiration of the subsequent maternity, parental or pre-adoption leave.

  • Are There Penalties for Early Distribution from a Xxxx XXX As indicated above, earnings on your contributions, as well as amounts contributed to a Xxxx XXX as a rollover from a Traditional IRA, that are distributed before certain events are subject to various taxes. Please see IRS Publication 590 for further information about Xxxx XXX rules and restrictions.

  • Payment of Sales, Use or Similar Taxes All sales, use, transfer, intangible, recordation, documentary stamp or similar Taxes or charges, of any nature whatsoever, applicable to, or resulting from, the transactions contemplated by this Agreement shall be borne by the Sellers.

  • Minimum Customer Support Requirements for TIPS Sales Vendor shall provide timely and commercially reasonable support for TIPS Sales or as agreed to in the applicable Supplemental Agreement.

  • How Are Contributions to a Xxxx XXX Reported for Federal Tax Purposes You must file Form 5329 with the IRS to report and remit any penalties or excise taxes. In addition, certain contribution and distribution information must be reported to the IRS on Form 8606 (as an attachment to your federal income tax return.)

  • Minimum Shipping Requirements for TIPS Sales Vendor shall ship, deliver, or provide ordered goods and services within a commercially reasonable time after acceptance of the order. If a delay in delivery is anticipated, Vendor shall notify the TIPS Member as to why delivery is delayed and provide an updated estimated time for completion. The TIPS Member may cancel the order if the delay is not commercially acceptable or not consistent with the Supplemental Agreement applicable to the order.

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