Common Contracts
11 similar Contract contracts by Centene Corp
ContractContract • October 28th, 2014 • Centene Corp • Hospital & medical service plans • Texas
MCO Programs and Service Areas This Amendment applies to the following checked HHSC MCO Programs and Service Areas . All references in the Amendment or the Contract to MCO Programs or Service Areas that are not checked do not apply to the MCO. þ Medicaid STAR MCO Program þ Medicaid STAR + PLUS MCO Program o CHIP MCO Program
Standard Contracts
EXPLANATORY NOTE: “***” INDICATES THE PORTION OF THIS EXHIBIT THAT HAS BEEN OMITTED AND SEPARATELY FILED WITH THE SECURITIES AND EXCHANGE COMMISSION PURSUANT TO A REQUEST FOR CONFIDENTIAL TREATMENT.Contract • July 22nd, 2014 • Centene Corp • Hospital & medical service plans • Texas
MCO Programs and Service Areas This Amendment applies to the following checked HHSC MCO Programs and Service Areas . All references in the Amendment or the Contract to MCO Programs or Service Areas that are not checked do not apply to the MCO. þ Medicaid STAR MCO Program þ Medicaid STAR + PLUS MCO Program o CHIP MCO Program
EXPLANATORY NOTE: “***” INDICATES THE PORTION OF THIS EXHIBIT THAT HAS BEEN OMITTED AND SEPARATELY FILED WITH THE SECURITIES AND EXCHANGE COMMISSION PURSUANT TO A REQUEST FOR CONFIDENTIAL TREATMENT.Contract • October 22nd, 2013 • Centene Corp • Hospital & medical service plans • Texas
MCO Programs and Service Areas This Amendment applies to the following checked HHSC MCO Programs and Service Areas . All references in the Amendment or the Contract to MCO Programs or Service Areas that are not checked do not apply to the MCO. þ Medicaid STAR MCO Program þ Medicaid STAR + PLUS MCO Program o CHIP MCO Program
EXPLANATORY NOTE: “***” INDICATES THE PORTION OF THIS EXHIBIT THAT HAS BEEN OMITTED AND SEPARATELY FILED WITH THE SECURITIES AND EXCHANGE COMMISSION PURSUANT TO A REQUEST FOR CONFIDENTIAL TREATMENT.Contract • October 22nd, 2013 • Centene Corp • Hospital & medical service plans • Texas
MCO Programs and Service Areas This Amendment applies to the following checked HHSC MCO Programs and Service Areas . All references in the Amendment or the Contract to MCO Programs or Service Areas that are not checked do not apply to the MCO. þ Medicaid STAR MCO Program þ Medicaid STAR + PLUS MCO Program o CHIP MCO Program
EXPLANATORY NOTE: “***” INDICATES THE PORTION OF THIS EXHIBIT THAT HAS BEEN OMITTED AND SEPARATELY FILED WITH THE SECURITIES AND EXCHANGE COMMISSION PURSUANT TO A REQUEST FOR CONFIDENTIAL TREATMENT.Contract • July 23rd, 2013 • Centene Corp • Hospital & medical service plans • Texas
Service Areas: o Bexar þ Medicaid RSA - Central o Dallas þ Medicaid RSA - Northeast o El Paso þ Medicaid RSA - West o Harris o Nueces þ Hidalgo o Tarrant o Jefferson o Travis o Lubbock
EXPLANATORY NOTE: “***” INDICATES THE PORTION OF THIS EXHIBIT THAT HAS BEEN OMITTED AND SEPARATELY FILED WITH THE SECURITIES AND EXCHANGE COMMISSION PURSUANT TO A REQUEST FOR CONFIDENTIAL TREATMENT.Contract • April 23rd, 2013 • Centene Corp • Hospital & medical service plans • Texas
Service Areas: o Bexar þ Medicaid RSA - Central o Dallas þ Medicaid RSA - Northeast o El Paso þ Medicaid RSA - West o Harris o Nueces þ Hidalgo o Tarrant o Jefferson o Travis o Lubbock
EXPLANATORY NOTE: “***” INDICATES THE PORTION OF THIS EXHIBIT THAT HAS BEEN OMITTED AND SEPARATELY FILED WITH THE SECURITIES AND EXCHANGE COMMISSION PURSUANT TO A REQUEST FOR CONFIDENTIAL TREATMENT.Contract • October 23rd, 2012 • Centene Corp • Hospital & medical service plans • Texas
This Contract is between the Texas Health and Human Services Commission (HHSC), an administrative agency within the executive department of the State of Texas, having its principal office at 4900 North Lamar Boulevard, Austin, Texas 78751, and Superior HealthPlan, Inc. (MCO) a corporation organized under the laws of the State of Texas, having its principal place of business at: 2100 South IH-35, Suite 202, Austin, Texas 78704. HHSC and MCO may be referred to in this Amendment individually as a “Party” and collectively as the “Parties.” The Parties hereby agree to amend their original contract, HHSC contract number 529-12-0002-00007 (the "Contract") as set forth herein. The Parties agree that the terms of the Contract will remain in effect and continue to govern except to the extent modified in this Amendment. This Amendment is executed by the Parties in accordance with the authority granted in Attachment A to the HHSC Managed Care Contract document, "HHSC Uniform Managed Care Contract
EXPLANATORY NOTE: “***” INDICATES THE PORTION OF THIS EXHIBIT THAT HAS BEEN OMITTED AND SEPARATELY FILED WITH THE SECURITIES AND EXCHANGE COMMISSION PURSUANT TO A REQUEST FOR CONFIDENTIAL TREATMENT.Contract • July 24th, 2012 • Centene Corp • Hospital & medical service plans • Texas
This Contract is between the Texas Health and Human Services Commission (HHSC), an administrative agency within the executive department of the State of Texas, having its principal office at 4900 North Lamar Boulevard, Austin, Texas 78751, and Superior HealthPlan, Inc. (MCO) a corporation organized under the laws of the State of Texas, having its principal place of business at: 2100 South IH-35, Suite 202, Austin, Texas 78704. HHSC and MCO may be referred to in this Amendment individually as a “Party” and collectively as the “Parties.” The Parties hereby agree to amend their original contract, HHSC contract number 529-12-0002-00007 (the "Contract") as set forth herein. The Parties agree that the terms of the Contract will remain in effect and continue to govern except to the extent modified in this Amendment. This Amendment is executed by the Parties in accordance with the authority granted in Attachment A to the HHSC Managed Care Contract document, "HHSC Uniform Managed Care Contract
Uniform Managed Care Contract Terms & Conditions Version 2.1Contract • April 24th, 2012 • Centene Corp • Hospital & medical service plans • Texas
STAR, CHIP, CHIP Perinatal, and STAR+PLUS Program results will be consolidated. For a given MCO, total incurred administrative expenses, as reported on the FSRs for the MCO’s Service Areas and/or Programs, will be summed, and compared to the total Admin Caps for the MCO’s various Service Areas and Programs. Thus, an MCO that exceeds its Admin Cap limit in one (1) or more Service Areas or Programs, but does not exceed the Admin Cap in another Service area or Program, may have an offset. The net impact of the Admin Cap across relevant FSRs will be applied to the Experience Rebate calculation.
Uniform Managed Care Contract Terms & Conditions Version 2.0Contract • October 25th, 2011 • Centene Corp • Hospital & medical service plans • Texas
STAR, CHIP, and CHIP Perinatal Program results will be consolidated, but STAR+PLUS Program results will be calculated on a stand-alone basis. For a given MCO, total incurred administrative expenses, as reported on the FSRs for the MCO’s Service Areas and/or Programs (excluding STAR+PLUS), will be summed, and compared to the total Admin Caps for the MCO’s various Service Areas and Programs (excluding STAR+PLUS). Thus, a STAR and/or CHIP MCO that exceeds its Admin Cap limit in one (1) or more Service Areas or Programs, but does not exceed the Admin Cap in another Service area or Program, may have an offset. Similarly, within STAR+PLUS, MCOs operating in multiple Service Areas will likewise consolidate STAR+PLUS Service Area FSR administrative expense results, and compare that to consolidated STAR+PLUS Admin Caps. The net impact of the Admin Cap across relevant FSRs will be applied to the Experience Rebate calculation.
Uniform Managed Care Contract Terms & Conditions Version 2.0Contract • October 25th, 2011 • Centene Corp • Hospital & medical service plans • Texas
STAR, CHIP, and CHIP Perinatal Program results will be consolidated, but STAR+PLUS Program results will be calculated on a stand-alone basis. For a given MCO, total incurred administrative expenses, as reported on the FSRs for the MCO’s Service Areas and/or Programs (excluding STAR+PLUS), will be summed, and compared to the total Admin Caps for the MCO’s various Service Areas and Programs (excluding STAR+PLUS). Thus, a STAR and/or CHIP MCO that exceeds its Admin Cap limit in one (1) or more Service Areas or Programs, but does not exceed the Admin Cap in another Service area or Program, may have an offset. Similarly, within STAR+PLUS, MCOs operating in multiple Service Areas will likewise consolidate STAR+PLUS Service Area FSR administrative expense results, and compare that to consolidated STAR+PLUS Admin Caps. The net impact of the Admin Cap across relevant FSRs will be applied to the Experience Rebate calculation.
