Common Contracts
1 similar Budget Addendum contracts
ADDENDUM XIV: BUDGETBudget Addendum • June 30th, 2020
Annual capitation payments shall be paid at an annual minimum amount of $30.2 million (excluding increased ambulance provider rates) or $32.4 million (including increased ambulance provider rates). During the period of this Agreement, if it is observed that the Medicaid population capitation payment totals fall below the established annualized minimums, EOHHS shall increase the rates to meet the applicable annualized minimum only if MTM’s Medical Loss Ratio (MLR), measured as MTM’s total direct payments to transportation providers divided by MTM’s total revenue received from EOHHS, is steadily and consistently maintained equal to or greater than eighty percent ( 80%). Total direct payments and total revenue are measured using all programs, but the premium adjustment will only impact the Medicaid program premiums. If the MLR is not maintained equal to or greater than eighty percent (80%) and enrollment is reduced causing annualized total payments below the applicable minimum, no rate in
