Contract with Eligible Medicare Advantage (MA) Organization Pursuant to Sections 1851 through 1859 of the Social Security Act for the Operation of a Medicare Advantage Coordinated Care Plan(s) CONTRACT (# H5628) Between Centers for Medicare & Medicaid...Contract With Eligible Medicare Advantage Organization • March 14th, 2007 • Molina Healthcare Inc • Hospital & medical service plans
CMS and the MA Organization, an entity which has been determined to be an eligible Medicare Advantage Organization by the Administrator of the Centers for Medicare & Medicaid Services under 42 CFR 422.503, agree to the following for the purposes of sections 1851 through 1859 of the Social Security Act (hereinafter referred to as the Act):
OHIO DEPARTMENT OF JOB AND FAMILY SERVICES OHIO MEDICAL ASSISTANCE PROVIDER AGREEMENT FOR MANAGED CARE PLAN CFC ELIGIBLE POPULATIONOhio Medical Assistance Provider Agreement for Managed Care Plan • March 14th, 2007 • Molina Healthcare Inc • Hospital & medical service plans • Ohio
TPL can be identified with two components: “cost-avoidance” and “pay and chase” type actions. “Cost-avoidance” occurs when the State initially denies paying a claim because another payer is the primary payer. The State may then pay a residual portion of the charged amount. Only the residual portion of the claim will be included in the FFS data. The portion of the claim paid by another payer has been avoided and not included in reported claim payments. Participating MCPs are expected to pay in a similar fashion and therefore, no adjustment to the FFS data will be required.
STATE OF CALIFORNIA STANDARD AGREEMENT STD 213 (DHS Rev 7/06)Standard Agreement • March 14th, 2007 • Molina Healthcare Inc • Hospital & medical service plans
Items shown above with an Asterisk (*), are hereby incorporated by reference and made part of this agreement as if attached hereto
OHIO DEPARTMENT OF JOB AND FAMILY SERVICES OHIO MEDICAL ASSISTANCE PROVIDER AGREEMENT FOR MANAGED CARE PLAN ABD ELIGIBLE POPULATIONOhio Medical Assistance Provider Agreement for Managed Care Plan • March 14th, 2007 • Molina Healthcare Inc • Hospital & medical service plans • Ohio
This provider agreement is entered into this first day of January, 2007, at Columbus, Franklin County, Ohio, between the State of Ohio, Department of Job and Family Services, (hereinafter referred to as ODJFS) whose principal offices are located in the City of Columbus, County of Franklin, State of Ohio, and Molina Healthcare of Ohio, Inc., Managed Care Plan (hereinafter referred to as MCP), an Ohio for-profit corporation, whose principal office is located in the city of Columbus, County of Franklin, State of Ohio.
INDEMNIFICATION AGREEMENTIndemnification Agreement • March 14th, 2007 • Molina Healthcare Inc • Hospital & medical service plans • Delaware
THIS AGREEMENT is made and entered into effective as of the __th day of , 200_ by and between MOLINA HEALTHCARE, INC., a Delaware corporation (the “Corporation”), and , a director of the Corporation (the “Indemnitee”).
