Exhibit 10.1 Baseline Covered Families and Children (CFC) Population Page 1 OHIO DEPARTMENT OF JOB AND FAMILY SERVICES OHIO MEDICAL ASSISTANCE PROVIDER AGREEMENT FOR MANAGED CARE PLAN CFC ELIGIBLE POPULATION This provider agreement is entered into...Ohio Medical Assistance Provider Agreement for Managed Care Plan • August 7th, 2007 • Molina Healthcare Inc • Hospital & medical service plans • Ohio
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.
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 • August 7th, 2007 • Molina Healthcare Inc • Hospital & medical service plans • Ohio
The following table shows the specified policy changes for which Mercer adjusted the SFY 2003 and SFY 2004 data. Mercer calculated the adjustments based on the “History of Policy Changes” document and other information supplied by the State.
OHIO DEPARTMENT OF JOB AND FAMILY SERVICES OHIO MEDICAL ASSISTANCE PROVIDER AGREEMENT FOR MANAGED CARE PLANOhio Medical Assistance Provider Agreement for Managed Care Plan • July 26th, 2004 • Centene Corp • Hospital & medical service plans • Ohio
This provider agreement is entered into this first day of July, 2004, 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 Buckeye Community Health Plan, 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.
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 • July 3rd, 2008 • Wellcare Health Plans, Inc. • Hospital & medical service plans • Ohio
This provider agreement is entered into this first day of July, 2008, 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 WellCare 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 Independence, County of Cuyahoga, State of Ohio.
OHIO MEDICAL ASSISTANCE PROVIDER AGREEMENT FOR MANAGED CARE PLANOhio Medical Assistance Provider Agreement for Managed Care Plan • November 3rd, 2006 • Wellcare Health Plans, Inc. • Hospital & medical service plans • Ohio
This provider agreement is entered into this first day of November, 2006, 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 WellCare of Ohio, Inc. Managed Care Plan (hereinafter referred to as MCP), an Ohio tor-profit corporation, whose principal office is located in the city ofBeechwood, County ofCuyahoga, State of Ohio.
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 • June 29th, 2007 • Wellcare Health Plans, Inc. • Hospital & medical service plans • Ohio
credibility factor which accounts for differences in State enrollment patterns and data sources. It has been applied to the paid claims and utilization for non-delivery FFS base data.
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 • June 29th, 2007 • Wellcare Health Plans, Inc. • Hospital & medical service plans • Ohio
The following table shows the specified policy changes for which Mercer adjusted the SFY 2003 and SFY 2004 data. Mercer calculated the adjustments based on the "History of Policy Changes" document and other information supplied by the State.
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.
