Special Terms and Conditions Sample Contracts

SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • April 28th, 2014

NUMBER: 11-W00275/921-W-00064/9 TITLE: Arizona Health Care Cost Containment System -- AHCCCS, A Statewide Approach of Cost Effective Health Care Financing AWARDEE: Arizona Health Care Cost Containment System

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SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • September 11th, 2017

TITLE: Montana Plan First Section 1115 Family Planning Demonstration AWARDEE: Montana Department of Public Health and Human Services

eInvoice B2B in Omnichannel
Special Terms and Conditions • November 22nd, 2021

This service is provided by PostNord Strålfors AB (CVR. no. 10068657). Other subsidiaries of PostNord Group AB (reg. no. 556128-6559) may be authorized to enter into agreements on PostNord Strålfors AB’s behalf. However, PostNord Strålfors A/S is always the party contracting with the Customer. ”PostNord Strålfors” in these Special Terms and Conditions, as well as the price appendix and any other agreed appendices related to this service, shall always mean PostNord Strålfors A/S.

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • November 19th, 2020
eArchive
Special Terms and Conditions • November 24th, 2023

This service is provided by Postnord Strålfors AB (reg. no. 556102-9843). Other subsidiaries of Posten AB (reg. no. 556128-6559) may be authorised to enter into agreements on Postnord Strålfors AB’s behalf. However, Postnord Strålfors AB is always the party contracting with the Customer. "Postnord Strålfors" in these Special Terms and Conditions, as well as the price appen- dix and any other agreement appendices related to this service, shall always mean Postnord Strålfors AB.

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • April 28th, 2014
CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • April 28th, 2014
CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • May 5th, 2016

The following are the Special Terms and Conditions (STCs) for the Rhode Island Comprehensive section 1115(a) Medicaid demonstration (“demonstration”), as approved under authority of section 1115 of the Social Security Act, (the Act). The parties to this agreement are the Rhode Island Executive Office of Health and Human Services (state) and the Centers for Medicare & Medicaid Services (CMS). The STCs set forth in detail the nature, character, and extent of Federal involvement in the demonstration and the state’s obligations to CMS during the life of the demonstration. The amended STCs are effective the date of approval, unless otherwise specified. All previously approved section 1115(a) demonstration STCs, waivers, and expenditure authorities are superseded by the STCs set forth below and accompanying waivers and expenditure authorities. All previously approved Category II changes shall apply during the extension period. This demonstration is approved through December 31, 2018.

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • March 6th, 2014

The following are the Special Terms and Conditions (STCs) for New York’s Federal-State Health Reform Partnership section 1115(a) Medicaid demonstration (hereinafter “demonstration”). The parties to this agreement are the New York State Department of Health (state) and the Centers for Medicare & Medicaid Services (CMS). The STCs set forth in detail the nature, character, and extent of federal involvement in the demonstration and the state’s obligations to CMS during the life of the demonstration. The STCs are effective January 1, 2014 unless otherwise specified. All previously approved STCs, waivers, and expenditure authorities are superseded by the STCs set forth below.

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • April 28th, 2014
CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • October 19th, 2011

The following are the Special Terms and Conditions (STCs) for New York’s Partnership Plan section 1115(f) Medicaid Demonstration extension (hereinafter “Demonstration”). The parties to this agreement are the New York Department of Health (State) and the Centers for Medicare & Medicaid Services (CMS). The STCs set forth in detail the nature, character, and extent of Federal involvement in the Demonstration and the State’s obligations to CMS during the life of the Demonstration. The STCs are effective August 1, 2011 unless otherwise specified. All previously approved STCs, waivers, and expenditure authorities are superseded by the STCs set forth below. This Demonstration extension is approved through December 31, 2014; however, some components of the Demonstration will expire earlier, as described below in these STCs and associated waiver and expenditure authority documents, and in the table in Attachment E.

NUMBER: 11-W-00030/1
Special Terms and Conditions • July 23rd, 2022

TITLE: MassHealth Medicaid Section 1115 Demonstration AWARDEE: Massachusetts Executive Office of Health and Human Services

ATTACHMENT A SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • May 26th, 2021
CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • April 28th, 2014
ALCHEMY SOCIAL SPECIAL TERMS AND CONDITIONS - EXPERIAN (03/15)
Special Terms and Conditions • March 9th, 2015

IMPORTANT NOTE: These Special Terms and Conditions shall have the effect of varying the Terms and Conditions. In the event of any conflict between these Special Terms and Conditions and the Terms and Conditions, these Special Terms and Conditions shall prevail.

NUMBER: 11-W-00030/1
Special Terms and Conditions • January 16th, 2019

The following are the Special Terms and Conditions (STCs) for the Massachusetts MassHealth section 1115(a) Medicaid demonstration (hereinafter “demonstration”). The parties to this agreement are the Massachusetts Executive Office of Health and Human Services (which is the single state agency that oversees the MassHealth program), (State/Commonwealth) and the Centers for Medicare & Medicaid Services (CMS). The STCs set forth in detail the nature, character, and extent of Federal involvement in the demonstration and the Commonwealth’s obligations to CMS during the life of the demonstration. The STCs are effective as of July 1, 2017, unless otherwise specified. All previously approved STCs are superseded by the STCs set forth below for the State’s expenditures relating to dates of service during this demonstration extension, unless otherwise specified. The demonstration is set to expire on June 30, 2022.

EXHIBIT D
Special Terms and Conditions • May 3rd, 2010
SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • April 18th, 2019
CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • April 28th, 2014

The following are the Special Terms and Conditions (STCs) for Hawaii’s QUEST Expanded (QEx) section 1115(a) Medicaid demonstration extension (hereinafter “Demonstration”). The parties to this agreement are the Hawaii Department of Human Services (State) and the Centers for Medicare & Medicaid Services (CMS). The STCs set forth in detail the nature, character, and extent of Federal involvement in the Demonstration and the State’s obligations to CMS during the life of the Demonstration. These amended STCs are effective from the date of the approval letter, unless otherwise specified. All previously approved STCs, waivers, and expenditure authorities are superseded by the STCs set forth below. This Demonstration is approved through December 31, 2013.

EXHIBIT D
Special Terms and Conditions • October 27th, 2021
Valid from January 1, 2023
Special Terms and Conditions • November 10th, 2022

This service is provided by PostNord Sverige AB, corp. reg. no. 556711-5695, (hereinafter referred to as PostNord) and the agreement is thus concluded between the user and PostNord.

NUMBER: 11-W-00245/5 TITLE: Michigan Medicaid Nonpregnant Childless Adults Waiver (Adult Benefits Waiver) Section 1115 Demonstration AWARDEE: Michigan Department of Community Health
Special Terms and Conditions • April 28th, 2014

The following are the Special Terms and Conditions (STCs) for Michigan’s Adult Benefits Waiver section 1115(a) Medicaid Demonstration (hereinafter referred to as “Demonstration”). The parties to this agreement are the Michigan Department of Community Health (“State”) and the Centers for Medicare & Medicaid Services (CMS). The STCs set forth in detail the nature, character, and extent of Federal involvement in the Demonstration and the State’s obligations to CMS during the life of the Demonstration. The STCs are effective January 1, 2010, unless otherwise specified. This Demonstration is approved through September 30, 2014.

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CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • June 16th, 2017
Periodicals A and B
Special Terms and Conditions • November 11th, 2020

This service is provided by PostNord Sverige AB (company registration number 556711-5695). Other subsidiaries of Post- Nord Group AB (company registration no. 556128-6559) may be authorised to enter into agreements on behalf of PostNord Sverige AB. However, PostNord Sverige AB is always the other party in agreements with the Customer. The term ”PostNord” is deemed to refer to PostNord Sverige AB when used in these special terms and conditions and in the price appendix and any other agreement appendices relating to this service.

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • October 2nd, 2006

The following are the Special Terms and Conditions (STCs) for New York’s Federal-State Health Reform Partnership section 1115(a) Medicaid Demonstration (hereinafter “Demonstration”). The parties to this agreement are the New York Department of Health (State) and the Centers for Medicare & Medicaid Services (CMS). The STCs set forth in detail the nature, character, and extent of Federal involvement in the Demonstration and the State’s obligations to CMS during the life of the Demonstration. The STCs are effective October 1, 2006 unless otherwise specified. This Demonstration is approved through September 30, 2011.

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS (STCs)
Special Terms and Conditions • September 30th, 2010
CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • March 5th, 2010

The following are the Special Terms and Conditions (STCs) for the Massachusetts MassHealth section 1115(a) Medicaid demonstration (hereinafter “Demonstration”). The parties to this agreement are the Massachusetts Executive Office of Health and Human Services (State/Commonwealth) and the Centers for Medicare & Medicaid Services (CMS). The STCs set forth in detail the nature, character, and extent of Federal involvement in the Demonstration and the Commonwealth’s obligations to CMS during the life of the Demonstration. The STCs are effective December 22, 2008 unless otherwise specified. All previously approved STCs, waivers, and expenditure authorities are superseded by the STCs set forth below for the State’s expenditures relating to dates of service during this Demonstration extension. This Demonstration extension is approved through June 30, 2011.

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • May 8th, 2015

The following are Special Terms and Conditions (STCs) for the Florida MEDS-AD section 1115(a) Medicaid Demonstration extension (hereinafter “Demonstration”). The parties to this agreement are the Florida Agency for Health Care Administration (State) and the Centers for Medicare & Medicaid Services (CMS). The STCs are applicable to services provided and individuals applying for benefits under the Demonstration on or after January 1, 2015 unless otherwise specified. All previously approved STCs, waivers, and expenditure authorities are superseded by the STCs set forth below. This Demonstration is approved through December 31, 2015.

Special Terms and Conditions Classic Sparen
Special Terms and Conditions • July 3rd, 2014
Special terms and conditions entered into between BCA and Cdiscount within the framework of the “Bank card payment in 4 instalments” by BCA
Special Terms and Conditions • June 4th, 2014 • Cnova N.V.

BANQUE DU GROUPE CASINO, a public limited company incorporated under French law with capital of €23,470,000, whose registered office is at 6 avenue de Provence, 75009 Paris, listed on the Paris Trade & Companies Register under number 434 130 423, represented by Mrs Catherine Vidal as Chairwoman, duly authorised for the purpose hereof;

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • October 12th, 2011

The following are the Special Terms and Conditions (STCs) for New York’s Federal-State Health Reform Partnership section 1115(a) Medicaid Demonstration (hereinafter “Demonstration”). The parties to this agreement are the New York Department of Health (State) and the Centers for Medicare & Medicaid Services (CMS). The STCs set forth in detail the nature, character, and extent of Federal involvement in the Demonstration and the State’s obligations to CMS during the life of the Demonstration. The STCs are effective April 1, 2011 unless otherwise specified. All previously approved STCs, waivers, and expenditure authorities are superseded by the STCs set forth below. This Demonstration is approved through March 31, 2014.

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • April 29th, 2014

NUMBER: 11-W-00242/1 TITLE: Rhode Island Global Consumer Choice Compact Section 1115 Demonstration AWARDEE: Rhode Island Department of Human Services

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • August 31st, 2012

The following are the Special Terms and Conditions (STCs) for New York‟s Partnership Plan section 1115(f) Medicaid Demonstration extension (hereinafter “Demonstration”). The parties to this agreement are the New York State Department of Health (state) and the Centers for Medicare & Medicaid Services (CMS). The STCs set forth in detail the nature, character, and extent of federal involvement in the Demonstration and the state‟s obligations to CMS during the life of the Demonstration. The STCs are effective August 1, 2011, unless otherwise specified. All previously approved STCs, waivers, and expenditure authorities are superseded by the STCs set forth below. This Demonstration extension is approved through December 31, 2014; however, some components of the Demonstration will expire earlier, as described below in these STCs and associated waiver and expenditure authority documents, and in the table in Attachment F.

SPECIAL TERMS AND CONDITIONS
Special Terms and Conditions • July 16th, 2020
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