Arrangement Year definition

Arrangement Year has the meaning assigned to such term in Section 4.4.4;
Arrangement Year means each calendar year during the period that both a Policy and the Agreement are in effect.

Examples of Arrangement Year in a sentence

  • The PH-MCO will submit a quarterly file for the current Arrangement Year, plus any file that is due for a previous Arrangement Year.

  • If the Arrangement Year begins after January 31, the Department will provide the PH-MCO with a Threshold Amount that will apply in lieu of $15,000.

  • This Arrangement covers services provided by a Licensed Practical Nurse, Registered Nurse, Home Health Aide, or Personal Care Provider in a home or home-like setting paid by the PH-MCO for a HealthChoices Member enrolled with the PH-MCO with a date of service during the Arrangement Year (Covered Services).

  • In each Arrangement Year that is equivalent to a calendar year, the PH-MCO is responsible for the first $15,000 (Threshold Amount) in paid amounts of Covered Services provided to each Member as identified in Section II above.

  • An Arrangement Year includes all portions of a calendar year that the PH-MCO operated a HealthChoices program in this zone under this Agreement or another Agreement.

  • Each quarterly file will provide cumulative information on payments made for dates of service within one Arrangement Year.

  • The amount of the GRT HNRS Payment will equal 6.27 percent of the Department’s Home Nursing Risk Sharing obligation to date for this Arrangement Year, net of Home Nursing Risk Sharing Withhold Amounts for this Arrangement Year, less any GRT HNRS Payments the Department has already paid for this Arrangement Year.

  • Each Arrangement Year serves as an accumulation period for incurring costs for Covered Services.

  • The initial term of this Agreement shall expire on the last day of the Arrangement Year, and thereafter, is automatically renewable for additional one-year terms beginning on October 1 of each year, subject to the termination provisions set forth below.

  • The Arrangement Year refers to the annual policy issuing period established under the Arrangement commencing on October 1 of one year and concluding on September 30 the following year.