Benefit Enhancements definition

Benefit Enhancements means the following additional benefits the ACO chooses to make available to Next Generation Beneficiaries through Next Generation Participants and Preferred Providers in order to support high-value services and allow the ACO to more effectively manage the care of Next Generation Beneficiaries: (1) 3-Day SNF Rule Waiver Benefit Enhancement (as described in Section XI.B and Appendix I); (2) Telehealth Expansion Benefit Enhancement (as described in Section XI.C and Appendix J); and (3) Post-Discharge Home Visits Benefit Enhancement (as described in Section XI.D and Appendix K).
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Benefit Enhancements means the following enhanced benefits the ACO may choose to make available to REACH Beneficiaries through Participant Providers and Preferred Providers in order to support high-value services and allow the ACO to more effectively manage the care of REACH Beneficiaries: the 3-Day SNF Rule Waiver Benefit Enhancement, the Telehealth Benefit Enhancement, the Post-Discharge Home Visits Benefit Enhancement, the Care Management Home Visits Benefit Enhancement, the Home Health Homebound Waiver Benefit Enhancement, the Concurrent Care for Beneficiaries that Elect Medicare Hospice Benefit Enhancement, and the Nurse Practitioner and Physician Assistant Services Benefit Enhancement. The ACO may select one or more Benefit Enhancements for each Performance Year as described in Section 8.01.
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Benefit Enhancements means the following enhanced benefits the DCE may choose to make available to DC Beneficiaries through DC Participant Providers and Preferred Providers in order to support high-value services and allow the DCE to more effectively manage the care of DC Beneficiaries: the 3-Day SNF Rule Waiver Benefit Enhancement, the Telehealth Benefit Enhancement, the Post-Discharge Home Visits Benefit Enhancement, the Care Management Home Visits Benefit Enhancement, the Home Health Homebound Waiver Benefit Enhancement, and the Concurrent Care for Beneficiaries that Elect Medicare Hospice Benefit Enhancement. The DCE may select one or more Benefit Enhancements for each Performance Year as described in Section 8.01.
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Examples of Benefit Enhancements in a sentence

  • CMS may require the ACO to report data on the use of Benefit Enhancements and Beneficiary Engagement Incentives to CMS.

  • The ACO may select as described in Section 8.01 to provide one or more Benefit Enhancements and Beneficiary Engagement Incentives for a Performance Year.

  • For purposes of furnishing Benefit Enhancements and participating in the ACO’s selected Capitation Payment Mechanism, the removal of an individual or entity from the Participant Provider List or Preferred Provider List will be effective on the last day of the month the individual or entity ceases to meet the requirements of Section 4.01.A(1)-(5) or Section 4.01.B(1)-(5), as applicable.

  • Nothing in this subsection (w) shall prevent the actual commencement of benefits under any Retirement Plan, and the Benefit Enhancements required by this subsection (w), before the end of the Employment Period to the extent required or permitted under the terms of the applicable Retirement Plan, giving effect to the additional age and service credit required by this subsection (w).

  • If the ACO selects to provide one or more Benefit Enhancements for a Performance Year, the ACO’s Next Generation Participants and Preferred Providers, as indicated on the relevant Participant List and Preferred Provider List under Section IV, may submit claims for services furnished pursuant to a Benefit Enhancement as described in this Section during the Performance Year for which the ACO selected to provide the Benefit Enhancement.

  • The state allows the plans to offer services to enrolled Medicaid recipients in addition to those covered services specified in the contract, Quality and Benefit Enhancements or Quality Enhancements.

  • The resulting adjustment, if any, in the Capitation Percentage shall be a one-time adjustment limited by that amount, or portion thereof, that has been specifically determined by CMS to be used for the Benefit Enhancements.

  • CMS is reviewing its current policy on Mid-Year Benefit Enhancements as stated in the preamble to the rule implementing the Medicare Modernization Act amendments (see 70 FR 4587, 4639) (January 28, 2005)).

  • The ACO may select to provide one or more Benefit Enhancements for a Performance Year.

  • The purpose of FWA-002 is to detail the ACO’s policy and processes to ensure compliance with the Medicare Shared Savings Program Final Rule requirements related to the provision of certain payment rule waivers, also known as Benefit Enhancements.


More Definitions of Benefit Enhancements

Benefit Enhancements means as the Actuarial Present Value of Total Projected Benefits attributed to the estimated increase in the benefits of
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Benefit Enhancements means the following enhanced benefits the DCE may choose to make available to DC Beneficiaries through DC Participant Providers and Preferred Providers in order to support high-value services and allow the DCE to more effectively manage the care of DC Beneficiaries: the 3-Day SNF Rule Waiver Benefit Enhancement, the Telehealth Benefit Enhancement, the Post-Discharge Home Visits Benefit Enhancement, the Care Management Home Visits Benefit Enhancement, the Home Health Homebound Waiver Benefit Enhancement, and the Concurrent Care for Beneficiaries that Elect Medicare Hospice Benefit Enhancement.The DCE may select one or more Benefit Enhancements for each Performance Year as described in Section 8.01.
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Benefit Enhancements means the following Plan benefit enhancements, unless adjusted consistent with the terms of the exemption:
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Benefit Enhancements means the following additional benefits the ACO chooses to make available to Next Generation Beneficiaries through Next Generation Participants and Preferred Providers in order to support high-value services and allow the ACO to more effectively manage the care of Next Generation Beneficiaries: (1) 3-Day SNF Rule Waiver (as described in Section
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Related to Benefit Enhancements

  • Credit Enhancements means surety bonds, insurance policies, letters of credit, guarantees and other

  • Credit Enhancement means, with respect to this Confirmation or any other Relevant Agreement, any credit enhancement or other credit support arrangement in support of the obligations of Dealer or Counterparty hereunder or thereunder or with respect hereto or thereto, including any guarantee or collateral arrangement (including any pledge, charge, mortgage or other security interest in collateral or title transfer arrangement), trust or similar arrangement, letter of credit, transfer of margin or any similar arrangement.

  • Credit Enhancement Agreements means, collectively, any documents, instruments, guarantees or agreements entered into by the Issuer, any of its Restricted Subsidiaries or any Securitization Entity for the purpose of providing credit support (that is reasonably customary as determined by Issuer’s senior management) with respect to any Permitted Funding Indebtedness or Permitted Securitization Indebtedness.

  • Credit Enhancement Provider means, with respect to any Securities, any person issuing, funding or otherwise making available, for the benefit of Securityholders or any party to a Serviced Corporate Trust Contract, an asset as an enhancement of the credit quality or liquidity of any Securities or the mortgage assets or other assets pledged for or underlying such Securities, such as a letter of credit, surety bond, insurance policy, guaranty, reserve fund pledge or collateral undertaking.

  • pension means a pension or annual allowance paid under the Public Service Superannuation Act (PSSA), R.S., 1985, c. P-36, and any increases paid pursuant to the Supplementary Retirement Benefits Act, R.S., 1985, c. S-24 as it affects the PSSA. It does not include pensions payable pursuant to the Canadian Forces Superannuation Act, R.S., 1985, c. C-17, the Defence Services Pension Continuation Act, 1970, c. D-3, the Royal Canadian Mounted Police Pension Continuation Act , 1970, c. R-10, and the Royal Canadian Mounted Police Superannuation Act, R.S., 1985, c. R-11, the Members of Parliament Retiring Allowances Act, R.S. 1985, c. M-5, and that portion of pension payable to the Canada Pension Plan Act, R.S., 1985, c. C-8.

  • Retirement Plans means the retirement income, supplemental executive retirement, excess benefits and retiree medical, life and similar benefit plans providing retirement perquisites, benefits and service credit for benefits at least as great in value in the aggregate as are payable thereunder prior to a Change in Control.

  • Servicer Employees As defined in Section 2.12.

  • Benefit Arrangements has the meaning set forth in Section 4.20(b).

  • Credit Enhancement Agreement means the Agreement among the Sellers, the Master Servicer, the Trustee and the Credit Enhancement Provider with respect to the Credit Enhancement.

  • Supplemental Benefit means the monthly benefit payable to the Executive under this Agreement.

  • Special Servicing Compensation With respect to any Serviced Mortgage Loan, Serviced Loan Combination or REO Property (other than an REO Property related to an Outside Serviced Mortgage Loan), any of the Special Servicing Fee, the Workout Fee, and the Liquidation Fee which shall be due to the Special Servicer.

  • Servicing Compensation With respect to each Distribution Date, the sum of (i) the aggregate Servicing Fee for such Distribution Date subject to reduction as provided in Section 3.17, (ii) any Ancillary Income, (iii) Excess Proceeds for the preceding month and (iv) the Servicer Custodial Account Reinvestment Income for such Distribution Date.

  • Overcollateralized Group As defined in Section 4.03.

  • Supplemental Retirement Plan means (i) the Company’s Amended and Restated Supplemental Executive Retirement Plan, (ii) the Company’s Supplemental Management Retirement Plan, (iii) the Company’s Amended and Restated Top Hat Restoration Plan, and (iv) the Company’s Defined Contribution Restoration Plan.

  • Basic Plan means as to any Member or Vested Former Member the defined benefit pension plan of the Company or an Affiliated Employer intended to meet the requirements of Code Section 401(a) pursuant to which retirement benefits are payable to such Member or Vested Former Member or to the Surviving Spouse or designated beneficiary of a deceased Member or Vested Former Member.

  • Enhancement Provider means the Person providing any Enhancement as designated in the applicable Series Supplement.

  • Series Enhancement means the rights and benefits provided to the Trust or the Investor Certificateholders of any Series or Class pursuant to any letter of credit, surety bond, insurance policy, cash collateral guaranty, subordinated interest in the Trust Assets, cash collateral account, collateral interest, spread account, guaranteed rate agreement, maturity liquidity facility, tax protection agreement, interest rate swap agreement, interest rate cap agreement or other similar arrangement. The subordination of any Series or Class to another Series or Class shall be deemed to be a Series Enhancement.

  • Master Servicing Compensation The meaning specified in Section 3.14.

  • Continuing education credit or “CE credit” means one continuing education credit as defined in [insert reference in State law or regulations governing producer continuing education course approval].

  • Qualified Plans has the meaning set forth in Section 5.20.

  • Benefit Arrangement means at any time an employee benefit plan within the meaning of Section 3(3) of ERISA which is not a Plan or a Multiemployer Plan and which is maintained or otherwise contributed to by any member of the ERISA Group.

  • Credit Enhancement Percentage For any Distribution Date, the percentage equivalent of a fraction, the numerator of which is the sum of the aggregate Certificate Principal Balances of the Mezzanine Certificates and the Class CE Certificates, and the denominator of which is the aggregate Stated Principal Balance of the Mortgage Loans, calculated after taking into account distributions of principal on the Mortgage Loans and distribution of the Principal Distribution Amount to the Certificates then entitled to distributions of principal on such Distribution Date.

  • Pension Plan means any “employee pension benefit plan” (as such term is defined in Section 3(2) of ERISA), other than a Multiemployer Plan, that is subject to Title IV of ERISA and is sponsored or maintained by the Borrower or any ERISA Affiliate or to which the Borrower or any ERISA Affiliate contributes or has an obligation to contribute, or in the case of a multiple employer or other plan described in Section 4064(a) of ERISA, has made contributions at any time during the immediately preceding five plan years.

  • Individual retirement account means an individual retirement account under Section 408 of the Code, a Roth IRA under Section 408A of the Code, a simplified employee pension under Section 408(k) of the Code or a simple retirement account for employees under Section 408(p) of the Code.

  • Conduit Credit Enhancer shall have the meaning assigned to such term in Section 14(d).

  • Supplemental Retirement Benefit means the benefit determined under Article V of this Plan.