Budget Neutral definition

Budget Neutral. A standard for any risk sharing mechanism that recognizes both higher and lower expected costs among contracted MCOs under a managed care program and does not create a net aggregate gain or loss across all payments under that managed care program.
Budget Neutral means that the cost to a payer is no greater or less under the new payment system than it would have been under the previous payment system. Budget neutrality is generally viewed as being measured over a one-year timeframe—the typical length of a government budget year or health insurance contract. As noted in Section II-E, a short timeframe can cause distortions in incentives,

Examples of Budget Neutral in a sentence

  • The Parties agree that during transition a Budget Neutral Adjustment is made each year to offset the additional cost to the Commonwealth of net additional financial responsibilities taken on as part of the National Health Reform Agreement (i.e. the additional cost to the Commonwealth of Home and Community Care for older people, and the cost of specialist disability services for older people, less the costs of responsibilities transferred to South Australia for younger people in aged care).

  • The Parties agree that the Budget Neutral Adjustment is calculated in 2013-14 to offset the additional cost to the Commonwealth of net additional financial responsibilities taken on as part of the National Health Reform Agreement (i.e. the additional cost to the Commonwealth of Home and Community Care (HACC) for older people, and the cost of specialist disability services for older people, less the costs of responsibilities transferred to South Australia for younger people in aged care).

  • Where the Budget Neutral Adjustment cannot be fully repaid from the NDSPP, WA will reduce the Commonwealth’s WA NDIS invoices.

  • The Budget Neutral Adjustment will be escalated at 3.5 per cent per annum.

  • The Parties agree that the Budget Neutral Adjustment will be reviewed for all components by 30 June 2018 in accordance with the Bilateral Agreement between the Commonwealth and WA on Transitioning Responsibilities for Aged Care and Disability Services in WA.

  • The Parties agree that the Budget Neutral Adjustment is fixed at the 2018-19 amount and grows by 3.5 per cent per annum.

  • The Parties agree that for 2018-19 and 2019-20, WA will provide the Budget Neutral Adjustment to the WA NDIS authority from the Commonwealth as an additional on‑payment of the National Disability Specific Purpose Payment (NDSPP) as outlined in Schedule C: Financial Contributions for Transition in Western Australia.

  • The Parties agree that the change in roles and responsibilities will be made cost neutral as at 1 July 2018 through a Budget Neutral Adjustment payment.

  • The estimated repayment of Intergovernmental payments is outlined at Table 6: Table 6: Estimated On-repayment of Commonwealth Intergovernmental payments for participants Repayment of Commonwealth Intergovernmental payments 71.4 103.8 180.4 Budget Neutral Adjustment, via NDSPP1 0.0 50.5 0.0 1Additional repayment of the NDSPP as outlined in Schedule C: Arrangements in Western Australia for Cross‑Billing and Budget Neutrality.

  • The Budget Neutral Adjustment over the period 2018-19 to 2019-20, which reflects a net contribution to the Commonwealth, is outlined in Table 6.

Related to Budget Neutral

  • Budget unit means the unit for which the ANB of a district is calculated separately pursuant to 20-9-311.

  • Budget Act means an act containing appropriations which form a portion of the state's annual budget.

  • Budget Year means the financial year of the municipality for which an annual budget is to be approved in terms of section 16(1) of the MFMA;

  • Multiregional Modeling Working Group or “MMWG” shall mean the NERC working group that is charged with multi-regional modeling.

  • Budget Period means the fiscal period for which a budget is prepared.

  • Basic health plan model plan means a health plan as required in RCW 70.47.060(2)(e).

  • State Budget Director means the individual appointed by the Governor pursuant to Section 321 of The Management and Budget Act, 1984 PA 431, MCL 18.1321.

  • Statutory Plan means a plan required in terms of any legislation, including but not limited to, any structure plan, land use plan, zoning scheme, integrated development plan, water services plan, skills development plan and employment equity plan;

  • Budget month means the calendar month from which nonfinancial and financial information is used to determine eligibility (see section (28) of this rule) and benefit level for the payment month (see section (50) of this rule).

  • High Deductible Health Plan means a Health Plan as defined by 26 USC § 223(c)(2)(A) that also is a Qualified Health Plan.

  • Parenting plan means a written plan describing each parent's rights and responsibilities.

  • Statutory Penalties are those amounts awarded as a penalty, but are fixed in amount by statute.

  • Community mental health program means all mental health

  • Section 385 Expanded Group shall have the meaning set forth in Treasury Regulation Section 1.385-1(c)(4) for an “expanded group”.

  • Qualified mental health professional means a licensed medical practitioner or any other person meeting the qualifications specified in OAR 309-019-0125.

  • Statutory Plans means statutory benefit plans which a Party and any of its Subsidiaries are required to participate in or comply with, including any benefit plan administered by any federal or provincial government and any benefit plans administered pursuant to applicable health, tax, workplace safety insurance, and employment insurance legislation;

  • Participating Certified Clinical Nurse Specialist means a Certified Clinical Nurse Specialist who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Budget-related Policy means a policy of a municipality affecting or affected by the annual budget of the municipality, including-

  • Peer-reviewed medical literature means a scientific study published only after having been critically

  • traditional leader means the leader of a traditional authority that had been identified by the MEC in terms of section 81 (2) of the Local Government: Municipal Structures Act to participate in the proceedings of the council.

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

  • Annual Work Plan and Budget means the work plan and budget approved by the Bank and adopted by the Borrower in accordance with the provisions of Section I.C of Schedule 2 of this Agreement, as said work plan and budget may be modified from time to time with the written agreement of the Bank.

  • Clinical nurse specialist means a registered nurse with relevant post-basic qualifications and 12 months’ experience working in the clinical area of his/her specified post-basic qualification, or a minimum of four years’ post-basic registration experience, including three years’ experience in the relevant specialist field and who satisfies the local criteria.

  • Flexi Plan means any individual indemnity hospital insurance plan under the VHIS framework with enhancement(s) to any or all of the protections or terms and benefits that the Standard Plan provides to the Policy Holder and the Insured Person, subject to certification by the Government. Such plan shall not contain terms and benefits which are less favourable than those in the Standard Plan, save for the exception as may be approved by the Government from time to time.

  • Managed care plan means a health benefit plan that either requires a covered person to use, or

  • Non-Participating Certified Clinical Nurse Specialist means a Certified Clinical Nurse Specialist who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.