Capitated rate definition

Capitated rate means the fixed monthly payment per person paid by the State to a medical, behavioral or catastrophic coverage plan.
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Capitated rate means the level of payment for provision of
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Capitated rate means the fixed monthly amount per Enrollee, as set forth on Exhibit A attached hereto, which is payable to HC for the provision of Primary Care Services provided in accordance with the terms of this Agreement, the MEDICAID Agreement, and the applicable Member Handbook.
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Examples of Capitated rate in a sentence

  • Capitated Rate Structure Underlying Rate Structure for the MassHealth Component EOHHS will pay the Contractor a monthly capitation (the MassHealth Component) for Enrollees according to the Rating Categories as follows.

  • In the event that an Enrollee becomes ineligible for any reason to receive Primary Care Services under the terms of this Agreement, ABCHP shall pay to HC a portion of the Capitated Rate for such Enrollee based upon the period of time such Enrollee was eligible until the date on which HC is on notice of the ineligibility.

  • HC agrees to participate in the lines of business selected in Exhibit A that payment by ABCHP of the Capitated Rate set forth in Exhibit A shall constitute payment in full for all Primary Care Services provided to the Enrollee.

  • Payment of Capitated Rate The CONTRACTOR shall be paid a Capitated Payment in accordance with the capitated rates specified in Appendix B, Capitation Rate(s) and Rate Methodology.

  • On or around the fifteenth (15th) day of each month, ABCHP shall pay HC the Capitated Rate in accordance with the Rate Schedules set forth above for Primary Care Services to be provided to Enrollees eligible to receive services in that month.

  • This is a unit price-per member per month (PMPM) Capitated Rate Contract.

  • ABCHP shall have no obligation to pay the Capitated Rate for such Enrollee for any subsequent month unless the eligibility of such Enrollee is restored.

  • Capitated Rate A fixed predetermined fee paid by DHS to the DMO each month in accordance with the Agreement, for each Enrolled Member in a defined rate cell, in exchange for the DMO arranging for or providing a defined set of Covered Services to such an Enrolled Member, regardless of the amount of Medically Necessary Covered Services actually used by the Enrolled Member that are within the defined limits as stated in the Agreement.

  • Payment under this Contract will consist of a fixed reimbursement plan with specific monthly payments based upon a unit price of a Per-Member Per-Month (PMPM) Capitated Rate.


More Definitions of Capitated rate

Capitated rate means a fixed amount, including all revenue, interest and return, per enrolled individual/member paid monthly to Contractor for providing comprehensive mental health services/activities under this Agreement as required in that period for the covered individual/member. All fees paid by or paid on behalf of an enrolled individual/member and all other revenue, interest and return resulting from the same service shall be deducted from the Capitated Rate. In no event shall the County's obligation exceed the CGF allocation as shown in the applicable Negotiated Rate - ISA/Partners (Capitated Rate) Financial Exhibit column(s) which are identified on the Financial Summary;
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Capitated rate means the amount to be paid to IRG for each Covered Person per month that is specified in the Contract Fees set forth in 0. Exhibit F
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Related to Capitated rate

  • Stated Rate has the meaning set forth in Section 2.7.

  • Designated Rate means the rate of interest per annum described in the Supplement as being applicable to an outstanding Loan from time to time.

  • Revised Rate With respect to any ARD Mortgage Loan, the increased interest rate after the Anticipated Repayment Date (in the absence of a default) for such ARD Mortgage Loan, as calculated and as set forth in the related Loan Agreement.

  • Negotiated Rate with respect to each Swing Line Loan, the rate per annum agreed to in writing by the Borrower and the Swing Line Lender as the interest rate which such Swing Line Loan shall bear.

  • Alternate Rate means, for any day, the sum of (a) a rate per annum selected by the Administrative Agent, in its reasonable discretion based on market conditions in consultation with the Company (and any applicable Subsidiary Borrower) and the relevant Lenders, plus (b) the Applicable Margin for Eurocurrency Loans. When used in reference to any Loan, “Alternate Rate” refers to whether such Loan is bearing interest at a rate determined by reference to the Alternate Rate.

  • LIBOR Base Rate means, for each Interest Period, the London interbank offered rate for six-month deposits in Dollars for value the first day of such Interest Period (or, in the case of the initial Interest Period, for value the Interest Payment Date occurring on or next preceding the first day of such Interest Period), as reasonably determined by the Bank and expressed as a percentage per annum.

  • LIBOR Rate means a rate per annum (rounded upwards, if necessary, to the next higher 1/100th of 1%) determined by the Administrative Agent pursuant to the following formula: LIBOR Rate = LIBOR 1.00-Eurodollar Reserve Percentage

  • Floating Rate Advance means an Advance which, except as otherwise provided in Section 2.11, bears interest at the Floating Rate.

  • Interest Rate shall have the meaning assigned to such term or analogous term in the Mortgage Loan Agreement.

  • Bank Rate means the one year marginal cost of lending rate (MCLR) of the State Bank of India issued from time to time plus 350 basis points;”

  • EURIBOR Rate has the meaning specified in the definition of “Eurocurrency Rate”.

  • CP Rate means, for any Conduit Purchaser and for any Yield Period (or portion thereof) for any Portion of Capital, the per annum rate equivalent to the weighted average cost (as determined by the applicable Group Agent and which shall include commissions of placement agents and dealers, incremental carrying costs incurred with respect to Notes of such Person maturing on dates other than those on which corresponding funds are received by such Conduit Purchaser, other borrowings by such Conduit Purchaser (other than under any Program Support Agreement) and any other costs associated with the issuance of Notes) of or related to the issuance of Notes that are allocated, in whole or in part, by the applicable Conduit Purchaser to fund or maintain such Portion of Capital (and which may be also allocated in part to the funding of other assets of such Conduit Purchaser); provided, however, that if any component of such rate is a discount rate, in calculating the “CP Rate” for such Portion of Capital for such Yield Period (or portion thereof), the applicable Group Agent shall for such component use the rate resulting from converting such discount rate to an interest bearing equivalent rate per annum; provided, further, that notwithstanding anything in this Agreement or the other Transaction Documents to the contrary, the Seller agrees that any amounts payable to Conduit Purchasers in respect of Yield for any Yield Period (or portion thereof) with respect to any Portion of Capital funded by such Conduit Purchasers at the CP Rate shall include an amount equal to the portion of the face amount of the outstanding Notes issued to fund or maintain such Portion of Capital that corresponds to the portion of the proceeds of such Notes that was used to pay the interest component of maturing Notes issued to fund or maintain such Portion of Capital, to the extent that such Conduit Purchasers had not received payments of interest in respect of such interest component prior to the maturity date of such maturing Notes (for purposes of the foregoing, the “interest component” of Notes equals the excess of the face amount thereof over the net proceeds received by such Conduit Purchaser from the issuance of Notes, except that if such Notes are issued on an interest-bearing basis its “interest component” will equal the amount of interest accruing on such Notes through maturity). Notwithstanding the foregoing, the “CP Rate” for any Conduit Purchaser for any day while a Termination Event has occurred and is continuing shall be an interest rate equal to the greater of (i) 2.00% per annum above the Base Rate for each day during such Yield Period (or portion thereof) and (ii) 2.00% per annum above the “CP Rate” calculated without giving effect to such Termination Event.

  • Daily LIBOR Rate means, for any day, the rate per annum determined by the Administrative Agent by dividing (x) the Published Rate by (y) a number equal to 1.00 minus the LIBOR Reserve Percentage on such day.

  • Funding Rate means any individual rate notified by a Lender to the Facility Agent pursuant to sub-paragraph (ii) of paragraph (a) of Clause 10.3 (Cost of funds).

  • Reference Interest Rate means the following rate (expressed as a percentage rate per annum) for deposits in the currency of the Strike Price: the Reference Interest Rate specified in the Table which has been published on the screen page specified in the Table (the "Screen

  • Prescribed Rate means the rate of 4% above The Royal Bank of Scotland plc base rate from time to time in force.

  • Past Due Rate means the lesser of (a) with respect to (i) any payment made to a Noteholder under any Series of Equipment Notes, the Debt Rate then applicable to such Series plus 1% and (ii) any other payment made under any Operative Document to any other Person, the Debt Rate plus 1% (computed on the basis of a year of 360 days comprised of twelve 30-day months) and (b) the maximum rate permitted by applicable law.