CCO Payment definition
Examples of CCO Payment in a sentence
Contractor shall coordinate services for each Member who requires health services not covered under the CCO Payment.
This Contract, including the CCO Payment Rates contained herein, is subject to approval by the US Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS).
Any changes in the CCO Payment Rates under ORS 414.735 shall take effect on the date approved by the Legislative Assembly or the Legislative Emergency Board approving such changes.
In consideration of all the Work to be performed under this Contract, OHA will pay Contractor a monthly CCO Payment for each Member enrolled under the Contract according to OHA records.
This Contract, and the CCO Payment Rates contained herein, is subject to approval by the US Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS).
Contractor shall remain responsible for providing all Covered Services through the end of the 90 day period, without limitation, for all Members for which the Contractor received a CCO Payment.
Each Contract Year, this Contract, including the CCO Payment Rates contained herein, is subject to approval by the US Department of Health and Human Services (“DHHS” or “HHS”), Centers for Medicare and Medicaid Services (“CMS”).
OHA may, in its discretion, withhold up to 20% of Contractor’s monthly CCO Payment (subject to actuarial considerations) until all contractual obligations have been met to OHA’s satisfaction.
In the event that OHA removes the Hospital reimbursement adjustment from the CCO Payment rate, Contractor shall no longer be required to distribute such Hospital reimbursement adjustment amount to eligible Hospitals.
In the event CMS fails to approve the proposed 2020 CCO Payment Rates prior to the Effective Date, OHA shall pay Contractor at the proposed CCO Payment Rates, subject to adjustment upon OHA’s receipt of CMS approval or modification of the proposed CCO Payment Rates.