Experience Rebate definition

Experience Rebate means the portion of the HMO’s net income before taxes that is returned to the State in accordance with Section 10.11 for the STAR, CHIP and CHIP Perinatal Programs and 10.11.1 for the STAR+PLUS Program (“Experience Rebate”).

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Experience Rebate means the portion of the MCO’s Net Income Before Taxes that is returned to the State in accordance with Section 10.10 for the STAR, CHIP and CHIP Perinatal Programs and 10.10.1 for the STAR+PLUS Program (“Experience Rebate”).

Experience Rebate means the portion of the HMO's net income before taxes (financial Statistical Report, Part 1, Line 14) that is returned to the state in accordance with Section 13.2.

Examples of Experience Rebate in a sentence

The Experience Rebate is calculated in accordance with the tiered rebate method in Section 10.08(b).
Thus, the Admin Cap does not impact FSR reporting, but may impact any associated Experience Rebate calculation.
In determining the amount of Experience Rebate payment to include in the Primary Settlement (or in conjunction with any subsequent payment or settlement), the MCO will need to make the appropriate calculation, in order to assess the impact, if any, of the Admin Cap.
The Admin Cap is a calculated maximum amount of administrative expense dollars that can be deducted from Revenues for purposes of determining income subject to the Experience Rebate.
At the end of each FSR Reporting Period, the MCO must pay an Experience Rebate if the the percentage set forth below of the total Revenue for the period.

More Definitions of Experience Rebate

Experience Rebate means excess of allowable HMO STAR revenues over allowable HMO STAR expenses.

Experience Rebate means the amount a managed

Experience Rebate means the amount a managed care organization is required to pay the state according to the graduated rebate method described in the managed care organization ’s contract with the commission.

Experience Rebate means the portion of the

Experience Rebate. The portion of the STAR+PLUS MMP’s Net Income Before Taxes, if any, which is returned to HHSC in accordance with requirements in this Contract. The Experience Rebate calculation under this Contract will be separate and apart from the Experience Rebate calculation done for other contracts with HHSC. This Experience Rebate will not be included in the “consolidated basis” of other HHSC contracts. For the purposes of calculating the Experience Rebate under this Contract, Medicare Part D premium revenues, along with associated Medicare Part D costs, will be excluded. Costs under the Experience Rebate calculation are subject to the Admin Cap and the Reinsurance Cap.

Experience Rebate means the portion of the Dental Contractor’s net income before taxes that may be returned to the State in accordance with Section 10.08 “Experience Rebate” below.

Experience Rebate means the amount a