Examples of MA Agreement in a sentence
Coinsurance amounts must comply with the terms of the MA Agreement.
Pursuant to the Texas State Plan, HHSC is financially responsible for the Cost Sharing Obligations attributable to Dual Eligible Members enrolled in the MA Agreement.
The PMPM capitation rate is subject to modification in accordance with Section 9.07 if HHSC reasonably determines that: (1) changes in state or federal laws, rules, regulations, or policies materially affect the rate; (2) an amendment, modification, or change to the MA Agreement materially affects the rate; or (3) other information justifies a modification to the rate.
The MA Health Plan has entered into a Medicare Advantage Plan Agreement (MA Agreement) with the Centers for Medicare and Medicaid Services (CMS).
The MA Health Plan must notify HHSC no later than fifteen (15) business days after the effective date of such an amendment to the MA Agreement.
Co-payment amounts must comply with the terms of the MA Agreement.
In addition, the MA Health Plan must also provide all amendments to the MA Agreement or the Bid Pricing Tool to HHSC within fifteen (15) business days of receiving a request for this information.
The MA Health Plan agrees and understands that HHSC may pursue tailored contractual remedies for noncompliance with this Agreement, to the extent that noncompliance is not due to adherence with the requirements of the MA Agreement.
Upon execution of this Agreement, the MA Health Plan must provide HHSC with a copy of the MA Agreement and all attachments.