MA Agreement definition
Examples of MA Agreement in a sentence
Coinsurance amounts must comply with the terms of the MA Agreement.
Co-payment amounts must comply with the terms of 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 Dual SNP has entered into a Medicare Advantage Plan Agreement (MA Agreement) with the Centers for Medicare and Medicaid Services (CMS).
The MA Dual SNP agrees and understands that HHSC may pursue tailored contractual remedies for material noncompliance with this Agreement, to the extent that noncompliance is not due to adherence with the requirements of the MA Agreement.
The PMPM capitation rate is subject to modification in accordance with Section 9.08 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 Dual SNP 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.
In addition, the MA Dual SNP must also provide all amendments to the MA Agreement or the Bid Pricing Tool to the HHSC point-of-contact within 15 business days of receiving a request for this information.
Upon execution of this Agreement, the MA Dual SNP must provide HHSC with a copy of the MA Agreement and all attachments.
Upon execution of this Agreement, the MA Dual SNP must provide the HHSC point-of-contact, identified in Section 9.06, with a copy of the MA Agreement and all attachments.