Other Monies Owed definition

Other Monies Owed means a monetary amount owed by either party to the Agreement that is neither Shared Savings nor Shared Losses. Other Monies Owed shall be calculated in accordance with Appendix B, Appendix E, Appendix F, Appendix G, Appendix H, Appendix I, Appendix J, Appendix L, Appendix M, Appendix N, Appendix O, and Appendix T of the Agreement and included in the settlement reports issued by CMS pursuant to Section 12.04 and Appendix B of the Agreement.

Split View

AI-Powered Contracts

Draft, Review & Redline at the Speed of AI

Get StartedSchedule a Demo

Other Monies Owed means a monetary amount owed by either party to this Agreement that represents a reconciliation of monthly payments made by CMS during a Performance Year, including payments made through Alternative Payment Mechanisms, and is neither Shared Savings nor Shared Losses. Such calculations shall be made in accordance with Appendix B and reconciliation shall be performed pursuant to Section XIV.B.

Other Monies Owed means a monetary amount owed by either party to the Agreement that is neither Shared Savings nor Shared Losses. Other Monies Owed shall be calculated in accordance with Appendix B, Appendix E, Appendix F, Appendix G, Appendix H, Appendix I, Appendix J, Appendix L, Appendix M, Appendix N, and Appendix O of the Agreement and included in the settlement reports issued by CMS pursuant to Section 12.04 and Appendix B of the Agreement.

Examples of Other Monies Owed in a sentence

• CMS may condition its consent to such transfer on full or partial reconciliation of Shared Losses and Other Monies Owed.

• The accuracy, completeness, and truthfulness of all data and information that are generated or submitted by the ACO, Participant Providers, Preferred Providers, or other individuals or entities performing functions or services related to ACO Activities or Marketing Activities, including any quality data or other information or data relied upon by CMS in determining the ACO’s eligibility for, and the amount of Shared Savings, or the amount of Shared Losses or Other Monies Owed.

• The ACO shall repay to CMS the Enhanced PCC portion of all PCC Payments it received during a Performance Year as Other Monies Owed at the Performance Year settlement under Section 12.04.A or through settlement reports issued at such other times as provided under Section 12.04.D or in the event of termination, Section 17.04.A.

• The ACO must have the ability to repay all Shared Losses and Other Monies Owed for which it may be liable under the terms of the Agreement and shall provide a financial guarantee in accordance with terms set forth in Appendix H.

• Regardless of whether the ACO selects to participate in Provisional Financial Settlement for a Performance Year, following the end of each Performance Year, and at such other times as may be required under the Agreement, CMS will conduct Final Financial Settlement and issue a settlement report to the ACO setting forth the amount of any Shared Savings or Shared Losses, the amount of Other Monies Owed, and the net amount owed by either CMS or the ACO for the Performance Year.

• CMS shall calculate Shared Savings or Shared Losses according to the methodology in Appendix B and shall calculate the amount of Other Monies Owed according to the methodology in Appendices B, E through G, I, J, L through O, and T.

• Such certifications are a condition of receiving Shared Savings and Other Monies Owed.

• Any difference would constitute Other Monies Owed and may be subject to recoupment or offset in accordance with Appendix H and Section XIV.C of this Agreement.

• Nothing in the Agreement or its Appendices shall be construed to limit the ACO’s liability to pay any Shared Losses or Other Monies Owed in excess of the amount of the financial guarantee.

• CMS shall calculate the provisional amount of Shared Savings or Shared Losses according to the methodology in Appendix B and shall calculate the provisional amount of Other Monies Owed according to the methodologies in Appendices B, E through G, I, J, L through O, and T.

More Definitions of Other Monies Owed

Other Monies Owed means a monetary amount owed by either Party to this Agreement, as determined by CMS through the settlement of MDPCP Payments and identified in the financial settlement reports described in Article 9.12.

Other Monies Owed means a monetary amount owed by either party to the Agreement that represents a reconciliation of certain payments made by CMS during a Performance Year that is neither Shared Savings nor Shared Losses. Other Monies Owed shall be calculated in accordance with Appendix B, Appendix E, Appendix F, Appendix G, Appendix H, Appendix I, Appendix J, Appendix L, Appendix M, Appendix N, and Appendix O of the Agreement and included in the settlement reports issued by CMS pursuant to Section 12.04 and Appendix B of the Agreement.

Other Monies Owed means a monetary amount that represents a reconciliation of monthly payments made by CMS during a Performance Year, including payments made through