Examples of Rate Cohort in a sentence
Capitation Rate means a fixed monthly PMPM (per member per month) by Rate Cohort for the Covered Services provided to Members and includes the operational functions required in the Agreement including amounts for taxes determined by the taxing authority.
HCA will provide the CONTRACTOR Capitation Rate signature sheets that detail the Capitation Rates and any add-on PMPM rate amounts by Rate Cohort on an annual basis or when Capitation Rates are revised during the term of this Agreement.
It provides an overview of the key aspects of the tender process and provides guidance on the actions processes and procedures to be followed throughout the procurement process, including tendering out the project, evaluating the bidders, selecting the preferred bidder and executing the PPP contract.
Healthy Dual The Healthy Dual Rate Cohort Capitation Rate includes Covered Services outlined in Attachment 1: Turquoise Care Covered Services.
The Capitation Rates for the CISC program are represented by Rate Cohort PH CISC, 0-21 years, and includes Covered Services outlined in Attachment 1: Turquoise Care Covered Services (Covered Services).
For the Manual Push Flow Rate Cohort, a subject is considered as a ‘responder’ for a certain infusion parameter if he/she has performed ≥ k valid infusions (see a) for that infusion parameter in any order, ie, not necessarily consecutive) during the 4 weeks planned for that infusion parameter level, where k is specified in Table 7.
HCA may include risk corridor arrangements as deemed appropriate or include an add-on PMPM to the Medicaid only SDCB (Rate Cohort Medicaid Only - Self Direction) for Covered Services.
HCA will not retroactively adjust payments from Physical Health or Healthy Dual Rate Cohort to a LTC Rate Cohort.
HCA will change the Capitation Payment to the applicable blended Rate Cohort the month following the effective date of the NF LOC.
Members enrolled in Rate Cohorts TANF, CYFD 0 - 2 months, SSI & Waiver, 0 - 1 year, and Rate Cohort Pregnant Women, 15-49 are excluded from risk-adjustment.