Common use of Additional Schedules Clause in Contracts

Additional Schedules. The Hospital Agreement may have additional Schedules and Amendments addressing unique terms for your hospital/facility. The Hospital Agreements may also include specific Exhibits to the Schedules outlining specific contract services and rates. Skilled nursing facilities, ambulatory surgery centers, dialysis centers, and other participating health care facilities that are licensed as Article 28 facilities in New York state, or qualified facilities in other states which are credentialed by CDPHP, have a current Agreement executed by both parties. Each Agreement has its own set of Schedules and attachments. In addition, the Agreement may have Medicare Choice/Advantage Schedule Addendum and Medicaid Schedule or Addendum if the facility is located in a county where CDPHP has members in these government programs. Examples of Agreements for other facilities are: • Skilled Nursing Facility Service Agreement • Ambulatory Surgical Center Service Agreement • Participating Adjunct Provider Agreement • Home Health Care • Etc. These Agreements generally have articles and terms similar to those noted above for Hospital Agreements, but are specific to these providers’ specialty of care. Each Agreement has Schedules that specify rates and methods of reimbursement to the facility. Generally, facility services that are not addressed in the Schedules are not reimbursed by CDPHP, unless prior authorized by CDPHP. CDPHP should be notified immediately when a new category of services is introduced so that amendments to the Schedules may be considered. The CDPHP Schedules may also include sections specifying terms and reimbursement rates for government programs such as Medicare Choices/Advantage, Child Health Plus, and Medicaid, if applicable, which may be payable at the current New York State Medicaid or regional Medicare rates.