APD PAYMENTS Clause Samples
The APD PAYMENTS clause defines the terms and conditions under which payments related to Additional Premium Due (APD) are handled in a contract. Typically, this clause outlines when APD payments are triggered, the calculation method, and the timeline for remittance. For example, it may specify that if certain risk factors change or if additional coverage is required, an extra premium must be paid by the insured party within a set period. The core function of this clause is to ensure that any adjustments to the premium, due to changes in risk or coverage, are clearly addressed and paid promptly, thereby maintaining the financial balance and obligations between the parties.
APD PAYMENTS. APD will pay a Base Rate with up to one (1) Add-on in each of the categories of: ADL, Behavior and Complex Medical needs (three (3) Add-on Maximum). Requests for payment for additional assessed needs which require staffing beyond standard Add-ons must go through the exceptional rates process, be prior approved and will be paid the additional hours of service rate in the rate table with proof of hiring and continued employment. Changes to exceptional rates based on the change in the “additional hours of service rate” will be updated at time of annual reassessment, or as a change in condition occurs, based on Department approval of the exceptional needs request. Exceptional hours shall adequately meet resident service needs and adequately fund this service for Providers. Based on the assessment of the Individual, by the State or its designee, APD may pay pass-through funding for additional service/s for Individuals that are not included in the AFH rate. Pass-through funding may be approved for non-ADL/IADL supports.
APD PAYMENTS. APD will pay a Base Rate with up to one (1) Add-on in each of the categories of: ADL, Behavior and Complex Medical needs (three (3) Add-on Maximum). APD will pay set Add-ons for department approved care needs in Multi-Person Transfers and Excessive Night needs. Requests for payment for additional assessed needs which require staffing beyond standard Add-ons must go through the exceptional rates process, be prior approved and will be paid the additional hours of service rate in the rate table with proof of hiring and continued employment. Changes to exceptional rates based on the change in the “additional hours of service rate” will be updated at time of annual reassessment, or as a change in condition occurs, based on Department approval of the exceptional needs request. Exceptional hours shall adequately meet resident service needs and adequately fund this service for Providers. Based on the assessment of the Individual, by the State or its designee, APD may pay pass-through funding for additional service/s for Individuals that are not included in the AFH rate. Pass-through funding may be approved for non-ADL/IADL supports.
APD PAYMENTS. APD will pay a Base Rate with up to one (1) Add-on in each of the categories of: ADL, Behavior and Complex Medical needs (three (3) Add-on Maximum). APD will pay set Add-ons for department approved care needs in Multi-Person Transfers and Excessive Night needs. Requests for payment for additional assessed needs which require staffing beyond standard Add-ons must go through the exceptional rates process, be prior approved and will be paid the additional hours of service rate in the rate table with proof of hiring and continued employment. Changes to exceptional rates based on the change in the “additional hours of service rate” will be updated at time of annual reassessment, based on Department approval of the exceptional needs request.