Appendix L, Sub Sample Clauses

Appendix L, Sub. Capitation Program Rates for Primary Care Entities, is hereby deleted and replaced with the attached Appendix L. 60. Appendix N, Network Availability Standards, is hereby deleted and replaced with the attached Appendix N. 61. Appendix O, Behavioral Health and Certain Other Services Minimum Fee Schedule, is hereby deleted and replaced with the attached Appendix O.
Sample 1Sample 2Sample 3See All (24)
AutoNDA by SimpleDocs
Appendix L, Sub. Capitation Program Rates for Primary Care Entities, is hereby deleted and replaced with the attached Appendix L. Amendment #1 to the First Amended and Restated ACPP Contract APPENDIX D PAYMENT EXHIBIT 1 BASE CAPITATION RATES AND ADD‐ONS Rate Year 2024 Listed below are the Per Member Per Month (PMPM) Base Capitation Rates for Rate Year 2024 (January 1, 2024, through December 31, 2024) (also referred to as RY24), subject to state appropriation and all necessary federal approvals. Base Capitation Rates do not include EOHHS adjustments described in Section 4.3 of the Contract. In addition to the Base Capitation Rates tables below, additional tables include the add‐on for the Contract Year, for ABA Services as described in Section 4.5.E, for High Cost Drugs as described in Section 4.5.F and for SUD Risk Sharing Services as described in Section 4.5.G. The add‐on for High Cost Drugs, ABA Services and SUD Risk Sharing Services are the same for all Regions and will be added to the Risk Adjusted Capitation Rates as defined in Section 4.2.E. ACPP Base Capitation Rates / RC I Adult Effective January 1, 2024 – December 31, 2024 (RY24) REGION CORE MEDICAL COMPONENT ADMINISTRATIVE COMPONENT TOTAL BASE CAPITATION RATE (per member per month) (per member per month) (per member per month) Northern $593.96 $50.47 $644.43 Greater Boston $646.66 $53.25 $699.91 Southern $652.30 $52.48 $704.78 Central $619.68 $51.31 $670.99 Western $566.15 $49.67 $615.82 ACPP Base Capitation Rates / RC I Child Effective January 1, 2024 – December 31, 2024 (RY24) REGION CORE MEDICAL COMPONENT ADMINISTRATIVE COMPONENT TOTAL BASE CAPITATION RATE (per member per month) (per member per month) (per member per month) Northern $262.88 $40.72 $303.60 Greater Boston $275.20 $42.14 $317.34 Southern $269.71 $40.86 $310.57 Central $266.49 $40.55 $307.04 Western $280.11 $41.24 $321.35 ACPP Base Capitation Rates / XX XX Adult Effective January 1, 2024 – December 31, 2024 (RY24) REGION CORE MEDICAL COMPONENT ADMINISTRATIVE COMPONENT TOTAL BASE CAPITATION RATE (per member per month) (per member per month) (per member per month) Northern $1,960.73 $105.04 $2,065.77 Greater Boston $2,147.80 $117.17 $2,264.97 Southern $2,112.37 $110.70 $2,223.07 Central $1,964.27 $105.73 $2,070.00 Western $1,686.61 $94.27 $1,780.88 ACPP Base Capitation Rates / XX XX Child Effective January 1, 2024 – December 31, 2024 (RY24) REGION CORE MEDICAL COMPONENT ADMINISTRATIVE COMPONENT TOTAL BASE CAPITATION RATE (per member per month) (per ...
Sample 1
Appendix L, Sub. Capitation Program Rates for Primary Care Entities, is hereby deleted and replaced with the attached Appendix L. Amendment #2A to ACPP Contract APPENDIX L SUB-CAPITATION PROGRAM RATES FOR PRIMARY CARE ENTITIES Contract Year 1 Listed below are the Per Member Per Month (PMPM) Primary Care Entity (PCE) Primary Care Sub-Capitation Rates, developed by EOHHS, for Contract Year 1 (Contract Operational Start Date through December 31, 2023) (also referred to as Rate Year 2023 or RY23). The table below sets forth PMPM amounts by PCE, across all Regions and Rating Categories. Please refer to Section 2.23.A.1.h for information on how the Contractor shall pay each PCE during the Contract Year. PCE-specific Primary Care Sub-Capitation Rates April 1, 2023 – December 31, 2023 (RY23) PCE (as defined by EOHHS) PCE SUB- CAPITATION RATE COMPONENT: BASE SUB- CAPITATION RATE PCE SUB- CAPITATION RATE COMPONENT: TIER ENHANCED PAYMENT TOTAL PCE SUB- CAPITATION RATE (see Section 2.23.A.1.h) (per member per month) (per member per month) (per member per month) 010621941 $ 21.32 $ 6.95 $ 28.27 021466791 $ 25.53 $ 6.95 $ 32.48 030729624 $ 14.55 $ 6.94 $ 21.49 042453032 $ 22.05 $ 6.95 $ 29.00 042457750 $ 17.58 $ 6.94 $ 24.52 042460242 $ 19.66 $ 6.92 $ 26.58 042468387 $ 21.59 $ 12.89 $ 34.48 042479693 $ 23.42 $ 6.95 $ 30.37 042501135 $ 21.89 $ 6.95 $ 28.84 042572332 $ 27.32 $ 6.98 $ 34.30 042591197 $ 21.52 $ 12.84 $ 34.36 042647814 $ 19.36 $ 6.96 $ 26.32 042703185 $ 18.04 $ 6.96 $ 25.00 042705210 $ 22.80 $ 6.96 $ 29.76 042730094 $ 26.08 $ 6.96 $ 33.04 042772469 $ 32.45 $ 12.87 $ 45.32 PCE-specific Primary Care Sub-Capitation Rates April 1, 2023 – December 31, 2023 (RY23) PCE (as defined by EOHHS) PCE SUB- CAPITATION RATE COMPONENT: BASE SUB- CAPITATION RATE PCE SUB- CAPITATION RATE COMPONENT: TIER ENHANCED PAYMENT TOTAL PCE SUB- CAPITATION RATE (see Section 2.23.A.1.h) (per member per month) (per member per month) (per member per month) 042774441 $ 28.66 $ 12.75 $ 41.41 042817581 $ 23.20 $ 12.83 $ 36.03 042929916 $ 20.73 $ 12.85 $ 33.58 042942275 $ 27.64 $ 12.87 $ 40.51 043023497 $ 16.12 $ 6.93 $ 23.05 043058418 $ 22.13 $ 6.97 $ 29.10 043066227 $ 20.74 $ 6.93 $ 27.67 043115224 $ 24.54 $ 6.94 $ 31.48 043138613 $ 24.67 $ 6.98 $ 31.65 043165789 $ 23.49 $ 6.96 $ 30.45 043195052 $ 20.92 $ 6.94 $ 27.86 043290065 $ 16.26 $ 6.95 $ 23.21 043293554 $ 17.58 $ 6.95 $ 24.53 043402133 $ 14.97 $ 6.96 $ 21.93 043402361 $ 23.23 $ 6.93 $ 30.16 043403040 $ 21.68 $ 4.97 $ 26.65 043414523 $ 25.34 $ 12.86 $ 3...
Sample 1

Related to Appendix L, Sub

  • Certification Regarding Entire TIPS Agreement for Part 1 and Part 2 Contracts 5 This is a two part solicitation. Part 1 is solicited for TIPS sales that are not considered a "public work" construction project. Part 1 permits the sale of goods and non-construction/non-"public work" services such as maintenance and minor repairs. Part 2 Job Order Contract (JOC) is solicited for projects considered by your TIPS Member Customers to be a "public work" construction project. The determination of whether or not a TIPS sale amounts to a "public work" construction project requiring a Part 2 JOC contract is made by the TIPS Member Customer at the time of each TIPS sale. Thus, Vendors are encouraged to respond to both Parts 1 and 2 in case your TIPS Member Customers require that a sale be made under one Part or the other. However, responding to both Parts is not required. If Vendor responds and is awarded to both Parts, Vendor will have one contract for Part 1 and a separate contract for Part 2.

  • APPENDIX E During the performance of this contract, the contractor, for itself, its assignees, and successors in interest (hereinafter referred to as the “contractor”) agrees to comply with the following non- discrimination statutes and authorities; including but not limited to: Pertinent Non-Discrimination Authorities: • Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat. 252), (prohibits discrimination on the basis of race, color, national origin); and 49 C.F.R. Part 21. • The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (42 U.S.C. § 4601), (prohibits unfair treatment of persons displaced or whose property has been acquired because of Federal or Federal-aid programs and projects); • Federal-Aid Highway Act of 1973, (23 U.S.C. § 324 et seq.), (prohibits discrimination on the basis of sex); • Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. § 794 et seq.), as amended, (prohibits discrimination on the basis of disability); and 49 C.F.R. Part 27; • The Age Discrimination Act of 1975, as amended, (42 U.S.C. § 6101 et seq.), (prohibits discrimination on the basis of age); • Airport and Airway Improvement Act of 1982, (49 U.S.C. § 471, Section 47123), as amended, (prohibits discrimination based on race, creed, color, national origin, or sex); • The Civil Rights Restoration Act of 1987, (PL 100-209), (Broadened the scope, coverage and applicability of Title VI of the Civil Rights Act of 1964, The Age Discrimination Act of 1975 and Section 504 of the Rehabilitation Act of 1973, by expanding the definition of the terms “programs or activities” to include all of the programs or activities of the Federal-aid recipients, sub-recipients and contractors, whether such programs or activities are Federally funded or not); • Titles II and III of the Americans with Disabilities Act, which prohibit discrimination on the basis of disability in the operation of public entities, public and private transportation systems, places of public accommodation, and certain testing entities (42 U.S.C. §§ 12131 – 12189) as implemented by Department of Transportation regulations at 49 C.F.R. Parts 37 and 38; • The Federal Aviation Administration’s Non-discrimination statute (49 U.S.C. § 47123) (prohibits discrimination on the basis of race, color, national origin, and sex); • Executive Order 12898, Federal Actions to Address Environmental Justice in Minority Populations and Low-Income Populations, which ensures nondiscrimination against minority populations by discouraging programs, policies, and activities with disproportionately high and adverse human health or environmental effects on minority and low-income populations; • Executive Order 13166, Improving Access to Services for Persons with Limited English Proficiency, and resulting agency guidance, national origin discrimination includes discrimination because of limited English proficiency (LEP). To ensure compliance with Title VI, you must take reasonable steps to ensure that LEP persons have meaningful access to your programs (70 Fed. Reg. at 74087 to 74100); • Title IX of the Education Amendments of 1972, as amended, which prohibits you from discriminating because of sex in education programs or activities (20 U.S.C. § 1681 et seq). TERM B.2 CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS -- PRIMARY COVERED TRANSACTIONS

  • ATTACHMENT B Applicable California Vehicle Code and Civil Code Provisions Note: Many California laws, which govern a tow Operator’s business and vehicle operations, are included in this attachment. The is list of California statutes included herein is intended as a general guide only and is not meant to be considered all-inclusive. It is the tow Operator’s responsibility to know and comply with all federal and state statutes and all local ordinances relating to his/her business operations, including those that are referred to in this document and those that are not; any new statutes or ordinances that are subsequently adopted; and any amendments, repeals, or modifications of existing statutes and ordinances, including but not limited to those described in this attachment.

Time is Money Join Law Insider Premium to draft better contracts faster.