Common use of Capitation Payment Clause in Contracts

Capitation Payment. The Department shall pay Contractor on a Capitation basis, based on the rate cell of the Enrollee as shown on the table in Attachment IV, a sum equal to the product of the approved Capitation rate and the number of Enrollees enrolled in that category as of the first day of that month. An Enrollee’s rate cell shall be determined by the Department at the time of the Enrollee’s enrollment and the Enrollee’s rate cell shall not change during the first year of the Enrollee’s enrollment, regardless of any change in the Enrollee’s circumstances, except as provided in Section 7.3. Capitation is due to Contractor by the fifteenth day of the service month. Rates reflected in Attachment IV are for the period as set forth in said Attachment, except as adjusted pursuant to this Article VII. Rates may be updated periodically to reflect future time periods, additional Service Packages and additional populations. The Department will provide Contractor with an opportunity to review, comment and accept in writing any such update, including supporting data, before such update is implemented. The Parties will work together to resolve any discrepancies.