Capitation Payments. The MCO must refer to Attachment A, “Uniform Managed Care Contract Terms and Conditions” for information and Contract requirements on the:
Capitation Payments. Capitation payments by a Contractor to a Primary Care Provider or clinic contracting with the Contractor on a capitation basis shall be payable effective the date of the Member’s enrollment where the Member’s assignment to or selection of a Primary Care Provider or clinic has been confirmed by the Contractor. However, capitation payments by a Contractor to a Primary Care Provider or clinic for a Member whose assignment to or selection of a Primary Care Provider or clinic was not confirmed by the Contractor on the date of the beneficiary’s enrollment, but is later confirmed by the Contractor, shall be payable no later than 30 calendar days after the Member’s enrollment.
Capitation Payments. Compensation to the Contractor shall consist of a monthly capitation payment for each Enrollee and the Supplemental Capitation Payments as described in Sections 3.1 (c) and 3.1 (d), where applicable.
Capitation Payments. If Provider is compensated via a capitation arrangement, Provider must:
Capitation Payments. (a) Blue Shield shall pay Group, on a monthly basis, the applicable Capitation set forth in Exhibit C. Such Capitation shall be paid for Members not enrolled in the Blue Shield 65 Plus Benefit Program no later than the twentieth (20th) day of the month. Capitation shall be paid for Members who are enrolled in Blue Shield’s Blue Shield 65 Plus Benefit Program no later than the later occurring of the twentieth (20th) day of the month or five (5) business days following the date Blue Shield receives the CMS capitation payment for such Members.
Capitation Payments. PacifiCare shall make monthly Capitation Payments to Medical Group as payment for providing and arranging Covered Services to Medical Group Members for each Managed Care Plan, as specified in this Agreement and the applicable Product Attachment.
Capitation Payments. 7.3.1.1. The Department agrees to make, and the CONTRACTOR agrees to accept the Capitation Payments, as outlined in Appendix B, and any other authorized payments, as payment in full for all services provided to Medicaid Managed Care Members pursuant to this contract.
Capitation Payments. The HMO must refer to the HHSC Uniform Managed Care Contract Terms & Conditions for information and Contract requirements on the:
Capitation Payments. The STATE will pay to the MCO a Capitation Payment for each Enrollee in accordance with Article 4 for the month in which coverage becomes effective and thereafter until termination of Enrollee coverage pursuant to section 3.4 becomes effective.
Capitation Payments. A. Adjustments to funds previously paid and to be paid may be required. Funds previously paid will be adjusted when capitation payments) are determined to have been in error, or an error is made in enrolling an ineligible person. In such events, the contractor agrees to refund any overpayment and the Agency agrees to pay any underpayment.
