Common use of COST SETTLEMENT Clause in Contracts

COST SETTLEMENT. 1. If the Contractor does not generate Medi-Cal reimbursable services to meet the annual targets established in Paragraphs I.C.1.a, I.D.1.a. and I.E.1.a. of this Exhibit B, then Contractor shall reimburse the difference between the target and the amount so generated in a single payment. Any such payment(s) shall incorporate any prior adjustment to the MPA made through the adjustment process described in those same paragraphs. 2. If the annual Cost Reports provided to County show that total payments to Contractor exceeds the total actual costs for services rendered by Contractor during the reporting period, following any payment made subject to Paragraph I.Q.1. of this Exhibit B above, a single payment in the amount of the contract savings shall be made to County by Contractor, unless otherwise authorized by the Chief of the Health System or designee. 3. Cost settlement for this purpose shall be conducted for each fiscal year, and shall take place no later 180 days past the end of the fiscal year. 4. Should Contractor provide fewer annual units than what are identified in Paragraph I.D.6. of Exhibit A, payment rates by County to Contractor may not exceed the State Maximum Allowance (“SMA”). In such case, the amount of the difference between the actual costs for services provided that exceed the SMA and the costs of those same number of units provided at the SMA shall be reimbursed by Contractor to the County in a single payment. 5. In any case, the total payments shall not exceed the total amounts for each area of service and each reporting period as established in this Exhibit B.

Appears in 1 contract

Sources: Service Agreement

COST SETTLEMENT. 1. If the Contractor does not generate Medi-Cal reimbursable services to meet the annual targets established in Paragraphs I.C.1.a, I.D.1.a. and I.E.1.a. of this Exhibit B, then Contractor shall reimburse the difference between the target and the amount so generated in a single payment. Any such payment(s) shall incorporate any prior adjustment to the MPA made through the adjustment process described in those same paragraphs. 2. If the annual Cost Reports provided to County show that total payments to Contractor exceeds the total actual costs for services rendered by Contractor during the reporting period, following any payment made subject to Paragraph I.Q.1I.S. 1. of this Exhibit B above, a single payment in the amount of the contract savings shall be made to County by Contractor, unless otherwise authorized by the Chief of the Health System or designee. 3. Cost settlement for this purpose shall be conducted for each fiscal year, and shall take place no later 180 one hundred eighty (180) days past the end of the fiscal year. 4. Should Contractor provide fewer annual units than what are identified in Paragraph I.D.6. of Exhibit A, payment rates by County to Contractor may not exceed the State Maximum Allowance (“SMA”). In such case, the amount of the difference between the actual costs for services provided that exceed the SMA and the costs of those same number of units provided at the SMA shall be reimbursed by Contractor to the County in a single payment. 5. In any case, the total payments shall not exceed the total amounts for each area of service and each reporting period as established in this Exhibit B.

Appears in 1 contract

Sources: Agreement for Comprehensive Full Service Partnership Services