Formula for Encounter Payment Adjustments Sample Clauses

Formula for Encounter Payment Adjustments. The formulas for these payments are as follows: RTC = LTCdy – SP Q = RTC / Ea ESP = Q * Ep Definitions  LTCdy = Limit of total computable expenditures allowed under the Demonstration for the year  SP = Sum of all payments made under the Demonstration for the year  RTC = Remainder of total computable expenditures allowed under the Demonstration for the year  Ea = Primary care, basic behavioral health care, and SMI behavioral health care encounters by enrollees with dates of service during the Demonstration Year as reported by all eligible providers  Q = Supplement to the primary care, basic behavioral health care, and SMI behavioral health care encounter rates  ESP = Encounter supplemental payment to an eligible provider for the Demonstration Year  Ep = Primary care, basic behavioral health care, and SMI behavioral health care encounters by enrollees with dates of service during the year as reported by the eligible provider
Sample 1
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Related to Formula for Encounter Payment Adjustments

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