MCO Programs and Service Areas Sample Clauses

MCO Programs and Service Areas. This Contract applies to the following HHSC MCO Programs and Service Areas (check all that apply). All references in the Contract Attachments to MCO Programs or Service Areas that are not checked are superfluous and do not apply to the MCO. þ Medicaid STAR MCO Program Service Areas: o Bexar þ Medicaid RSA - Central o Dallas þ Medicaid RSA - Northeast o El Paso þ Medicaid RSA - West x Xxxxxx o Nueces þ Xxxxxxx x Xxxxxxx o Xxxxxxxxx x Xxxxxx o Lubbock See Attachment B-4, “Map of Counties with MCO Program Service Areas,” for listing of counties included within the STAR Service Areas. þ Medicaid STAR+PLUS MCO Program Service Areas: o Bexar o Jefferson o El Paso o Lubbock x Xxxxxx o Nueces þ Xxxxxxx o Travis See Attachment B-4.2, “Map of Counties with STAR+PLUS MCO Program Service Areas,” for listing of counties included within the STAR+PLUS Service Areas. o CHIP MCO Program Service Areas: o Bexar o Lubbock o Dallas o Nueces o El Paso o Tarrant x Xxxxxx o Xxxxxx x Xxxxxxxxx See Attachment B-4.1, “Map of Counties with MCO Program Service Areas,” for listing of counties included within the CHIP Service Areas. Part 9: Payment þ Medicaid STAR MCO Program Capitation: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the Capitation Rate-setting methodology and the Capitation Payment requirements for the STAR Program. The following Rate Cells and Capitation Rates will apply to Rate Period 1: Service Area: Xxxxxxx Rate Cell Rate Period 1 Capitation Rates (3/1/12-8/31/12) Rate Period 1 Capitation Rates (9/1/12-8/31/13) 1 TANF Child > 12 months *** *** 2 TANF Child ≤ 12 months *** *** 3 TANF Adult *** *** 4 Pregnant Woman *** *** 5 Newborn ≤ 12 months *** *** 6 Expansion Child > 12 months *** *** 7 Expansion Child ≤ 12 months *** *** 8 Federal Mandate Child *** *** 9 Delivery Supplemental Payment *** *** Service Area: Medicaid Rural Service Area – Central Texas Rate Cell Rate Period 1 Capitation Rates (3/1/12-8/31/12) Rate Period 1 Capitation Rates (9/1/12-8/31/13) 1 TANF Child > 12 months *** *** 2 TANF Child ≤ 12 months *** *** 3 TANF Adult *** *** 4 Pregnant Woman *** *** 5 Newborn ≤ 12 months *** *** 6 Expansion Child > 12 months *** *** 7 Expansion Child ≤ 12 months *** *** 8 Federal Mandate child *** *** 9 SSI - Aged, Blind, & Disabled *** *** 10 Delivery Supplemental Payment *** *** Service Area: Medicaid Rural Service Area – Northeast Texas Rate Cell Rate Period 1 Capitation Rates (3/1/12-8/31/12) Rate P...
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MCO Programs and Service Areas. This Contract applies to the following HHSC MCO Programs and Service Areas (check all that apply). All references in the Contract Attachments to MCO Programs or Service Areas that are not checked are superfluous and do not apply to the MCO. þ Medicaid STAR MCO Program Service Areas: þ Bexar o Medicaid RSA - Central o Dallas o Medicaid RSA - Northeast þ El Paso o Medicaid RSA - West x Xxxxxx þ Nueces x Xxxxxxx x Xxxxxxx o Jefferson þ Xxxxxx þ Lubbock See Attachment B-4, “Map of Counties with MCO Program Service Areas,” for listing of counties included within the STAR Service Areas. þ Medicaid STAR+PLUS MCO Program Service Areas: þ Bexar o Jefferson o El Paso þ Lubbock x Xxxxxx þ Nueces x Xxxxxxx o Travis See Attachment B-4.2, “Map of Counties with STAR+PLUS MCO Program Service Areas,” for listing of counties included within the STAR+PLUS Service Areas. þ CHIP MCO Program Service Areas: þ Bexar þ Lubbock o Dallas þ Nueces þ El Paso o Tarrant x Xxxxxx þ Xxxxxx x Xxxxxxxxx See Attachment B-4.1, “Map of Counties with MCO Program Service Areas,” for listing of counties included within the CHIP Service Areas. Part 9: Payment
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Related to MCO Programs and Service Areas

  • Programs and Services Every aspect of the service you provide is considered part of your program, and therefore it must be accessible to individuals with disabilities. This includes parking lots, service counters and spaces, transportation (shuttles, etc.), agendas, flyers, emails, online services, phone calls, meetings, celebrations, classes, recreational activities and more. The guidance in this document is primarily intended to help you provide accessible programs by providing you with the tools to: ▪ survey facilities and identify common architectural barriers for people with disabilities; ▪ identify common ADA compliance problems in your communications and activities; and ▪ remove barriers and fix common ADA compliance problems in these areas. ADA Technical Assistance Materials ADA Update Your programs can be broken into three main categories, (Communications, Facilities, and Activities) which will be covered in more detail below.

  • Service Areas The MCP agrees to provide services to Aged, Blind or Disabled (ABD) members, Modified Adjusted Gross Income (MAGI) members, and Adult Extension members residing in the following service area(s): Central/Southeast Region ☒ Northeast Region ☒ West Region ☒ The ABD and MAGI categories of assistance are described in OAC rule 5160-26-02. The Adult Extension category is defined in Ohio’s Medicaid State Plan as authorized by the Centers for Medicare and Medicaid Services (CMS). The MCP shall serve all counties in any region they agree to serve.

  • Service Area (a) SORACOM shall provide the SORACOM Air Global Service within the area designated on the web site of SORACOM (the “Service Area”), provided, that, the Service Area may be different if stated otherwise as specified by SORACOM separately. However, within the Service Area, you may not use the SORACOM Air Global Service in places where transmissions are difficult to send or receive.

  • Use of Basement and Service Areas The basement(s) and service areas, if any, as located within the (project name), shall be earmarked for purposes such as parking spaces and services including but not limited to electric sub-station, transformer, DG set rooms, underground water tanks, pump rooms, maintenance and service rooms, fire fighting pumps and equipment's etc. and other permitted uses as per sanctioned plans. The Allottee shall not be permitted to use the services areas and the basements in any manner whatsoever, other than those earmarked as parking spaces, and the same shall be reserved for use by the association of allottees formed by the Allottees for rendering maintenance services.

  • Develop programs 1) The Employer will develop and implement health promotion and health education programs, subject to the availability of resources. Each Appointing Authority will develop a health promotion and health education program consistent with the Minnesota Management & Budget policy. Upon request of any exclusive representative in an agency, the Appointing Authority shall jointly meet and confer with the exclusive representative(s) and may include other interested exclusive representatives. Agenda items shall include but are not limited to smoking cessation, weight loss, stress management, health education/self-care, and education on related benefits provided through the health plan administrators serving state employees.

  • Pilot Programs The Employer may develop voluntary pilot programs to test the acceptability of various risk management programs. Incentives for participation in such programs may include limited short-term improvements to the benefits outlined in this Article. Implementation of such pilot programs is subject to the review and approval of the Joint Labor-Management Committee on Health Plans.

  • Use of Service Areas The service areas, as located within the Project, shall be ear- marked for purposes such as parking spaces and services including but not limited to electric sub-station, transformer, DG set rooms, underground water tanks, Pump rooms, maintenance and service rooms, firefighting pumps and equipment etc. and other permitted uses as per sanctioned plans. The Allottee shall not be permitted to use the services areas in any manner whatsoever, other than those earmarked as parking spaces and the same shall be reserved for use by the Association for rendering maintenance services.

  • First Source Hiring Program Contractor must comply with all of the provisions of the First Source Hiring Program, Chapter 83 of the San Francisco Administrative Code, that apply to this Agreement, and Contractor is subject to the enforcement and penalty provisions in Chapter 83.

  • Marketing Plans Contractor and the Exchange recognize that Enrollees and other health care consumers benefit from efforts relating to outreach activities designed to increase heath awareness and encourage enrollment. The parties shall share marketing plans on an annual basis and with respect to periodic updates of material changes. The marketing plans of the Exchange and Contractor shall include proposed and actual marketing approaches, messaging and channels and provide samples of any planned marketing materials and related collateral as well as planned, and when completed, expenses for the marketing budget. The Contractor shall include this information for both the Exchange and the outside individual market. The Exchange shall treat all marketing information provided under this Section as confidential information consistent with Section 1.4.1. The obligation of the Exchange to maintain confidentiality of this information shall survive termination or expiration of this Agreement.

  • Training Programs All employees shall successfully complete all necessary training prior to being assigned work (e.g., all employees will complete health and safety training prior to being assigned to task). Nothing in this Article or provision shall constitute a waiver of either party’s bargaining obligations or defenses. The Employer still has an obligation to notify and bargain changes in terms and conditions of employment with the exclusive representative.

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