Payment Overview Clause Samples
Payment Overview. This is a fixed price (unit cost) Contract. The Agency will manage this fixed price Contract for the delivery of covered services to enrollees. The Agency, or its fiscal agent, shall make payment to the Health Plan on a monthly basis for the Health Plan’s satisfactory performance of its duties and responsibilities as set forth in this Contract. To accommodate payments, the Health Plan shall be eligible for and enrolled as a Medicaid provider with the fiscal agent. Payments made to the Health Plan resulting from this Contract include monthly capitation rate payments which contain risk adjustments, and were developed for particular Medicaid populations, and may contain an adjustment to collect amounts for the enhanced benefit accounts fund. The Agency may also pay Health Plans for obstetrical delivery and transplant services through kick payments and for CHCUP incentive payments, if any, as specified below.
Payment Overview. The following payments applicable to this Rental Agreement include:
Payment Overview. This is a fixed price (unit cost) Contract. The Agency will manage this fixed price Contract for the delivery of Covered Services to Enrollees. The Agency or its Fiscal Agent shall make payment to the Health Plan on a monthly basis for the Health Plan’s satisfactory performance of its duties and responsibilities as set forth in this Contract. To accommodate payments, the Health Plan is enrolled as a Medicaid provider with the Fiscal Agent. Payments made to the Health Plan resulting from this Contract include monthly Capitation Rate payments for either a Comprehensive Component or a Comprehensive Component and Catastrophic Component, both of which contain risk adjustments, and were developed for particular Medicaid populations, and may contain an adjustment to collect amounts for the Enhanced Benefit Accounts fund. The Agency may also pay Health Plans for obstetrical delivery and transplant services through Kick Payments; for Covered Services that are over the Catastrophic Component Threshold, if the Health Plan has contracted for the Comprehensive Component only; and for Child Health Check-Up (CHCUP) incentive payments, if any, as specified below.
Payment Overview. The following payments applicable to this Rental Agreement include:
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Payment Overview. This is a fixed price (unit cost) Contract. The Agency will manage this fixed price Contract for the delivery of covered services to enrollees. The Agency or its fiscal agent shall make payment to the Health Plan on a monthly basis for the Health Plan’s satisfactory performance of its duties and responsibilities as set forth in this Contract. To accommodate payments, the Health Plan is enrolled as a Medicaid provider with the fiscal agent. Payments made to the Health Plan resulting from this Contract include monthly capitation rate payments for either a comprehensive component or a comprehensive component and catastrophic component, both of which contain risk adjustments, and were developed for particular Medicaid populations, and may contain an adjustment to collect amounts for the enhanced benefit accounts fund. The Agency may also pay Health Plans for obstetrical delivery and transplant services through kick payments; for covered services that are over the catastrophic component threshold, if the Health Plan has contracted for the comprehensive component only; and for CHCUP incentive payments, if any, as specified below.
Payment Overview. Due to DESE’s current calculation which creates the shortfall of aid to the charter schools, KCPS will bridge the gap and directly pay Charter School local aid funds to bring the total amount paid to charter schools up to the amount contemplated by the state aid formula. The calculation of the gap and payment shall be based on the formula in section 160.415.4, RSMo and as per the calculation currently followed by DESE. The first payment will be in January based on September membership count data. The second will be in March using the average membership count data for 2019-20 and a final will be in July after final attendance data is filed with DESE. Payments under this agreement shall not be set off by any outstanding payment for separate goods and services Charter School may owe to KCPS.
Payment Overview. Due to the shortfall of local funds to the charter schools, KCPS will bridge the gap and directly pay Charter School funds particular to its school. Calculation of the gap and payment will be based in the state foundation formula. The first will be in January based on September membership count data. The second will be in March using the average membership count data for 2019-20 and a final will be in July after final attendance data is filed with DESE. Payments under this agreement shall not be set off by any outstanding payment for separate goods and services Charter School may owe to KCPS.
