Common use of Payment Overview Clause in Contracts

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.