Payment Terms 191 Sample Clauses

Payment Terms 191. 4.4.1. Timing of Capitation Payments 191 4.4.2. Enrollee Contribution to Care Amounts 192 4.4.3. Modifications to Capitation Rates 193 4.4.4. Quality Withhold Policy 194 4.4.5. American Recovery and Reinvestment Act of 2009 198 4.4.6. Suspension of Payments 198 4.5.1. Rating Category Changes 198 4.5.2. Medicare Risk Score Changes 199 4.6.1. General 199 4.6.2. Medicaid Capitation Reconciliation 199 4.6.3. Medicare Capitation Reconciliation 200 4.6.4. Audits/Monitoring 200 4.7.1. General 200