Safety Net Care Pool Sample Clauses

Safety Net Care Pool. Provide updates on any activities or planning related to payment reform initiatives or delivery system reforms impacting demonstration population and/or undertaken in relation to the SNCP. As per STC 69, include projected or actual changes in SNCP payments and expenditures within the quarterly report. Please note that the annual report must also include SNCP reporting as required by STC 69. Demonstration Evaluation Discuss progress of evaluation design and planning. Enclosures/Attachments Identify by title any attachments along with a brief description of what information the document contains. State Contact(s) Identify individuals by name, title, phone, fax, and address that CMS may contact should any questions arise. ATTACHMENT A Quarterly Report Content and Format Date Submitted to CMS ATTACHMENT B Historical Budget Neutrality Data SFY07 SFY08 SFY09 SFY10 SFY11 5-YEARS Medicaid Pop 1 ABD/SD Dual TOTAL EXPENDITURES $ 44,236,459 $ 43,025,422 $42,691,201 $40,506,394 $40,532,103 $210,991,580 Eligible Member Months 208,752 202,688 198,906 200,134 210,200 PMPM COST $ 211.91 $212.27 $214.63 $202.40 $192.83 TREND RATES ANNUAL CHANGE 5-YEAR AVERAGE TOTAL EXPENDITURE -2.74% -0.78% -5.12% 0.06% -2.16% ELIGIBLE MEMBER MONTHS -2.90% -1.87% 0.62% 5.03% 0.17% PMPM COST 0.17% 1.11% -5.70% -4.73% -2.33% Medicaid Pop 2 ABD/SD Non Dual TOTAL EXPENDITURES $262,996,600 $287,521,460 $302,718,060 $318,094,717 $353,270,763 $1,524,601,599 ELIGIBLE DELIVERIES 277,577 287,295 303,044 325,477 345,539 PMPM COST $947.47 $1,000.79 $998.92 $ 977.32 $1,022.38 TREND RATES ANNUAL CHANGE 5-YEAR AVERAGE TOTAL EXPENDITURE ELIGIBLE MEMBER MONTHS PMPM COST 9.33% 3.50% 5.63% 5.29% 5.48% -0.19% 5.08% 7.40% -2.16% 11.06% 6.16% 4.61% 7.66% 5.63% 1.92% ATTACHMENT B Historical Budget Neutrality Data Medicaid Pop 3 Adults TOTAL EXPENDITURES $145,696,984 $178,511,453 $ 182,736,445 $192,965,697 $215,135,856 $915,046,435 Eligible Member Months 341,481 302,194 297,411 327,511 383,991 PMPM COST $426.66 $590.72 $614.42 $589.19 $560.26 TREND RATES ANNUAL CHANGE 5-YEAR AVERAGE TOTAL EXPENDITURE ELIGIBLE MEMBER MONTHS PMPM COST 22.52% -11.51% 38.45% 2.37% -1.58% 4.01% 5.60% 10.12% -4.11% 11.49% 17.25% -4.91% 10.23% 2.98% 7.05% Medicaid Pop 4 Children TOTAL EXPENDITURES $339,146,737 $391,345,646 $395,809,865 $395,188,873 $469,903,838 $1,991,394,959 Eligible Member Months 1,842,324 1,807,933 1,862,831 2,088,632 2,297,347 PMPM COST $184.09 $216.46 $212.48 $189.21 $204.54 TREND RATES ANNUAL CHANGE 5-YEAR AVERAGE...
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Safety Net Care Pool. The terms and conditions in Section XI apply to the operation of the state’s safety net care pools (SNCPs), as authorized by Expenditure Authority II: Safety Net Care Pool Expenditures.
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Safety Net Care Pool. MassHealth continued to work on a number of Safety Net Care Pool (SNCP) Initiatives. In particular, Massachusetts worked with CMS to gain approval of its 1115 Waiver Extension, which restructured many portions of the SNCP, effective July 1, 2017. The SNCP authorized under the Extension has evolved to support health system transformation and infrastructure expenditures, both aimed at improving health care delivery and thereby improving access to effective, quality care. The new agreement renews the federal and state commitment to the safety net by authorizing nearly $8 billion of SNCP payments over the next five years. It includes funding for the Delivery System Reform Incentive Program (DSRIP), subsidies to assist consumers in obtaining affordable coverage on the Massachusetts Health Connector, and funding for uncompensated care by safety net providers, including through the Health Safety Net, and for non-state, public hospital incentive programs. Under the new Waiver, the number of safety net providers expands from seven to fifteen in the SNCP.
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Safety Net Care Pool. During this quarter, EOHHS worked with Navigant to finalize the Safety Net Care Pool Financing Report. As required by STC 54, the final SNCP Financing report was sent to CMS in June 2016.
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Related to Safety Net Care Pool

  • Benefit Level Two Health Care Network Determination Issues regarding the health care networks for the 2017 insurance year shall be negotiated in accordance with the following procedures:

  • Claims Review Population A description of the Population subject to the Claims Review.

  • Contractor Sales Reporting Vendor Management Fee Contractor Reports Master Contract Sales Reporting. Contractor shall report total Master Contract sales quarterly to Enterprise Services, as set forth below. Master Contract Sales Reporting System. Contractor shall report quarterly Master Contract sales in Enterprise Services’ Master Contract Sales Reporting System. Enterprise Services will provide Contractor with a login password and a vendor number. The password and vendor number will be provided to the Sales Reporting Representative(s) listed on Contractor’s Bidder Profile. Data. Each sales report must identify every authorized Purchaser by name as it is known to Enterprise Services and its total combined sales amount invoiced during the reporting period (i.e., sales of an entire agency or political subdivision, not its individual subsections). The “Miscellaneous” option may be used only with prior approval by Enterprise Services. Upon request, Contractor shall provide contact information for all authorized purchasers specified herein during the term of the Master Contract. If there are no Master Contract sales during the reporting period, Contractor must report zero sales. Due dates for Master Contract Sales Reporting. Quarterly Master Contract Sales Reports must be submitted electronically by the following deadlines for all sales invoiced during the applicable calendar quarter: For Calendar Quarter Ending Master Contract Sales Report Due March 31: April 30 June 30: July 31 September 30: October 31 December 31: January 31 Vendor Management Fee. Contractor shall pay to Enterprise Services a vendor management fee (“VMF”) of 0.74 percent on the purchase price for all Master Contract sales (the purchase price is the total invoice price less applicable sales tax). The sum owed by Contractor to Enterprise Services as a result of the VMF is calculated as follows: Amount owed to Enterprise Services = Total Master Contract sales invoiced (not including sales tax) x .0074. The VMF must be rolled into Contractor’s current pricing. The VMF must not be shown as a separate line item on any invoice unless specifically requested and approved by Enterprise Services. Enterprise Services will invoice Contractor quarterly based on Master Contract sales reported by Contractor. Contractors are not to remit payment until they receive an invoice from Enterprise Services. Contractor’s VMF payment to Enterprise Services must reference this Master Contract number, work request number (if applicable), the year and quarter for which the VMF is being remitted, and the Contractor’s name as set forth in this Master Contract, if not already included on the face of the check. Failure to accurately report total net sales, to submit a timely usage report, or remit timely payment of the VMF, may be cause for Master Contract termination or the exercise of other remedies provided by law. Without limiting any other available remedies, the Parties agree that Contractor’s failure to remit to Enterprise Services timely payment of the VMF shall obligate Contractor to pay to Enterprise Services, to offset the administrative and transaction costs incurred by the State to identify, process, and collect such sums. the sum of $200.00 or twenty-five percent (25%) of the outstanding amount, whichever is greater, or the maximum allowed by law, if less. Enterprise Services reserves the right, upon thirty (30) days advance written notice, to increase, reduce, or eliminate the VMF for subsequent purchases, and reserves the right to renegotiate Master Contract pricing with Contractor when any subsequent adjustment of the VMF might justify a change in pricing.

  • Material Safety Data Sheet Seller shall provide to Buyer with each delivery any Material Safety Data Sheet applicable to the work in conformance with and containing such information as required by the Occupational Safety and Health Act of 1970 and regulations promulgated thereunder or its State approved counterpart.

  • MATERIAL SAFETY DATA SHEETS Contractor is required to ensure Material Safety Data Sheets (“MSDS”) are available, employees are trained in the use of MSDS, and MSDS are in a readily accessible place at the Site. This requirement applies to all materials with an associated MSDS per the federal “Hazard Communication” standard or employees’ Right-to-Know laws. Contractor is also required to ensure proper labeling and training on any substance brought onto the Site and that any person working with the material (or who is subject to possible exposure by use of the material or contact with the material), is informed of the possible and/or real hazards of the substance, and follows proper handling and protection procedures.

  • List of Operator’s Subprocessors [Box 26] [Box 27] [Box 28] [Box 29]

  • Group Grievance Where a number of employees have identical grievances and each employee would be entitled to grieve separately they may present a group grievance in writing signed by each employee who is grieving to the Administrator or her designate within ten (10) days after the circumstances giving rise to the grievance have occurred or ought reasonably to have come to the attention of the employee(s). The grievance shall then be treated as being initiated at Step No. 1 and the applicable provisions of this Article shall then apply with respect to the processing of such grievance.

  • Year-End Grievance In the event a grievance is filed at such time that it cannot be processed through all steps in this grievance procedure by the end of the school year and, if left unresolved until the beginning of the following school year, could result in irreparable harm to a party in interest, the time limits set forth herein shall be reduced so that the grievance procedure may be exhausted prior to the end of the school year or within a maximum of 30 days thereafter. Reduction of the time limit shall be with mutual consent.

  • Safety Boots Each employee, after 3 months’ continuous service, will be reimbursed (on production of a receipt), the cost of one pair of safety boots (approved by the employer), in each year, to a maximum of $110.00. Wet Weather All protective clothing such as wet weather jackets, safety helmets, welding jackets, welding xxxxxxx, welding gauntlets, rubber boots, etc, (which remain the property of the Company), will be supplied on all occasions deemed necessary.

  • Safety, breakdowns and accidents 17.5.1 The Concessionaire shall ensure safe conditions for the Users and passengers, and in the event of unsafe conditions, it shall follow the relevant operating procedures and undertake removal of obstruction and debris without delay. Such procedures shall conform to the provisions of this Agreement, Applicable Laws, Applicable Permits and Good Industry Practice.

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