Examples of Cost Sharing Obligations in a sentence
Cost Sharing Obligations mean those financial payment obligations incurred by HHSC in satisfaction of the Deductibles, Coinsurance, and Co-payments for the Medicare Part A and Part B programs with respect to Dual Eligible Members.
Pursuant to the Texas State Plan, HHSC is financially responsible for the Cost Sharing Obligations attributable to Dual Eligible Members enrolled in the MA Dual SNP’s Medicare Advantage Product.
This Agreement is subject to, and conditioned upon, CMS’ approval of a Texas State Plan Amendment governing the use of a capitated fee arrangement with MA Dual SNPs to satisfy HHSC’s Cost Sharing Obligations.
HHSC will pay the MA Dual SNP a per dual eligible member monthly capitated payment in exchange for the MA Dual SNP’s payment of Cost Sharing Obligations to healthcare service providers.
Effective January 1, 2020, Cost Sharing Obligations include co-insurance provided during a Dual Eligible Member’s Medicare-covered stay in a skilled nursing facility when the Dual Eligible Member is enrolled in a MA Dual SNP that is contracted with HHSC and receives Medicaid services under the State’s fee-for-service model.
The MA Dual SNP must provide the actuarial value for Medicare Cost Sharing Obligations for the projection period consistent with the CMS bid submission.
The MA Dual SNP will provide the actuarial value for Medicare Cost Sharing Obligations for the projection period consistent with the CMS bid submission.
Effective January 1, 2020, Cost Sharing Obligations include co-insurance -covered stay in a skilled nursing facility when the Dual Eligible Member is enrolled in a MA Dual SNP that is contracted with HHSC and receives Medicaid -for-service model.
Pursuant to the Texas State Plan, HHSC is financially responsible for the Cost Sharing Obligations attributable to Dual Eligible Members enrolled in the MA Agreement.
The MA Dual SNP must provide HHSC with the actuarial value for Medicare Cost Sharing Obligations for the projection period consistent with the CMS bid submission.