Exclusions For definition

Exclusions For. Hospital A: patients who do remain in the Medicaid payment reform cohort for the full measurement year will be removed from the numerator and denominator. Associated Projects 3.9, 1.5 Benchmark or Performance Goal Improvement over SFY 2015 baseline In SFY 2016: by at least one percentage point (1%) above the SFY 2015 baseline percentage In SFY 2017: by at least two percentage points (2%) above the SFY 2015 baseline percentage Improvement Measurement Approach Achieve defined improvement targets over FY 2015 baseline. Baseline Year SFY 2015 (For Hospital A: Denominator for baseline year will be based on the number of unique patients first assigned to Hospital A by Medicaid PCPR during the period of 6/1/14 – 5/31/15) Expected Years for Pay-for-Performance SFY 2016 and SFY 2017 (Hospital A Measurement Year = 7/1 – 6/30) Notes Metric subject to modification for refinement Updates to technical specifications of outcomes and improvement measures in Categories 4A and 4B must be submitted to EOHHS and CMS for review and approval; however, they shall not require a plan modification.
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Examples of Exclusions For in a sentence

  • As Categorical Exclusions For Federal-Aid Highway Projects, discussed herein as the Programmatic CE (or PCE) Agreement, requires that ODOT agrees to develop, carry out, and report on regular quality control and quality assurance (QA/QC) activities to ensure that PCE approvals are made in accordance with applicable law, regulation, guidance, and the PCE Agreement.

  • Exclusions: For all exclusions, see the Rental Agreement and the SLI policy issued by the insurer.

  • ARCHES HEALTH PLAN CITY OF ▇▇▇▇▇ By By Its Its QUALIFIED HIGH DEDUCTIBLE HEALTH PLAN Plan Effective from 7/1/2014 through 6/30/2015 Annual of Lifetime Maximum Plan Benefits Unlimited Benefit Maximum Pre-Existing Limitations or Exclusions No Exclusions For Pre-Existing Conditions Requirements for Pre-Authorization Prior authorization is required for certain services in order to verify that the services to be provided are covered by your benefit plan and are medically necessary and appropriate.

  • The Consultant shall not be entitled to any worker's compensation benefits, participation in the Company's qualified pension plan, vacation or sick pay programs.

  • Exclusions:- For the purpose of this Agreement there shall be no restrictive covenant on: f) Information known to the Employee and disclosed in writing prior to signing this Agreement; g) Information disclosed to the Employee by a third party who has the legal right to do so and with no restriction on disclosure; h) Information which is public knowledge or becomes public knowledge in due course without infringing the provisions of this Agreement.

  • Specific Exclusions (For Benefit 4 mentioned above) We shall not be liable to make any payment for any claim under the Policy in respect of an Insured Person, arising from or caused by any of the following: Any Pre-Existing Disease unless disclosed to Us in advance, and coverage for such Pre-Existing Disease is expressly extended and endorsed by Us on the Certificate of Insurance.

  • PEC Exclusions For all exclusions, see the PAI/PEC policy issued under Aviva Insurance Company.