PMPM definition

PMPM means per member per month;

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PMPM means Per Member Per Month.

PMPM means per Member/Life per month. Product(s) mean collectively the MEDecision Product and/or MEDecision Products, the Third Party Products and any Upgrades that MEDecision may provide to Customer as part of the Support described in Section 2 of this Agreement.

Examples of PMPM in a sentence

• The MA Dual SNP has agreed to provide services relating to Other Dual SNP Members, as identified in this Agreement, as part of the consideration for receiving the PMPM capitation payment for Dual Eligible Members.

• The PMPM capitation rate is subject to modification in accordance with Section 9.07 if HHSC reasonably determines that: (1) changes in state or federal laws, rules, regulations, or policies materially affect the rate; (2) an amendment, modification, or change to the MA Agreement materially affects the rate; or (3) other information justifies a modification to the rate.

• HHSC will pay each PMPM capitation payment to MA Dual SNP within 30 calendar days after HHSC returns the validated enrollment file to the MA Dual SNP in accordance with Section 3.02(b).

• This participation will include, but not be limited to provision of high utilizer reports to participating practice sites, provider PMPM payments, CTC-RI administrative payments, and referrals to community health teams.

• HHSC will pay each PMPM capitation payment to MA Dual SNP within thirty (30) calendar days after HHSC returns the validated enrollment file to the MA Dual SNP in accordance with Section 3.02(b).

More Definitions of PMPM

PMPM means the dollar amount paid to Borrower expressed as a monthly rate for each Person for whom the Borrower is responsible for providing services.

PMPM means per Member per month, determined from the eligibility files on the first or last day of each calendar month, as mutually agreed by the Parties.

PMPM means per Participant per month.

PMPM means per Member per month fee, if applicable, as determined by ESI from the Eligibility Files. “Plan” means any self-funded prescription drug benefit plan(s) administered by Sponsor or a subsidiary or affiliate of Sponsor (including any applicable retiree or Medicare employer group waiver plans).

PMPM means Per Member Per Month and is submitted according to the requirements in the submission

PMPM means per Member per month fee, if applicable, as determined by ESI from the Eligibility Files.

PMPM means the per member per month amount which is determined by dividing the total charge or cost by the number of covered persons.