Provider Payments definition

Provider Payments means the amount, certified by a Provider to the Trustee, as payable to such Provider on account of amounts advanced by it under a Credit Facility or a Liquidity Facility, including interest on amounts advanced and fees and charges with respect thereto.

Provider Payments means the amount, certified by a Provider to the Trustee, payable to such Provider on account of amounts advanced by it under a Reserve Fund Facility, including interest on amounts advanced and fees and charges with respect thereto.

Provider Payments means all amounts paid or payable to Providers for the provision of health care services or supplies to a Policyholder under a Coinsured Contract including Provider capitation payments, in each of the foregoing cases, however, to the extent relating to the Coinsured Contracts.

Examples of Provider Payments in a sentence

• The Commonwealth may make Safety Net Provider Payments to eligible hospitals, in recognition of safety net providers in the Commonwealth that serve a large proportion of Medicaid and uninsured individuals and have a demonstrated need for support to address uncompensated care costs consistent with the definition of 42 CFR 447.299.

• Budget Period 1 funds for each safety net provider will be equal to the sum of half of the provider’s Safety Net Provider Payments in Demonstration Year 1, and half of the Payments in Demonstration Year 2.

• In addition, an increasing portion of Safety Net Provider Payments each year of the demonstration extension period will be tied to ACO performance measures as defined in the approved DSRIP Protocol.

• In each year of the demonstration extension period, hospitals that receive Safety Net Provider Payments must participate in one of MassHealth’s ACO models.

• The Commonwealth will determine, based on the eligibility criteria listed below, the hospitals that are eligible to receive the Safety Net Provider Payments.

• Safety Net Provider Payments to any provider may not exceed the amount of documented uncompensated care indicated on these reports.

• Safety Net Provider Payments will have accountability requirements, aligned with the Commonwealth’s overall delivery system and payment reform goals.

• Budget Period 5 funds for each safety net provider will be equal to half of the provider’s Safety Net Provider Payments in Demonstration Year 5.

• The portion of the Safety Net Provider Payments that is at-risk will follow the same at-risk Budget Period structure as for the ACOs. The Budget Period is January 1 through December 31.

• For Progress Payments, Providers must refer to and comply with the requirements specified in the Provider Payments and Vacancies Chapter.

More Definitions of Provider Payments

Provider Payments means actual payments made to the provider.

Provider Payments means the amount payable to a Provider pursuant to a Credit Facility, a Liquidity Facility, a Reserve Fund Facility or an Interest Rate Exchange Agreement;

Provider Payments means any payments made by a Facility Provider pursuant to its Reserve Fund Facility on deposit in the Applicable Debt Service Reserve Fund;

Provider Payments means the amount, certified by a Facility Provider to the Trustee, payable to such Facility Provider on account of amounts advanced by it under a Reserve Fund Facility, including interest on amounts advanced and fees and charges with respect thereto;Appendix A