State Directed Payment definition

State Directed Payment means a payment made by Contractor to eligible Participating Providers pursuant to a State Directed Payment Arrangement.
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Examples of State Directed Payment in a sentence

  • Notice shall be provided by issuance of a new or amended State Directed Payment Arrangement form, in accordance with paragraph 1 of Appendix P.

  • Upon notice to the Contractor by SDOH, any modification made to the Contractor’s State Directed Payment Arrangements included in Appendix P of this Agreement shall be deemed incorporated into this Agreement without further action by the parties.

  • State Directed Payments The Contractor shall remit payment to Participating Providers in accordance with any applicable State Directed Payment Arrangement, as set forth in Appendix P of this Agreement and the applicable attached State Directed Payment Arrangement Form, which are hereby made a part of the Agreement as if set forth fully herein.

  • Monitoring reports as required in STC 74, including completion of the below State Directed Payment Reporting Chart for each state directed payment on an annual basis within the annual report.

  • HHS, CMS, Appendix A: Examples of State Directed Payment Arrangements, at https://www.medicaid.gov/ medicaid/managed-care/downloads/guidance/appendix-a.pdf.

  • The State Directed Payment indicates the Total Directed Payments derived from the average commercial rates.

  • The Total Payment Level indicates the total of the Average Base Payment Level and the State Directed Payment.

  • Approval Criteria for State Directed Payment Arrangements All state directed payments included in Medicaid managed care contracts under §438.6(c) must be based on the utilization and delivery of services to Medicaid beneficiaries covered under the contract in order to be approved by CMS, and these payments must be directed equally, using the same terms of performance across a class of providers.

  • Effect on Total Payment Level of State Directed Payment (SDP) is determined by taking the Medicare Equivalent ACR% less the Base Medicare Reimbursement plus the difference between the Average Base Payment Level from Plans to Providers (absent the SDP) and 100% of Medicare.

  • Effect on Total Payment Level of State Directed Payment (SDP) is determined by dividing the Total State Directed Payment by the Medicare Equivalent Reimbursement.

Related to State Directed Payment

  • Restricted Payment means any dividend or other distribution (whether in cash, securities or other property) with respect to any capital stock or other Equity Interest of the Borrower or any Subsidiary, or any payment (whether in cash, securities or other property), including any sinking fund or similar deposit, on account of the purchase, redemption, retirement, acquisition, cancellation or termination of any such capital stock or other Equity Interest, or on account of any return of capital to the Borrower’s stockholders, partners or members (or the equivalent Person thereof).

  • Permitted Payment as defined in Subsection 8.2(b).

  • Reduced payment means a payment that is for less than the amount agreed upon in a subcontract in accordance with its terms and conditions, for supplies and services for which the Government has paid the prime contractor.

  • Required Payment Amount shall have, for any Distribution Date, the meaning specified for such Distribution Date in Section 4.6(a) of the Sale and Servicing Agreement.

  • Designated Payment Office means the Office of NYSERDA’s Controller, located at 00 Xxxxxxxx Xxxxxx, Xxxxxx, Xxx Xxxx 00000.

  • Deferred Payment Date for a Participant means the date after the Restricted Period in respect of Restricted Share Units which is the earlier of (i) the date which the Participant has elected to defer receipt of the underlying Shares in accordance with Section 4.5 of this Plan; and (ii) the Participant’s Separation Date.

  • Permitted Payments to Parent means, without duplication as to amounts:

  • Designated Payment/Transfer Office means (i) with respect to the initial Paying Agent/Registrar named herein, its office in Dallas, Texas, or at such other location designated by the Paying Agent/Registrar and (ii) with respect to any successor Paying Agent/Registrar, the office of such successor designated and located as may be agreed upon by the City and such successor.