Care Coordination Payments Sample Clauses

Care Coordination Payments. For payments under STC 32(b), the State must require each eligible provider to report cost and payment data on services eligible for reimbursement under this component of the I-SNCP in a manner that adheres to Medicare cost principles as they are represented on the Medicare cost report. For those eligible providers that do not currently complete a Medicare cost report or any other cost report, the State and CMS shall develop an agreed upon methodology to determine a proxy for uncompensated cost. The State must submit for CMS approval a reimbursement and cost protocol that will establish rules and guidelines for the State to claim FFP for the provider payments, including a demonstration that payments do not exceed eligible uncompensated costs. This protocol will be incorporated into Attachment A. The State must submit a draft revised Attachment A by January 1, 2012. The protocol must be finalized by March 1, 2012. Federal financial participation is not available for payments under STC 32 after July 1, 2012 if the reimbursement and cost protocol is not approved. Federal matching will resume once the protocol is approved. The protocol must include precise definitions of eligible uncompensated provider costs and revenues that must be included in the calculation of uncompensated cost. The protocol must also identify the allowable source documents to support costs; it must include detailed instructions regarding the calculation and documentation of eligible costs and the tool used by the State and hospitals to apply for provider payments. The protocol must also include payment timeframes and amounts available to particular providers within the annual pool limits. For those eligible providers that do not currently complete a Medicare cost report or any other cost report, the protocol must include precise definitions of how the proxy for uncompensated costs and revenues shall be calculated. The protocol must also identify the allowable source documents to support the proxy uncompensated costs; it must include detailed instructions regarding the calculation and documentation of eligible proxy uncompensated costs and any tool used by the State.
Sample 1
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Related to Care Coordination Payments

  • Care Coordination The Parties’ subcontract shall require that the Enrollee’s CP Care Coordinator provide ongoing care coordination support to the Enrollee in coordination with the Enrollee’s PCP and other providers as set forth in Section 2.6.

  • Donor Coordination Throughout the multi-year development of the Compact, MCC and the Government have engaged in an inclusive process that included consultations with the United States Government, Nepali communities and key private sector actors, non-government actors, and other donors as well as multilateral organizations. In particular, MCC worked closely with the World Bank and the Asian Development Bank in reviewing and agreeing on various power sector reforms required in Nepal for future programming by the two banks. MCC also consulted frequently with the United Kingdom’s Department for International Development (“DFID”) during its preparation of a political economy analysis of power sector reform.

  • Project Coordination The Engineer shall coordinate all subconsultant activity to include quality and consistency of deliverables and administration of the invoices and monthly progress reports. The Engineer shall coordinate with necessary local entities.

  • General Coordination 5.1.1 Contractor’s Pre-Construction Phase Services team shall attend Project Team meetings with Owner, Owner representatives, and A/E at regularly scheduled intervals throughout the Pre-Construction Phase. Frequent Project Team meetings are anticipated prior to Owner acceptance of the GMP and during completion of the Construction Documents.

  • Operation and Coordination The ISO shall direct the operation of, and coordinate the maintenance scheduling of, certain facilities of the NYS Power System, including coordination with control centers maintained by the Transmission Owners in accordance with the Reliability Rules, as follows:

  • Project Management and Coordination The Engineer shall coordinate all subconsultant activity to include quality of and consistency of work and administration of the invoices and monthly progress reports. The Engineer shall coordinate with necessary local entities.

  • Cooperation and Coordination The Parties acknowledge and agree that it is their mutual objective and intent to minimize, to the extent feasible and legal, taxes payable with respect to their collaborative efforts under this Agreement and that they shall use all commercially reasonable efforts to cooperate and coordinate with each other to achieve such objective.

  • Calculation of Termination Payment If an Early Termination Date has been declared, the Non-Defaulting Party shall calculate, in a commercially reasonable manner, the Termination Payment in accordance with this Section 10.3.

  • Payment of Termination Payment The Defaulting Party shall make the Termination Payment within ten (10) Business Days after such notice is effective, regardless whether the Termination Payment calculation is disputed. If the Defaulting Party disputes the Non-Defaulting Party’s calculation of the Termination Payment, in whole or in part, the Defaulting Party shall within ten

  • Utility Coordination Identify all potential utility conflicts and provide preliminary office check plans showing the problem locations, posted to the City’s FTP site. Plans will clearly identify specific utility company facilities by color and by name (i.e. not just “gas” or “fiber optic”). ENGINEER shall include a conflict list for each utility, also posted to the FTP site. ENGINEER shall meet with utility company representatives to review plans and utility verification forms (Attachment No. 3 to Exhibit “A”) at each milestone date and as directed by the CITY and as determined necessary by the ENGINEER. This in- formation will be compiled into a summary report (Attachment No. 4 to Exhibit “A” also available on the City’s FTP site) maintained and updated by ENGINEER as necessary to present a cohesive and reflective status of utilities, and provided to the City as necessary. ENGINEER shall maintain involvement with utility companies until all conflicts have been resolved (not just identified). When appropriate, the City Engineer will approve the identification on plans of conflicts to be resolved during construction. ENGINEER shall meet with involved utility company/ies and project contractor to resolve any conflicts with utilities that occur during construction.

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