Eligibility Category Sample Clauses

Eligibility Category. Children and Family Month 0-2 All $ 75% $ $ 25% $ $ $ Month 3-11 All $ 75% $ $ 25% $ $ $ 1-5 All $ 75% $ $ 25% $ $ $ 6-13 All $ 75% $ $ 25% $ $ $ 14-20 Female $ 75% $ $ 25% $ $ $ 14-20 Male $ 75% $ $ 25% $ $ $ 21-54 Female $ 75% $ $ 25% $ $ $ 21-54 Male $ 75% $ $ 25% $ $ $ 55+ All $ 75% $ $ 25% $ $ $ Composite $ $ Eligibility Category: Aged and Disabled Month 0-2 All $ 75% $ $ 25% $ $ $ Month 3-11 All $ 75% $ $ 25% $ $ $ 1-5 All $ 75% $ $ 25% $ $ $ 6-13 All $ 75% $ $ 25% $ $ $ 14-20 All $ 75% $ $ 25% $ $ $ 21-54 All $ 75% $ $ 25% $ $ $ 55+ All $ 75% $ $ 25% $ $ $ Composite $ $ REMAINDER OF PAGE INTENTIONALLY LEFT BLANK HEALTHEASE OF FLORIDA EXHIBIT 5 CAPITATION RATES SSI MEDICARE PART B ONLY AND SSI MEDICARE PARTS A AND B ENROLLEES FOR ALL MEDICAID REFORM COUNTIES TABLE 4 Area: 4 County: Dxxxx ESTIMATED HEALTH PLAN RATES (NOT FOR USE UNLESS APPROVED BY CMS) Under Age 65 Age 65 & Over SSI/Parts A & B $146.72 $98.34 SSI/Part B Only $300.24 $300.24 Area: 10 County: Broward ESTIMATED HEALTH PLAN RATES (NOT FOR USE UNLESS APPROVED BY CMS) Under Age 65 Age 65 & Over SSI/Parts A & B $136.17 $91.25 SSI/Part B Only $210.84 $210.84 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK HEALTHEASE OF FLORIDA EXHIBIT 6 CAPITATION RATES FOR HIV/AIDS POPULATIONS FOR EACH MEDICAID REFORM COUNTY TABLE 5 Area: 4 County: Dxxxx ESTIMATED HEALTH PLAN RATES (NOT FOR USE UNLESS APPROVED BY CMS) Capitation Rate HIV (No Medicare) $950.48 AIDS (No Medicare) $2133.29 HIV-SSI/Parts A & B, SSI Part B Only $177.88 AIDS-SSI/Parts A & B, SSI Part B Only $249.55 Area: 10 County: Broward ESTIMATED HEALTH PLAN RATES (NOT FOR USE UNLESS APPROVED BY CMS) Capitation Rate HIV (No Medicare) $1484.87 AIDS (No Medicare) $3155.16 HIV-SSI/Parts A & B, SSI Part B Only $213.18 AIDS-SSI/Parts A & B, SSI Part B Only $299.07 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK HEALTHEASE OF FLORIDA EXHIBIT 7 CAPITATION RATES FOR MEDICAID REFORM COUNTIES FOR ALL MEDICAID REFORM COUNTIES TABLE 6 Area: __________________ County: ____________________ ESTIMATED HEALTH PLAN RATES (NOT FOR USE UNLESS APPROVED BY CMS) Age < 1 Yr Age 1 Yr Age 2 - 20 Yrs Children with Chronic Conditions $ $ $ REMAINDER OF PAGE INTENTIONALLY LEFT BLANK HEALTHEASE OF FLORIDA EXHIBIT 8 KICK PAYMENT AMOUNTS FOR COVERED TRANSPLANT SERVICES TABLE 7 Area: __10_______ County: ____Broward_______ Area: ___04______ County: _____Duval________ CPT Code Transplant CPT Code Description Children/Adolescents or Adult Payment Amount 32851 lung single, without bypass Ch...
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Eligibility Category. Children and Families Month 0-2 All $1,254.43 $1,290.08 Month 3-11 All $202.78 $208.54 1-5 All $147.67 $142.05 6-13 All $147.67 $142.05 14-20 Female $147.67 $142.05 14-20 Male $147.67 $142.05 21-54 Female $147.67 $142.05 21-54 Male $147.67 $142.05 55+ All $147.67 $142.05
Eligibility Category. Aged and Disabled Month 0-2 All $25,030.37 $25,626.47 Month 3-11 All $3,918.32 $4,011.64 1-5 All $891.10 $945.83 6-13 All $891.10 $945.83 14-20 All $891.10 $945.83 21-54 All $891.10 $945.83 55+ All $891.10 $945.83 Eligibility Category: Aged and Disabled with Medicare Parts A & B Under Age 65 $175.41 $152.49 Age 65 and Over $124.04 $107.83 Eligibility Category: Aged and Disabled with Medicare Part B Only All Ages $372.25 $372.66 Population: HIV/AIDS Specialty Population No Medicare HIV $2,181.02 $3,317.61 No Medicare AIDS $3,005.04 $3,825.06 Medicare HIV $228.70 $235.50 Medicare AIDS $194.36 $199.91 AHCA Contract No. FA971, Attachment I, Exhibit 2-R (90113), Page 1 of 2 TABLE 2: KICK PAYMENT AMOUNTS FOR COVERED OBSTETRICAL DELIVERY SERVICES Effective September 1, 2013 – August 31, 2014 CPT Code Obstetrical Delivery CPT Xxxx Xxxxxxxxxxx Xxxx 0 Xxxx 00 00000 Vaginal delivery only $4,125.39 $4,071.76 59410 Vaginal delivery including postpartum care 59515 Cesarean delivery including postpartum care 59612 Vaginal delivery only, after previous cesarean delivery 59614 Vaginal delivery only, after previous cesarean delivery including postpartum care 59622 Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery inc postpartum care TABLE 3: KICK PAYMENT AMOUNTS FOR COVERED TRANSPLANT SERVICES Effective September 1, 2013 – August 31, 2014 CPT Code Transplant CPT Code Description Children/Adolescents or Adult All Areas 32851 Lung single, without bypass Children/Adolescents $320,800.00 32851 Lung single, without bypass Adult $238,000.00 32852 Lung single, with bypass Children/Adolescents $320,800.00 32852 Lung single, with bypass Adult $238,000.00 32853 Lung double, without bypass Children/Adolescents $320,800.00 32853 Lung double, without bypass Adult $238,000.00 32854 Lung double, with bypass Children/Adolescents $320,800.00 32854 Lung double, with bypass Adult $238,000.00 33945 Heart transplant with or without recipient cardiectomy All Age Groups $162,000.00 47135 Liver, allotransplation, orthotopic, partial or whole from cadaver or living donor All Age Groups $122,600.00 47136 Liver, heterotopic, partial or whole from cadaver or living donor any age All Age Groups $122,600.00

Related to Eligibility Category

  • Category 2 and Category 5 Funds If you initiate and are responsible for sales of Class A shares and Class 529-A shares, a) amounting to $1 million or more or b) made to certain entities described in the Fund Prospectuses, including employer-sponsored defined contribution-type retirement plans that qualify to invest at net asset value under the terms of the Fund Prospectuses, you will be paid a dealer concession of 1.00% on sales to $10 million, plus 0.50% on amounts over $10 million up to $25 million, plus 0.25% on amounts over $25 million.

  • Eligibility Criteria Each of the Receivables which is to be pledged as collateral for a Series of Notes will satisfy the applicable Eligibility Criteria set forth in, or to be set forth in, Schedule I to the Series Supplement establishing such Series.

  • Eligibility Requirements The Trustee hereunder shall at all times (i) be a corporation or association having its principal office in a state and city acceptable to the Seller, organized and doing business under the laws of such state or the United States of America, authorized under such laws to exercise corporate trust powers, having a combined capital and surplus of at least $50,000,000, or shall be a member of a bank holding system, the aggregate combined capital and surplus of which is at least $50,000,000, provided that its separate capital and surplus shall at all times be at least the amount specified in Section 310(a)(2) of the Trust Indenture Act of 1939, (ii) be subject to supervision or examination by federal or state authority and (iii) have a credit rating or be otherwise acceptable to the Rating Agencies such that neither of the Rating Agencies would reduce their respective then current ratings of the Certificates (or have provided such security from time to time as is sufficient to avoid such reduction) as evidenced in writing by each Rating Agency. If such corporation or association publishes reports of condition at least annually, pursuant to law or to the requirements of the aforesaid supervising or examining authority, then for the purposes of this Section the combined capital and surplus of such corporation or association shall be deemed to be its combined capital and surplus as set forth in its most recent report of condition so published. In case at any time the Trustee shall cease to be eligible in accordance with the provisions of this Section, the Trustee shall resign immediately in the manner and with the effect specified in Section 8.08.

  • Eligibility; Disqualification There will at all times be a Trustee hereunder that is a corporation organized and doing business under the laws of the United States of America or of any state thereof that is authorized under such laws to exercise corporate trustee power, that is subject to supervision or examination by federal or state authorities and that has a combined capital and surplus of at least $100.0 million as set forth in its most recent published annual report of condition. This Indenture will always have a Trustee who satisfies the requirements of TIA § 310(a)(1), (2) and (5). The Trustee is subject to TIA § 310(b).

  • Eligibility Requirements for Eligible Lender Trustee The Eligible Lender Trustee shall at all times be a corporation or association (i) qualifying as an “eligible lender” as such term is defined in Section 435(d) of the Higher Education Act for purposes of holding legal title to the Trust Student Loans on behalf of the Trust, with a valid lender identification number with respect to the Trust Student Loans from the Department; (ii) being authorized to exercise corporate trust powers and hold legal title to the Trust Student Loans; (iii) having in effect Guarantee Agreements with each of the Guarantors as may be directed by the Depositor; (iv) having a combined capital and surplus of at least $50,000,000 and being subject to supervision or examination by Federal or state authorities; (v) having its principal place of business in the State of Delaware and otherwise complying with Section 3807 of the Delaware Statutory Trust Act; and (vi) having (or having a parent which has) a rating in respect of its long-term senior unsecured debt of at least “BBB-” (or the equivalent) by each of the Rating Agencies (or which, if the long-term senior unsecured debt of such corporation or association is not rated by any Rating Agency, shall have provided to the Indenture Trustee written confirmation from such Rating Agency that the appointment of such corporation or association to serve as Eligible Lender Trustee will not result in and of itself in a reduction or withdrawal of the then current rating of any of the Notes). If the Eligible Lender Trustee shall publish reports of condition at least annually, pursuant to law or to the requirements of the aforesaid supervising or examining authority, then for the purpose of this Section, the combined capital and surplus of the Eligible Lender Trustee shall be deemed to be its combined capital and surplus as set forth in its most recent report of condition so published. In case at any time the Eligible Lender Trustee shall cease to be eligible in accordance with the provisions of this Section, the Eligible Lender Trustee shall resign immediately in the manner and with the effect specified in Section 10.2.

  • Eligibility It will notify the Issuer and the Servicer promptly if it no longer meets the eligibility requirements in Section 5.1.

  • Bonus Eligibility The Executive shall be eligible to receive an annual bonus payment in addition to Base Salary and other compensation for each year of the Executive’s employment (the “Bonus”) as determined by the Board from time to time.

  • Eligibility Requirements for Trustees The Trustee hereunder shall at all times be (i) an institution insured by the FDIC, (ii) a Corporation organized and doing business under the laws of the United States of America or of any state, authorized under such laws to exercise corporate trust powers, having a combined capital and surplus of not less than $50,000,000 and subject to supervision or examination by federal or state authority and (iii) acceptable to the Rating Agencies. If such Corporation publishes reports of condition at least annually, pursuant to law or to the requirements of any aforementioned supervising or examining authority, then for the purposes of this Section 8.06, the combined capital and surplus of such Corporation shall be deemed to be its combined capital and surplus as set forth in its most recent report of condition so published. The Delaware Trustee hereunder shall at all times have its principal place of business in the State of Delaware and shall satisfy the applicable requirements under the laws of the State of Delaware authorizing it to act as the Delaware trustee of the Trust. In case at any time the Trustee or the Delaware Trustee shall cease to be eligible in accordance with the provisions of this Section 8.06, such trustee shall resign immediately in the manner and with the effect specified in Section 8.07.

  • Servicer Eligibility Standards To service Mortgage Loans under this Agreement the Servicer must satisfy the eligibility standards set forth in this Section 4.1 initially and at all times thereafter.

  • Distribution Eligibility Shares issued in a Fund after receipt of a completed purchase order shall be eligible to receive distributions of the Fund at the time specified in the prospectus pursuant to which the Shares are offered.

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