Common use of Reimbursement Rates Clause in Contracts

Reimbursement Rates. As compensation for the provision of Covered Services, Managed Care Plan or ILS Community Network, as applicable, shall pay Provider in accordance with the prevailing State Medicaid Fee Schedule which may be a Medicaid Waiver fee schedule if Enrollee was enrolled in such a Medicaid Waiver in the month prior to becoming a Managed Care Plan Enrollee. Any exceptions to the Medicaid fee and/or Medicaid Waiver fee schedule(s) will be identified herein but will be no less than 100% of the State Agency established rates used for the Regional Fee- For-Service "Provider Service Network". When Medicare Covered Services are applicable, the payment to Provider will be in accordance with the prevailing Medicare Fee Schedule, with any exceptions identified herein on a Medicare fee schedule. Provider expressly agrees to accept such compensation as payment in full for the provision of Covered Services, less any applicable Co-payments or Co-insurance or an enrollee's share of cost responsibility.