Examples of State plan in a sentence
Special Reimbursement Requirements All Providers Unless otherwise noted in Section 4.10.3 of this Agreement, the CONTRACTOR shall reimburse all providers at or above the State Plan approved fee schedule for all services reimbursed at a fee-for-service payment methodology.
The CONTRACTOR shall implement Health Homes in accordance with New Mexico’s Medicaid State Plan, the Managed Care Policy Manual, and the CareLink New Mexico Health Homes Policy Manual.
For VBP, APM, and risk-based reimbursements, the CONTRACTOR must incorporate the “at or above” State Plan approved fee schedule into the CONTRACTOR’s payment methodology and be able to account for the respective utilization and payment to ensure that the requirement is met.
The CONTRACTOR shall ensure that any services covered in this Agreement that could be authorized through a 1915(c) Waiver or a State Plan amendment authorized through Sections 1915(i) or 1915(k) of the Social Security Act are delivered in settings consistent with federal HCB settings requirements.
The CONTRACTOR shall provide the Alternative Benefit Plan (the “ABP”) in accordance with the State’s approved Medicaid State Plan and this Agreement.