Common use of Financing and payment Clause in Contracts

Financing and payment. Medicare and Medicaid Payment and Savings: Providers will receive FFS payments from CMS for Medicare services. In the MFFS model currently in place for the ACC Program, Medicaid-covered acute care wraparound services, as well as LTSS, are provided in accordance with requirements in the approved Medicaid State Plan and applicable HCBS waivers. For the Demonstration, the State will pay for Medicaid services based on its prevailing approved Medicaid authorities and payment methodologies. Under this Demonstration, the State will be eligible to receive a retrospective performance payment based on quality and savings criteria. Appendix 6 specifies the methodology for savings determinations and the calculation of performance payments.

Appears in 2 contracts

Sources: Memorandum of Understanding (Mou), Memorandum of Understanding