Local Obligations - Requirement Exceptions Clause Samples

Local Obligations - Requirement Exceptions. Pursuant to the MDHHS/PIHP Contract, the Payor and the Provider shall not be required under this Agreement to provide a local obligation for the Medicaid specialty supports and services that the Payor purchases and the Provider provides hereunder, as follows: (1.) Programs for which responsibility are transferred by the State to the PIHP and the State is responsible for 100% of the cost of the program, consistent with the Michigan Mental Health Code, Public Health Code and Administrative Rules, including, but not limited to, Section 307 transfers and Medicaid hospital-based services. (2.) Other Medicaid covered specialty services, provided under the current Medicaid program waivers approved by the Federal government and implemented concurrently by the State of Michigan, as determined by the MDHHS (3.) Services provided to an individual under criminal sentence to a State prison.
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Local Obligations - Requirement Exceptions. The following services shall not require the CMHSP to provide a local obligation: A. Residential programs as defined in Section 309 of the Michigan Mental Health Code. Specialized residential services, as defined in Section 100d (6) of the Michigan Mental Health Code, includes mental health services that are expressly designed to provide rehabilitation and therapy to a recipient, that are provided in the residency of the recipient, and that are part of a comprehensive individual plan of services. B. Services provided to people whose residency is transferred according to the provisions in Section 307 of the Michigan Mental Health Code. C. Programs for which responsibility is transferred to the CMHSP and the state is responsible for 100% of the cost of the program, consistent with the Michigan Constitution. D. Services provided to an individual under criminal sentence to a state prison.
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Local Obligations - Requirement Exceptions. The following Medicaid covered services shall not require the PIHP to provide a local obligation: A. Programs for which responsibility is transferred to the PIHP and the state is responsible for 100% of the cost of the program, consistent with the Michigan Mental Health Code, for example 307 transfers and Medicaid hospital-based services B. Other Medicaid covered specialty services, provided under the Concurrent 1915(b)/(c) Program, as determined by MDCH. C. Services provided to an individual under criminal sentence to a state prison
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Local Obligations - Requirement Exceptions. The following Medicaid covered services shall not require the PIHP to provide a local obligation: A. Programs for which responsibility is transferred to the PIHP and the state is responsible for 100% of the cost of the program, consistent with the Michigan Mental Health Code, for example 307 transfers and Medicaid hospital-based services B. Other Medicaid covered specialty services, provided under the Concurrent 1915(b)/(c) Program, as determined by MDCH C. Services provided to an individual under criminal sentence to a state prison MDCH funding includes both Medicaid funds related to the 1915(b) Waiver and funds connected to the 1915(c) Habilitation Supports Waiver. The financing in this contract is always contingent on the annual Appropriation Act. CMHSPs within a PIHP may, but are not required to, use GF formula funds to provide services not covered under the 1915(b) and 1915(c) Medicaid Habilitation Supports waivers for Medicaid beneficiaries who are individuals with serious mental illness, serious emotional disturbances or developmental disabilities, or underwrite a portion of the cost of covered services to these beneficiaries. MDCH reserves the right to disallow such use of General Funds if it believes that the CMHSP was not appropriately assigning costs to Medicaid and to General Funds in order to maximize the savings allowed within the risk corridors. Specific financial detail regarding the MDCH funding is provided as Attachment P 7.0.1.
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Local Obligations - Requirement Exceptions. The following Medicaid covered services shall not require the PIHP to provide a local obligation: A. Programs for which responsibility is transferred to the PIHP and the state is responsible for 100% of the cost of the program, consistent with the Michigan Mental Health Code, for example 307 transfers and Medicaid hospital-based services B. Other Medicaid covered specialty services, provided under the Concurrent 1915(b)/(c) Program, as determined by MDCH. C. Services provided to an individual under criminal sentence to a state prison MDCH funding includes both Medicaid funds related to the 1915(b) Waiver and funds connected to the 1915(c) Habilitation Supports Waiver. The financing in this contract is always contingent on the annual Appropriation Act. The PIHP may use GF formula funds to provide services not covered under the 1915(b) and 1915(c) Medicaid Habilitation Supports waivers for Medicaid beneficiaries who are individuals with serious mental illness, serious emotional disturbances or developmental disabilities, or underwrite a portion of the cost of covered services to these beneficiaries if Medicaid payments for services to the CMHSP is exhausted. PIHP affiliate members (CPSSNs) that are under subcontract with the PIHP may use GF formula funds to provide services not covered under the 1915(b) and 1915(c) Medicaid Habilitation Supports waivers for Medicaid beneficiaries who are individuals with serious mental illness, serious emotional disturbances or developmental disabilities, or underwrite a portion of the cost of covered services to these beneficiaries that when the contract with the PIHP stipulates conditions regarding such use of General Funds. MDCH reserves the right to disallow such use of General Funds if it believes that the PIHP-CMHSP contract conditions were not met, or if it believes that the CMHSP was not appropriately assigning costs to Medicaid and to General Funds in order to maximize the savings allowed within the risk corridors. CMS approved the actuarial soundness of the capitation rates as specified in the rules contained in the Balanced Budget Act for Managed Care via an approval letter on December 22, 2003. CMS has required that BBA compliant, actuarially sound rates, and capitation payments be made since January 1, 2004. Since FY 2011, the MDCH has provided the PIHP two managed care payments each month for the Medicaid covered specialty services. One payment is based on all Medicaid eligibles within the PIHP region. This pay...
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Local Obligations - Requirement Exceptions. The following Medicaid covered services shall not require the PIHP to provide a local obligation:
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Local Obligations - Requirement Exceptions. Pursuant to the MDHHS/PIHP Contract, the Payor and the Provider shall not be required under this Agreement to provide a local obligation for the Medicaid specialty supports and services that the Payor purchases and the Provider provides hereunder, as follows: (1.) Programs for which responsibility are transferred by the State to the PIHP and the State is responsible for 100% of the cost of the program, consistent with the Michigan Mental Health Code, Public Health Code and Administrative Rules, including, but not limited to, Section 307 transfers and Medicaid hospital-based services. (2.) Other Medicaid covered specialty services, provided under the current Medicaid program waivers approved by the Federal government and implemented concurrently by the State of Michigan, as determined by the MDHHS (3.) Services provided to an individual under criminal sentence to a State prison. Also, the parties hereto agree that the Provider shall retain, as unrestricted local funds of the Provider, any interest income on Medicaid subcapitation funding that the Provider receives under this Agreement, except as otherwise restricted by generally accepted accounting principles (GAAP) for governmental units or Federal OMB Circular 2 CFR 200 Subpart E Cost Principles.
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Related to Local Obligations - Requirement Exceptions

  • Program Requirements The parties shall comply with the Disadvantaged Business Enterprise Program requirements established in 49 CFR Part 26.

  • Facility Requirements 1. Maintain wheelchair accessibility to program activities according to governing law, including the Americans With Disabilities Act (ADA), as applicable. 2. Provide service site(s) that will promote attainment of Contractor’s program objectives. Arrange the physical environment to support those activities. 3. Decrease program costs when possible by procuring items at no cost from County surplus stores and by accepting delivery of such items by County.

  • Match Requirements There is no match required on the part of the Grantee under this Agreement.

  • CONTRACT REQUIREMENTS a. NSF will exercise its responsibility for oversight and monitoring of procurements, contracts or other contractual arrangements for the purchase of materials and supplies, equipment or general support services under the award. The procedures set forth below shall be followed to ensure that performance, materials and services are obtained in an effective manner and in compliance with the provisions of applicable Federal statutes and executive orders. The awardee shall obtain prior written approval from the cognizant NSF Grants and Agreements Officer prior to entering into a contract if the amount exceeds $250,000 or other amount specifically identified in the agreement. Contracts clearly identified in the NSF award budget are considered approved at the time of award unless withheld by the Grants and Agreements Officer. Contracts must be clearly identified in the NSF award budget (on Line G6. Other) or by receiving written prior approval from the cognizant NSF Grants and Agreements Officer after an award is issued. The threshold noted above also applies to cumulative increases in the value of the contractual arrangement after initial NSF approval. The awardee shall not artificially segregate its procurements to lesser dollar amounts for the purpose of circumventing this requirement. A request to enter into a contract shall include, at a minimum: 1. Proposed contractual arrangement document; 2. A description of the supplies or services required; 3. Identification of the type of contract to be issued; 4. The proposed price and the recipient's cost or price analysis; 5. Identification of the proposed vendor, an explanation of why and how the proposed vendor was selected, and the degree of competition obtained; and 6. If the contract was awarded without competition, the memorandum shall include a detailed justification.

  • Mandatory Requirements The following MUST be submitted together with the bid; 1. Copy of Certificate of incorporation