Common use of Other Payment Method Clause in Contracts

Other Payment Method. If a clinic or clinician is a certified Health Care Home and the MCO has a comprehensive alternative payment arrangement, inclusive of care coordination and tied to measures related to patient health, patient experience and cost effectiveness with that clinic or clinician, the STATE will exempt the MCO from the Health Care Home care coordination fee for that Provider. The MCO is not required to pay both a Health Care Home care coordination fee and a fee based on a more comprehensive payment arrangement.‌

Other Payment Method. If a clinic or clinician is a certified Health Care Home and the MCO has a comprehensive alternative payment arrangement, inclusive of care coordination and tied to measures related to patient health, patient experience and cost effectiveness with that clinic or clinician, the STATE will exempt the MCO from the Health Care Home care coordination fee for that Provider. The MCO is not required to pay both a Health Care Home care coordination fee and a fee based on a more comprehensive payment arrangement.‌arrangement.