Provider P4P Program Funding Clause Samples

Provider P4P Program Funding. The Department will make quarterly payments based on a per member per month (PMPM) rate, noted in ▇▇▇▇▇▇▇▇ ▇▇. This payment is separate from the monthly capitation process, as identified in Appendix 3b, and will be made via Gross Adjustment. The Department will process a payment in the second subsequent month following the quarter end. The Department will make these payments only to the extent that adequate funds are included for the purpose of these Exhibit B (3) payments to all PH-MCOs in the Commonwealth’s enacted budget for the capitation appropriation. If this payment is subject to the Gross Receipts Tax (GRT), the payment amount will increase by 6.27%. This increase recognizes the legitimate and marginal administrative cost to the PH-MCO of this tax. If the Department has notified the PH-MCO that the GRT is reduced or ended, upon advance written notice to the PH-MCO, the increase to the Provider P4P payment for GRT will be appropriately reduced or ended. Payments made to the PH-MCO under the Provider P4P program are intended to fund all mandatory measures first prior to funding optional measures and/or Community Based Care Management activities, or as approved by the Department. If the PH-MCO has unspent Provider P4P funds after all final disbursements have been made for the approved QPP above, upon advanced written notice to the PH-MCO, the Department may reduce a future Provider P4P payment by the unspent amount. If at any time the Department determines Provider P4P funds were not disbursed in accordance with the approved QPP above, upon advanced written notice to the PH- MCO, the Department may elect to reduce a future Provider P4P payment by the amount identified.
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Related to Provider P4P Program Funding

  • Program Funding Upon entry into force of this Compact, MCC will grant to the Government, under the terms of this Compact, an amount not to exceed Four Hundred Eight Million Eight Hundred Fifty Thousand United States Dollars (US$408,850,000) to support the Program (“Program Funding”). The allocation of Program Funding is generally described in Annex II to this Compact.

  • STUDENT TUITION RECOVERY FUND “The State of California established the Student Tuition Recovery Fund (STRF) to relieve or mitigate economic loss suffered by a student in an educational program at a qualifying institution, who is or was a California resident while enrolled, or was enrolled in a residency program, if the student enrolled in the institution, prepaid tuition, and suffered an economic loss. Unless relieved of the obligation to do so, you must pay the state-imposed assessment for the STRF, or it must be paid on your behalf, if you are a student in an educational program, who is a California resident, or are enrolled in a residency program, and prepay all or part of your tuition. You are not eligible for protection from the STRF, and you are not required to pay the STRF assessment, if you are not a California resident, or are not enrolled in a residency program.”

  • Provider Services Charges for the following Services when ordered by a Physician for the treatment of an Injury or Illness.

  • Resident Educator Program The four-year program is designed to provide newly licensed Ohio educators quality mentoring and guidance. Successful completion of the residency program is required to advance to a five-year professional educator license.

  • Program Administration An activity relating to the general management, oversight and coordination of community development programs. Costs directly related to carrying out eligible activities are not included.