Substitution of Alternative Methodology and/or Fee Terms Sample Clauses

Substitution of Alternative Methodology and/or Fee Terms. In the event that any LEA Billing fee arrangements or and part thereof are or become inconsistent with applicable federal or state laws or regulations, or court order, or that any time survey methodology other than RMTS is approved by DHCS for use by Client in determining the percentage of allowable costs for reimbursement, Paradigm will on thirty (30) days written notice provide substitute fee arrangements and/or substitute time survey services consistent with applicable law regulation or court order. Any such substitute fee arrangements shall not increase the total amount Client would otherwise have been required to pay Paradigm for services under this Agreement. "Max Interim $s to Client" below lists the maximum interim claim value per unit, according to current Medi-Cal reimbursement rates, when performed by a qualified provider; however, not all interim claims will be reimbursed at these rates. Paradigm's fees for Interim Approved Claims will be capped, not to exceed 7% of the dollar value of Interim Approved Claims. Audiologist Assessment $ 122.40 $ 15.01 Audiologist Treatment $ 56.11 $ 6.88 Health Aide Treatment $ 5.28 $ 0.65 Licensed Vocational Nurse Treatment $ 6.15 $ 0.75 School Nurse, NP, PHN Assessment $ 84.10 $ 10.31 School Nurse, RN, NP, PHN Treatment $ 12.02 $ 1.47 School Counselor Assessment $ 12.87 $ 1.58 School Psychologist Assessment $ 308.84 $ 37.87 School Psychologist, Licensed MFT, Lic./Cred. SW Treatment $ 47.18 $ 5.79 Associate Marriage Family Therapist Treatment $ 19.36 $ 2.37 Licensed MFT, Lic./Cred. SW Assessment $ 12.87 $ 1.58 Associate Clinical Social Worker Treatment $ 19.36 $ 2.37 Speech-Language Pathologist Assessment $ 67.08 $ 8.22 Speech-Language Pathologist Treatment $ 42.35 $ 5.19 Speech-Language Therapy Assistant Treatment $ 17.60 $ 2.16 Occupational Therapist Assessment $ 141.32 $ 17.33 Occupational Therapist Treatment $ 46.61 $ 5.72 Occupational Therapy Assistant Treatment $ 20.06 $ 2.46 Physical Therapist Assessment $ 145.40 $ 17.83 Physical Therapist Treatment $ 40.39 $ 4.95 Physical Therapy Assistant Treatment $ 16.89 $ 2.07 Registered Dietician, Respiratory Therapist Assessment $ 12.02 $ 1.47 Registered Dietician, Respiratory Therapist Treatment $ 12.02 $ 1.47 O&M Specialist Assessment $ 12.27 $ 1.50 O&M Specialist Treatment $ 12.27 $ 1.50 Targeted Case Management Treatment $ 12.02 $ 1.47 Transportation - $ 10.20 $ 1.25
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Substitution of Alternative Methodology and/or Fee Terms. In the event that any LEA Billing, CRCS, or MAA fee arrangements, or and part thereof are or become inconsistent with applicable federal or state laws or regulations, or court order, or that any time survey methodology other than Worker Log or RMTS is approved by DHCS for use by Client in determining the percentage of allowable costs for MAA reimbursement, Paradigm will on thirty (30) days written notice provide substitute fee arrangements and/or substitute time survey services consistent with applicable law regulation or court order. Any such substitute fee arrangements shall not increase the total amount Client would otherwise have been required to pay Paradigm for services under this Agreement.
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Related to Substitution of Alternative Methodology and/or Fee Terms

  • Loss Mitigation and Consideration of Alternatives (i) For each Single Family Shared-Loss Loan in default or for which a default is reasonably foreseeable, the Assuming Institution shall undertake reasonable and customary loss mitigation efforts, in accordance with any of the following programs selected by Assuming Institution in its sole discretion, Exhibit 5 (FDIC Mortgage Loan Modification Program), the United States Treasury's Home Affordable Modification Program Guidelines or any other modification program approved by the United States Treasury Department, the Corporation, the Board of Governors of the Federal Reserve System or any other governmental agency (it being understood that the Assuming Institution can select different programs for the various Single Family Shared-Loss Loans) (such program chosen, the “Modification Guidelines”). After selecting the applicable Modification Guideline for each such Single Family Shared-Loss Loan, the Assuming Institution shall document its consideration of foreclosure, loan restructuring under the applicable Modification Guideline chosen, and short-sale (if short-sale is a viable option) alternatives and shall select the alternative the Assuming Institution believes, based on its estimated calculations, will result in the least Loss. If unemployment or underemployment is the primary cause for default or for which a default is reasonably foreseeable, the Assuming Institution may consider the borrower for a temporary forbearance plan which reduces the loan payment to an affordable level for at least six (6) months. (ii) Losses on Home Equity Loans shall be shared under the charge-off policies of the Assuming Institution’s Examination Criteria as if they were Single Family Shared-Loss Loans. (iii) Losses on Investor-Owned Residential Loans shall be treated as Restructured Loans, and with the consent of the Receiver can be restructured under terms separate from the Exhibit 5 standards. Please refer to Exhibits 2(a)(1)-(2) for guidance in Calculation of Loss for Restructured Loans. Losses on Investor-Owned Residential Loans will be treated as if they were Single Family Shared-Loss Loans. (iv) The Assuming Institution shall retain its loss calculations for the Shared Loss Loans and such calculations shall be provided to the Receiver upon request. For the avoidance of doubt and notwithstanding anything herein to the contrary, (x) the Assuming Institution is not required to modify or restructure any Shared-Loss Loan on more than one occasion and (y) the Assuming Institution is not required to consider any alternatives with respect to any Shared-Loss Loan in the process of foreclosure as of the Bank Closing if the Assuming Institution can document that a loan modification is not cost effective and shall be entitled to continue such foreclosure measures and recover the Foreclosure Loss as provided herein, and (z) the Assuming Institution shall have a transition period of up to 90 days after Bank Closing to implement the Modification Guidelines, during which time, the Assuming Institution may submit claims under such guidelines as may be in place at the Failed Bank.

  • Certification of Meeting or Exceeding Tobacco-Free Workplace Policy Minimum Standards A. Grantee certifies that it has adopted and enforces a Tobacco-Free Workplace Policy that meets or exceeds all of the following minimum standards of: i. Prohibiting the use of all forms of tobacco products, including but not limited to cigarettes, cigars, pipes, water pipes (hookah), bidis, kreteks, electronic cigarettes, smokeless tobacco, snuff and chewing tobacco; ii. Designating the property to which this Policy applies as a "designated area,” which must at least comprise all buildings and structures where activities funded under this Grant Agreement are taking place, as well as Grantee owned, leased, or controlled sidewalks, parking lots, walkways, and attached parking structures immediately adjacent to this designated area; iii. Applying to all employees and visitors in this designated area; and iv. Providing for or referring its employees to tobacco use cessation services. B. If Grantee cannot meet these minimum standards, it must obtain a waiver from the System Agency.