Model Contracts

  • This is the Revised Model Contract that has been approved by Centers for Medicare and Medicaid Services (CMS) for a Managed Long Term Care (MLTC) Partial Capitation plan. The Model covers the period 9/1/12 to 12/31/14, with opportunity for one additional two year period or two additional one year periods. Partial Capitation Contract (PDF, 514KB)
    • The Revised Model reflects changes required to comply with the CMS 1115 Waiver. This contract will need to be further amended once the final terms and conditions are finalized per the 4/1/13 CMS 1115 Waiver approval
  • This is the Model Contract that has been approved by the Centers for Medicare and Medicaid Services (CMS) for a Medicaid Advantage Plus (MAP) plan. The Model covers the period 1/1/12 to 12/31/14, with opportunity for one additional two year period or two additional one year periods. .
    Medicaid Advantage Plus (MAP) Model Contract (PDF, 683KB, 213pg.)
  • This is the Model Contract for the Program of All-Inclusive Care for the Elderly (PACE) plan. The Model covers the period 1/1/12 to 12/31/14, with an opportunity for one additional two year period or two additional one year periods. PACE Model Contract (PDF, 499KB, 79pg.)
  • This is the Model Contract that has been approved by the Centers for Medicare and Medicaid Services (CMS) for the Medicaid Advantage plan. The Model covers the period 1/1/2011 to 12/31/13, with an opportunity for one additional two year period or two additional one year periods. Medicaid Advantage Model Contract (PDF, 885KB, 226pg.)