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If the contractor requests an additional increase beyond the first adjustment, the agency reviews the new documentation and reviews the publicly available data for justification. [include statement explaining how employee met the expectations of the required performance/training plan, or in some limited circumstances, a statement about how this is commensurate with new job responsibilities and detail new responsibilities] The 2025 conversion factor for anesthesia services (before geographic practice cost index adjustment) is updated pursuant to labor code section 5307.1, subdivision (g)(1)(a) and title 8, ccr, section 9789.12.5, subdivision (c) to conform to relevant changes in the medicare physician fee schedule payment system as adopted in the medicare final.
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Asphalt price adjustment will be on a lump sum basis, and an estimated amount to cover the asphalt price adjustment will be included in the proposal Dhmh 4567a 10/00 this form is to be sen t to the adjustment section, medical care program adm., p.o Payments for increases will be made from this amount.
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A cost adjustment will be made only when the ep asphalt cement price index varies by more than 10 percent from the bp asphalt cement price index, and only for that portion of the variance in excess of 10 percent
Cost adjustments may be either positive or negative dollar amounts.
