Payer of Last Resort definition

Payer of Last Resort means using FACT enhancement funds after exhausting all other potential sources of funds.
Sample 1Sample 2Sample 3
Payer of Last Resort means that the Program pays benefits secondary to all other public and private third-party payers who have an obligation to pay for such benefits.
Sample 1Sample 2Sample 3
Payer of Last Resort means the entity that pays after all other programs have been pursued for enrollment and payment. Under the “payer of last resort” (also referred to in Medicaid as “third party liability”) (Section 1902(a)(25)) of the Social Security Act) requirement, State Medicaid programs must take “all reasonable measures to ascertain the legal liability of third parties.”xv Even though many, but not all, publicly funded services are defined as the payer of last resort, there are options that permit braiding resources with other public funders to meet the needs of individuals with disabilities. Further, if the payer of last resort has paid a bill that should have been paid by another entity, then the State or local agency that is the payer of last resort may seek reimbursement.xvi
Sample 1Sample 2

Examples of Payer of Last Resort in a sentence

  • Learn about clinical trials: http://aidsinfo.nih.gov III.3.E. Exceptions to the Payer of Last Resort RequirementRWHAP recipients may not deny services, including prescription drugs, to an individual receiving benefits through Veterans Affairs (VA) who is otherwise eligible for RWHAP services, even if they could obtain services and medications through the VA (PCN 16-01).

  • Section 8082(b) and (c): Clarification of Payer of Last Resort Application to Child Welfare Prevention and Family Services; Effective DateBackgroundAs amended by the Family First Prevention Services Act (Title VII, Division E of P.L. 115-123), beginning with FY2020, states may elect to use funding under the Title IV-E program to support certain SUD and mental health treatment services, as well as skills-based programs for in-home parents.

  • For more information, please refer to: http://www.eohhs.ri.gov/I.4 Medicaid Payer of Last Resort Under Medicaid law and regulations, Medicaid is generally the payer of last resort.

  • The 1/10th of 1% funding should be utilized as a Payer of Last Resort.

  • Proposals are being solicited for the following services:Provide comprehensive pharmacy benefit & information management; Client Eligibility Administration, Coordination of Benefits and Payer of Last Resort Program Management, Statewide Pharmacy Network, Claims Processing, Pharmacy Payment Processing, ADAP Formulary Management, ADAP Program Member Technical Support, Reporting and Data Management.

  • These services include Enrollment & Eligibility Data Administration, Coordination of Benefits and Payer of Last Resort Program Management, Pharmacy Networks Management for Public Health Programs, Claims Processing, ADAP Formulary Management, ADAP Program Member Technical Support, and Reporting and Data Management.

  • Exception to Medicaid as the Payer of Last Resort – Medicaid-covered Services on a Medicaid Eligible Student’s IEP 105 5.

  • See Policy 16-11 – Payer of Last Resort Exemptions.❖ If an applicant is a legally registered Nevada tribal member and has medical services available through Indian Health Service (IHS), the individual is still eligible to receive services through Ryan White per HRSA guidelines.

  • See Policy 16-11 – Payer of Last Resort Exemptions.❖ Eligibility specialists should screen and document Ryan White applicants for access to insurance programs through employers, as well as spouses/significant others.

  • Payer of Last Resort: Describe how the agency will ensure that Ryan White funds will be cost effective, coordinated, and used as the payer of last resort for each service category for which funds are requested.


More Definitions of Payer of Last Resort

Payer of Last Resort means a requirement to coordinate services and seek payment from all other sources before Ryan White funds are used.
Sample 1Sample 2
Payer of Last Resort means as a condition of eligibility for residential accessibility modification program services, another public or private insurance or coverage and a community resource is exhausted first.
Sample 1Sample 2
Payer of Last Resort means an entity that pays after all other programs have been pursued for enrollment and payment. Examples of other programs include, but are not limited to: private health insurance, employer-sponsored health insurance, Medicaid and other State and Federal Programs.
Sample 1

Related to Payer of Last Resort

  • Houseboat means a powered vessel containing living accommodation, usually flat- bottomed and used in navigation.

  • Subordinate joint force commander means a sub-unified commander or joint task force commander.

  • Deed of Covenant means a deed of covenant collateral to a mortgage on a Ship to be executed in favour of the Security Trustee by the Owner of the relevant Ship in such form as the Lenders may approve or require and, in the plural means all of them;

  • connecting sewer means a pipe owned by the municipality and installed by it for the purpose of conveying sewage from a drainage installation on a premises to a sewer beyond the boundary of those premises or within a servitude area or within an area covered by a way-leave or by agreement;

  • newly rateable property means any rateable property on which property rates were not levied before the end of the financial year preceding the date on which this Act took effect, excluding –

  • Retail charge agreement means that term as defined in section 2 of the retail installment sales act, MCL 445.852.

  • Reciprocal state means a state other than this state in which section 507C.18, subsection 1, sections 507C.52 and 507C.53 and sections 507C.55 through 507C.57 are in force, and in which provisions are in force requiring that the commissioner or equivalent official be the receiver of a delinquent insurer, and in which some provision exists for the avoidance of fraudulent conveyances and preferential transfers.

  • Nationwide Mortgage Licensing System and Registry means a mortgage licensing system developed and maintained by the conference of state bank supervisors and the American association of residential mortgage regulators for the licensing and registration of licensed mortgage loan originators.

  • Affiliate of a declarant means any person who controls, is controlled by or is under common control with a declarant. A person "controls" a declarant if the person: (i) Is a general partner, officer, director or employer of the declarant; (ii) directly or indirectly or acting in concert with one or more other persons, or through one or more subsidiaries, owns, controls, holds with power to vote or holds proxies representing more than 20% of the voting interests of the declarant; (iii) controls in any manner the election of a majority of the directors of the declarant; or (iv) has contributed more than 20% of the capital in the declarant. A person "is controlled by" a declarant if the declarant: (i) Is a general partner, officer, director or employer of the person; (ii) directly or indirectly or acting in concert with one or more other persons, or through one or more subsidiaries, owns, controls, holds with power to vote or holds proxies representing, more than 20% of the voting interests in the person; (iii) controls in any manner the election of a majority of the directors of the person; or (iv) has contributed more than 20% of the capital of the person;

  • Relevant Funding Agreements means the agreement or agreements entered into by the Company and the Secretary of State under section 1 of the Academies Act 2010 for the establishment of each Academy, including any variation or supplemental agreements thereof;

  • STCW Convention means the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers, 1978 of the IMO, as it applies to the matters concerned taking into account the transitional provisions of Article VII and Regulation I/15 of the Convention and including, where appropriate, the applicable provisions of the STCW Code, all being applied in their up-to-date versions;

  • Warsaw Convention means the Convention for the Unification of Certain Rules Relating to International Carriage by Air, signed at Warsaw, October 12, 1929, as amended, but not including the Montreal Convention as defined above.

  • State Load Despatch Centre or ‘SLDC’ means the centre established by the State Government for purposes of exercising the powers and discharging the functions under Section 31 of the Act;

  • System with a single service connection means a system which supplies drinking water to consumers via a single service line.

  • Maintenance Supervisor (Tradesperson) means an employee who has trade qualifications and has overall responsibility for maintenance at the place of employment and may be required to supervise other maintenance staff.

  • Construction Service Agreement means either an Interconnection Construction Service Agreement or an Upgrade Construction Service Agreement.