Acceptance of Claims. MSHN will not accept claims from PROVIDER for any items or services furnished, ordered or prescribed by excluded individuals or entities. In the event PROVIDER has not made required disclosures, MSHN will not be held financially liable to accept PROVIDER claims from excluded individuals or entities. If payment had been disbursed to PROVIDER prior to MSHN receiving required disclosures of excluded individuals or entities, PROVIDER shall reimburse MSHN total actual cost(s) of identified claims.
Appears in 12 contracts
Samples: Substance Use Disorder Treatment Contractual Agreement, Substance Use Disorder Treatment Contractual Agreement, Substance Use Disorder Recovery Contractual Agreement
Acceptance of Claims. 1) MSHN will not accept claims from PROVIDER for any items or services furnished, ordered or prescribed by excluded individuals or entities. .
2) In the event PROVIDER has not made required disclosures, MSHN will not be held financially liable to accept PROVIDER claims from excluded individuals or entities. .
3) If payment had been disbursed to PROVIDER prior to MSHN receiving required disclosures of excluded individuals or entities, PROVIDER shall reimburse MSHN total actual cost(s) of identified claims.
Appears in 1 contract
Samples: Medicaid Managed Specialty Supports and Services Agreement
Acceptance of Claims. a. MSHN will not accept claims from PROVIDER for any items or services furnished, ordered or prescribed by excluded individuals or entities. .
b. In the event PROVIDER has not made required disclosures, MSHN will not be held financially liable to accept PROVIDER claims from excluded individuals or entities. .
c. If payment had been disbursed to PROVIDER prior to MSHN receiving required disclosures of excluded individuals or entities, PROVIDER shall reimburse MSHN total actual cost(s) of identified claims.
Appears in 1 contract
Samples: Medicaid Managed Specialty Supports and Services Agreement
