Billing MMIS for Purchased Services Sample Clauses

Billing MMIS for Purchased Services a. The Contractor shall submit invoices to the State of Minnesota following the policies and procedures established for payment of Minnesota Health Care Program services, as set forth in Minnesota Statutes, section 256B.064; Minnesota Rules, chapter 9505, and the Minnesota Health Care Program Provider Manual. b. In the event that services provided to eligible persons may be reimbursed by private health insurance, Long Term Care Insurance, Medical Assistance State Plan services, or Medicare, the Contractor shall bill such third parties before billing home and community based services and the State of Minnesota. c. The Contractor agrees to notify the State of Minnesota if full or partial payment is received from any source other than this Contract for any eligible person also paid by the State. In such cases, the Contractor shall return to the State any duplicate payment made by the State for such eligible person. d. The parties understand and agree that the Contractor will have sole responsibility for the collection of other fees or revenues, with the exception of Alternative Care fees. Further, the parties agree that the Agency or other Counties of Financial Responsibility shall accept no responsibility for the collection or subsidization of bad debts related to other revenue for Purchased Services. e. The Contractor shall bill consistent with applicable Minnesota Rules in effect at the time the service was performed. f. The Contractor will bill only for services actually delivered and only for days when services were actually delivered. Contractors may not bill for leave days.
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