Common use of Billing MMIS for Purchased Services Clause in Contracts

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.

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 xxxx 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 xxxx consistent with applicable Minnesota Rules in effect at the time the service was performed. f. The Contractor will bill xxxx only for services actually delivered and only for days when services were actually delivered. Contractors may not bill xxxx for leave days.

Billing MMIS for Purchased Services. a. 1) The Contractor provider shall submit invoices to the State of Minnesota following the policies and procedures established for payment of Minnesota Health Care Program servicesServices, as set forth in Minnesota StatutesStatues, section 256B.064; Minnesota Rules, chapter 9505, and the Minnesota Health Care Program Provider Manual. b. 2) In the event that services provided to eligible persons may be reimbursed by private health insurance, Long Term Care Insuranceinsurance, Medical Assistance State Plan servicesServices, or Medicare, the Contractor Provider shall bill such third parties before billing home and community community- based services and the State of Minnesota. c. 3) The Contractor Provider 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 Provider shall return to the State any duplicate payment made by the State Sate for such eligible personpersons. d. 4) The parties understand and agree that the Contractor Provider 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 Lead County or other Counties of Financial Responsibility Financially Responsible Agency shall accept no responsibility for the collection or subsidization of bad debts related to other revenue for Purchased Services. e. 5) The Contractor Provider shall bill consistent with applicable Minnesota Rules in effect at the time the service was performed. f. 6) The Contractor Provider will bill only for the services actually delivered and only for days when the services were actually delivered. Contractors Providers may not bill for leave daysdays a person is absent from his or her residence.

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 ManualProgram. 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.