County Medical Services Program (CMSP Sample Clauses
County Medical Services Program (CMSP. (for CMSP Counties only)
1. For Mariposa consumers enrolled in the County Medical Services Program (CMSP) and admitted to County’s PHF, County shall bill the CMSP Third Party Administrator per CMSP guidelines and at the CMSP reimbursable per diem rate.
2. County shall ▇▇▇▇ ▇▇▇▇▇▇▇▇ and ▇▇▇▇▇▇▇▇ shall be responsible for the difference between CMSP’s reimbursable per diem rate and County’s billable rates.
3. Mariposa shall also be responsible for reimbursing County for any ancillary services provided, such as physical examinations, guard services and/or reimbursement for destruction of property as set forth elsewhere in this Agreement.
4. If, for any reason, CMSP denies reimbursement of the claim submitted by County for services provided to Mariposa consumers, Mariposa shall be responsible for reimbursing County the total amount due for services provided.
5. If ▇▇▇▇▇▇▇▇ authorizes an inpatient stay in excess of the limited number of inpatient days reimbursable by the CMSP third party administrator then ▇▇▇▇▇▇▇▇ shall be responsible for reimbursing County the total amount due for services not reimbursed by the CMSP.
6. Mariposa shall be solely responsible for negotiation of appeals with CMSP for denial of claims.
