CRITERIA FOR REIMBURSEMENT. A. County shall have agreements in place with the WPC Providers to provide targeted engagement services, and housing services. B. County shall pay the WPC Providers for the select WPC services rendered. CalOptima shall not have liability to WPC Providers for any services. C. County shall not claim reimbursement from DHCS for HHP housing supportive services that are provided through HHP and billed to CalOptima. As per DHCS’ HHP Program Guide Appendix K, Joint Medi-Cal Managed Care Health Plan and WPC Guidance, the WPC pilot may not claim WPC reimbursement for care coordination services that are duplicative of HHP care coordination services that are provided during the same month. D. CalOptima’s reimbursement for targeted engagement services and housing services is subject to the continuation of its contract with DHCS for the HHP.
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Samples: Coordination and Provision of Public Health Care Services Contract, Coordination and Provision of Public Health Care Services Contract, Coordination and Provision of Public Health Care Services Contract
CRITERIA FOR REIMBURSEMENT. A. County shall have agreements in place with the WPC Providers to provide targeted engagement services, and housing services.
B. County shall pay the WPC Providers for the select WPC services rendered. CalOptima shall not have liability to WPC Providers for any services.
C. County shall not claim reimbursement from DHCS for HHP housing supportive services that are provided through HHP and billed to CalOptima. As per DHCS’ HHP Program Guide Appendix K, Joint Medi-Cal Managed Care Health Plan and WPC Guidance, the WPC pilot may not claim WPC reimbursement for care coordination services that are duplicative of HHP care coordination services that are provided during the same month.
D. CalOptima’s reimbursement for targeted engagement services and housing services is subject to the continuation of its contract with DHCS for the HHP.
Appears in 1 contract
Samples: Coordination and Provision of Public Health Care Services Contract
