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Common use of Denial of Payment Clause in Contracts

Denial of Payment. The State will deny payments for new Enrolled Members when, and for so long as, payment for those Enrolled Members is denied by CMS based on the

Appears in 2 contracts

Samples: Contract Number Med 20 001, Med 16 018 Contract

Denial of Payment. The State will deny payments for new Enrolled Members when, and for so long as, payment for those Enrolled Members is denied by CMS. CMS based on themay deny payment to the State for new Enrolled Members if its determination is not timely contested by the Contractor. See: 42 C.F.R. § 438.726(b); 42 C.F.R. § 438.730(e)(1)(ii); 42 C.F.R. § 457.1270.

Appears in 1 contract

Samples: Contract Number Med 16 018

Denial of Payment. The State will deny payments for new Enrolled Members when, and for so long as, payment for those Enrolled Members is denied by CMS based on thethe State’s recommendation, when:

Appears in 1 contract

Samples: Contract Number Med 16 018