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
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