Disallowed Expenditures and Financial Repayments Sample Clauses

Disallowed Expenditures and Financial Repayments. In the event that the MDHHS, the PAYOR, the State of Michigan, or the federal government ever determines in any final revenue and expenditure reconciliation and/or any final finance or service audit that the PROVIDER has been paid inappropriately per the PAYOR’s expenditures of federal, State, and/or local funds pursuant to this Agreement for Medicaid or non-Medicaid program services claims and/or cost claims which are later disallowed, the PROVIDER shall fully repay the PAYOR for such disallowed payments within sixty (60) days of the PAYOR’s final disposition notification of the disallowed payment. Attachment C - RECIPIENT RIGHTS POLICIES & ATTESTATION In accordance with MCL 330.1752 Section 752, each community mental health services program, each licensed hospital, and each service provider under contract with the department, a community mental health services program, or a licensed hospital shall establish written policies and procedures concerning recipient rights and the operation of an office of recipient rights. PROVIDER attests to the following policies and procedures providing for the safeguarding of the rights of CONSUMERs.
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Disallowed Expenditures and Financial Repayments. In the event that the MDHHS, the PAYOR, the State of Michigan, or the federal government ever determines in any final revenue and expenditure reconciliation and/or any final finance or service audit that the PROVIDER has been paid inappropriately per the PAYOR’s expenditures of federal, state, and/or local funds under this Agreement for Medicaid or non-Medicaid program supports/services claims, and/or cost claims which are later disallowed, the PROVIDER shall fully repay the PAYOR for such disallowed payments within sixty (60) days of the PAYOR’s final disposition notification of the disallowances, unless the PAYOR authorizes, in writing, additional time for repayment. Attachment B – Service Codes and Rates Code Service Description Modifiers Reporting Units PROVIDER Type BCBA BCaBA QBHP LP/LLP BT Notes 97151 ABA Behavior Identification Assessment AH, HN, HO, HP, ST, U5 Per 15 minutes BCBA, BCaBA, QBHP, or LP/LLP 0362T Behavior Follow-Up Assessment AF, AG, AH, HN, HO, HP, SA Per 15 minutes BCBA, BCaBA, QBHP, or LP/LLP 97153 ABA Adaptive Behavior Treatment, individual AF, AG, AH, HM, HN, HO, HP, SA, TD Per 15 minutes BCBA, BCaBA, QBHP, LP/LLP, or BT 97154 ABA Adaptive Behavior treatment, group AF, AG, AH, HM, HN, HO, HP, TD, SA Per 15 minutes BCBA, BCaBA, QBHP, LP/LLP, or BT 97155 Clinical Observation and Supervision AH, HN, HO, HP Per 15 minutes BCBA, BCaBA, QBHP, or LP/LLP 97156 Family training AH, HN, HO, HP Per 15 minutes BCBA, BCaBA, QBHP, or LP/LLP 97157 Family training, multiple families AH, HN, HO, HP Per 15 minutes BCBA, BCaBA, QBHP, or LP/LLP 97158 Adaptive Behavior Treatment Social skills group AH, HN, HO, HP Per 15 minutes BCBA, BCaBA, QBHP, or LP/LLP 0373T Direct treatment, requiring two or more technicians AF, AG, AH, HM, HN, HO, HP, SA Per 15 minutes BCBA, BCaBA, QBHP, LP/LLP, or BT MODIFIERS: Modifier Description Applies To AF Specialty Physician 97153-54; 0362T; 0373T AG Physician 97153-54; 0362T; 0373T AH Clinical Psychologist provided service 97151-97158; 0362T; 0373T HM Less than Bachelor’s Level provided service 97153-54; 97158; 0373T HN Bachelor’s Level provided service 97151-97158; 0362T; 0373T HO Master’s Level provided service 97151-97158; 0362T; 0373T HP Doctoral Level provided service 97151-97158; 0362T; 0373T SA PA, NP, CNS 97153-54; 0362T; 0373T ST Related to Trauma or Injury 97151 TD Registered Nurse 97153-54; U5 Autism (State defined modifier) 97151 PLACE OF SERVICE CODES: Code Name Description
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Disallowed Expenditures and Financial Repayments. In the event that CMS, MDHHS, Authority, the State of Michigan, or the federal government ever determines in any final revenue and expenditure reconciliation and/or any final finance or service audit that Service Provider has been paid inappropriately per Authority’s expenditures of federal or State funds pursuant to this Agreement for services claims and/or cost claims which are later disallowed, Service Provider shall fully repay Authority for such disallowed payments within sixty (60) calendar days of Authority’s final disposition notification of the disallowances, unless Authority authorizes, in writing, additional time for repayment.
Sample 1Sample 2
Disallowed Expenditures and Financial Repayments. In the event that the MDHHS, the Payor, the State of Michigan, or the Federal government ever determines in any final revenue and expenditure reconciliation and/or any final finance or service audit that the Provider has been paid inappropriately per the Payor’s expenditures of Medicaid (Federal share and/or State share) funds pursuant to this Agreement for services claims and/or cost claims of the Provider which are later disallowed, the Provider shall repay the Payor for such disallowed payments within sixty (60) days of the Payor’s final disposition notification of the disallowances, unless the Payor authorizes, in writing, additional time for repayment.
Sample 1

Related to Disallowed Expenditures and Financial Repayments

  • Capital Expenditures The Issuer shall not make any expenditure (by long-term or operating lease or otherwise) for capital assets (either realty or personalty).

  • Excluded Expenditures The Recipient undertakes that the proceeds of the Financing shall not be used to finance Excluded Expenditures. If the Association determines at any time that an amount of the Financing was used to make a payment for an Excluded Expenditure, the Recipient shall, promptly upon notice from the Association, refund an amount equal to the amount of such payment to the Association. Amounts refunded to the Association upon such request shall be cancelled.

  • Eligible Expenditures 1. Subject to Article 8.7 of the Regulation, eligible expenditures of this Programme are:

  • Expenditure Limit The Contractor shall notify the County of Orange assigned Deputy Purchasing Agent in writing when the expenditures against the Contract reach 75 percent of the dollar limit on the Contract. The County will not be responsible for any expenditure overruns and will not pay for work exceeding the dollar limit on the Contract unless a change order to cover those costs has been issued.

  • FINANCIAL CONTRIBUTIONS 10.1 The Financial Contribution of the CCG and the Council to any Pooled Fund or Non-Pooled Fund for the first Financial Year of operation of each Individual Scheme shall be as set out in the relevant Scheme Specification.

  • Non-allowable Grant Expenditures The Grantee agrees to expend all grant funds received under this agreement solely for the purposes for which they were authorized and appropriated. Expenditures shall be in compliance with the state guidelines for allowable project costs as outlined in the Department of Financial Services’ Reference Guide for State Expenditures, incorporated by reference (dated February 2011), which are available online at xxxxxxxxxxxx.xxx/xxxxx/xxxxxxxxx_xxxxx. In addition, the following are not allowed as grant or matching expenditures:

  • ALLOWABLE COSTS AND PAYMENTS A. The method of payment for this contract will be based on actual cost plus a fixed fee. COUNTY will reimburse CONSULTANT for actual costs (including labor costs, employee benefits, travel, equipment rental costs, overhead and other direct costs) incurred by CONSULTANT in performance of the work. CONSULTANT will not be reimbursed for actual costs that exceed the estimated wage rates, employee benefits, travel, equipment rental, overhead, and other estimated costs set forth in the approved CONSULTANT’S COST PROPOSAL as referenced and defined in Exhibit “C”, unless additional reimbursement is provided for by contract amendment. In no event, will CONSULTANT be reimbursed for overhead costs at a rate that exceeds COUNTY’s approved overhead rate set forth in the COST PROPOSAL. In the event, that COUNTY determines that a change to the work from that specified in the COST PROPOSAL and AGREEMENT is required, the AGREEMENT time or actual costs reimbursable by COUNTY shall be adjusted by written agreement or task order to accommodate the changed work. The maximum total cost as specified in Paragraph “H” shall not be exceeded, unless authorized by written agreement.

  • Financial contribution 7.1.1 The total financial contribution to the Activity amounts up to: 50.000 EUR (Fifty Thousand EURO) for IPR & product development

  • Medical/Dental Expense Account The Employer agrees to allow insurance eligible employees to participate in a medical and dental expense reimbursement program to cover co- payments, deductibles and other medical and dental expenses or expenses for services not covered by health or dental insurance on a pre-tax basis as permitted by law or regulation, up to the maximum amount of salary reduction contributions allowed per calendar year under Section 125 of the Internal Revenue Code or other applicable federal law.

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