Common use of Fee-for-Service Funding Clause in Contracts

Fee-for-Service Funding. The funding for Services in Schedule B, attached hereto and incorporated by reference herein, is a Fee for Service Agreement. The Mental Health Board will pay the authorized cost set forth in Schedule B which is supported by authorized activity codes set forth in the approved Work Plan and documentation required to be submitted with the Affidavit, so long as the Services are provided for or to a Dundee Township resident (as determined in Section 4). The Provider is responsible for submitting Affidavits in accordance with applicable rates and Mental Health Board shall not allow Affidavit resubmissions beyond 180 days unless approved by the Mental Health Board. The Mental Health Board will not pay for services rendered beyond the maximum dollar amount set forth in Schedule B. Provider must first seek payment from all other potential payers prior to billing the Mental Health Board for Services. The Provider agrees to and shall maintain sufficient documentation to show payment from all outside funding sources. The Mental Health Board shall be billed using CPT codes, HCPCS codes or Mental Health Board activity or service codes as identified in the Work Plan(s). Subject to approval in the Work Plan, notwithstanding any terms to the contrary, Services shall be provided and billed in alignment with the Illinois Department of Human Services (hereinafter Department of Human Services) requirements for Medicaid Reimbursement under 59 Illinois Administrative Code Part 115, Part 116, Part 117, Part 119, Part 120, Part 132, and Part 140, 77 Illinois Administrative Code Part 2060 and Part 2090, and the Mental Health and Developmental Disabilities Confidentiality Act unless otherwise approved.

Fee-for-Service Funding. The funding for Services in Schedule B, attached hereto and incorporated by reference herein, is a Fee for Service Agreement. The Mental Health Board will pay the authorized cost set forth in Schedule B which is supported by authorized activity codes set forth in the approved Work Plan and documentation required to be submitted with the Affidavit, so long as the Services are provided for or to a Dundee Township resident (as determined in Section 4)McHenry County Resident or a shelter client located within McHenry County. The Provider is responsible for submitting Services rendered beyond the maximum dollar amount Affidavits in accordance with applicable rates and Mental Health Board shall not allow Affidavit resubmissions beyond 180 days unless approved by the Mental Health Board. The Mental Health Board will not pay for services rendered beyond the maximum dollar amount set forth in Schedule B. Provider must first seek payment from all other potential payers prior to billing the Mental Health Board for Services. The Provider agrees to report and shall maintain sufficient documentation to show payment from all outside funding sources. The Mental Health Board shall be billed using CPT codes, HCPCS codes or Mental Health Board activity or service codes as identified in the Work Plan(s). Subject to approval in the Work Plan, notwithstanding any terms to the contrary, Services shall be provided and billed in alignment with the Illinois Department of Human Services (hereinafter Department of Human Services) requirements for Medicaid Reimbursement under 59 Illinois Administrative Code Part 115, Part 116, Part 117, Part 119, Part 120, Part 132, Part 140, and Part 1401100, 77 Illinois Administrative Code Part 2060 and Part 2090, and the Mental Health and Developmental Disabilities Confidentiality Act unless otherwise approved.