Common use of Financial Assistance Calculation, Disbursement, and Confirmation of Performance and Reporting Requirements Procedures Clause in Contracts

Financial Assistance Calculation, Disbursement, and Confirmation of Performance and Reporting Requirements Procedures. Provider is not entitled to payment for Part A or Part C payments (or both) in combination with Part B payments for the same Service, during the same time period or date of Service for the same Individual. Contractor and Service Providers shall maintain compliance with OAR 410-172-0600 to 410-172-0860, OAR 943- 120-0310, and OAR 943-120-0320. Funding will be reduced (offset) by the amount of funding received by the Service Provider from the Individual, the Individual’s health insurance provider, another person’s health insurance provider under which Individual is also covered, or any other Third Party Resource (TPR) in support of Individual’s care and Services provided.

Financial Assistance Calculation, Disbursement, and Confirmation of Performance and Reporting Requirements Procedures. Provider is not entitled to payment for Part A or Part C payments (or both) in combination with Part B payments for the same Service, during the same time period or date of Service for the same Individual. Contractor and Service Providers shall maintain compliance with OAR 410-172-0600 to 410-172-0860, OAR 943- 120-0310, and OAR 943-120-0320. Funding will be reduced (offset) by the amount of funding received by the Service Provider from the Individual, the Individual’s health insurance provider, another person’s health insurance provider under which Individual is also covered, or any other Third Party Resource (TPR) in support of Individual’s care and Services provided.