Medi-Cal Reimbursement Requirements Sample Clauses

Medi-Cal Reimbursement Requirements. A. Payment for services is subject to Medi-Cal documentation standards, establishment of medical necessity, and claim submissions consistent with State and Federal requirements. B. Contractor shall submit an Invoice within thirty (30) days for each consumer which details the units of service provided and payment rate, accompanied by the authorizing documents provided by MHP or designee. C. Contractor will cooperate with the MHP process for submitting the unit of service data for the MHP Medi-Cal billing process on the required timeline. A signed certification of claim shall be submitted with each Invoice. D. The MHP shall pay the Contractor consistent with the certified public expenditure process required by 42 CFR 433.51. E. If Cost Report Settlement is required, it shall be completed by the MHP within a reasonable timeline. Payment shall be required by MHP or Contractor within sixty (60) days of Settlement or as otherwise mutually agreed.
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Medi-Cal Reimbursement Requirements. A. Payment for services is subject to Medi-Cal documentation standards, establishment of medical necessity, and claim submissions consistent with State and Federal requirements. B. Contractor shall submit an Invoice within thirty (30) days for each client which details the units of service provided and payment rate, accompanied by the authorizing documents provided by MHP or designee. C. Contractor will cooperate with the MHP process for submitting the unit of service data for the MHP Medi-Cal billing process on the required timeline. A signed certification of claim shall be submitted with each Invoice. D. The MHP shall pay the Contractor consistent with the certified public expenditure process required by 42 CFR 433.51.
Sample 1
Medi-Cal Reimbursement Requirements. A. Payment for services is subject to Medi-Cal documentation standards, establishment of medical necessity, and claim submissions consistent with State and Federal requirements. B. Contractor shall submit an Invoice within thirty (30) days for each consumer which details the units of service provided and payment rate, accompanied by the authorizing documents provided by County or designee. C. Contractor will cooperate with the County process for submitting the unit of service data for the County Medi-Cal billing process on the required timeline. A signed certification of claim shall be submitted with each Invoice. D. The County shall pay the Contractor consistent with the certified public expenditure process required by 42 CFR 433.51. E. If Cost Report Settlement is required, it shall be completed by the County within a reasonable timeline. Payment shall be required by County or Contractor within sixty (60) days of Settlement or as otherwise mutually agreed.
Sample 1
Medi-Cal Reimbursement Requirements. Contractor will meet the Cost Reimbursed Medi-Cal requirements and the following fiscal requirements: Monthly payment by County based on a Invoice which details the units of service provided and interim payment rate, accompanied by the attached TARS authorizing the services. Contractor will cooperate with the County process for submitting the unit of service data for the County Medi-Cal billing process. c.) County will provide Contractor a Management Information System (MIS) report by August 31 after close of fiscal year for reconciliation by Contractor/County by September 30. d.) Contractor will submit annual Cost Report in the State Department of Mental Health mandated format to County by September 30 after the close of the fiscal year. The Cost Report format requires the aggregation of all services to the County including Xxxxxx Care children. e.) The Cost Report calculates the Cost per unit as the lowest of Cost, Published charge or State Department of Mental Health Schedule of Maximum Allowance (SMA). f.) A Cost Report Settlement will be completed by County within a reasonable timeline and will be based on a comparison of the allowed Medi-Cal reimbursement per unit in the Cost Report compared to the interim payment per unit paid by County. Payment will be required by County or Contractor within 60 days of Settlement or as otherwise mutually agreed.
Sample 1

Related to Medi-Cal Reimbursement Requirements

  • Meal Reimbursement When an employee is specifically directed by the City to work two (2) hours or longer at the beginning or end of their normal work shift away from their place of residence of at least eight (8) hours or work two (2) hours or longer at the end of their work shift of at least eight (8) hours when the employee is called in to work on their regular day off, or otherwise works under circumstances for which meal reimbursement is authorized per Ordinance 111768 and the employee actually purchases a reasonably priced meal away from his place of residence as a result of such additional hours of work, the employee shall be reimbursed for the "reasonable cost" of such meal in accordance with Seattle Municipal Code (SMC) 4.20.

  • Mileage Reimbursement Subject to the current Vehicle Rules and Regulations established by the Board, an employee who is authorized to use a private automobile in the performance of duties shall be paid the Internal Revenue Service Standard Mileage Rate for the Business Use of a Car for each mile driven during each monthly period.

  • Minimum Balance Requirements To be a member and maintain Accounts with Us You must purchase 1 share in the Credit Union. The par value of a share in this Credit Union is $5.00. If the balance in Your primary share Account drops below 1 share ($5.00), at any time, We may, at Our option, close Your Account. Nonsufficient Funds Returns. Any share draft or pre-authorized transfer, or transaction made through the use of a debit card, or other electronic means, as is applicable (including any in-person transaction), that is presented to Us for payment on Your Account when Your Account lacks sufficient collected funds to pay any such item may, at Our option, be returned for nonsufficient funds or We may honor any such item and charge You a fee for doing so. Overdraft Balance Calculation. When processing transactions that debit or credit Your Account, We start each Business Day with Your final Account balance from the preceding Business Day. The final balance takes into account all of the debit and credit transactions that were settled that Business Day pursuant to Our Funds Availability Policy, as well as any other debits or credits to Your Account that were finally settled that day, as described above in the "Deposit of Items" and "Collection and Processing of Items" sections of the Account Agreement. This starting balance at the beginning of a Business Day (the preceding Business Day's final balance) is sometimes referred to as Your "actual balance."

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