Medicaid Clients Sample Clauses

Medicaid Clients. CHR participates with Medicaid. However, if you are on a spend-down you will be responsible for payment until your spend-down is met. Medicare Clients: CHR participates with Medicare. After your yearly deductible is met, you will typically be responsible for 20% of charges that are considered your co-insurance. If you have Medicaid as a secondary insurance, Medicaid will be billed for you. Clientes comercialmente asegurados: CHR facturará a su seguro como una cortesía. Usted es responsable de conocer sus beneficios de seguro de salud mental. CHR verificará su elegibilidad y cobrará el pago según su elegibilidad. Sin embargo, una vez que su seguro tramite su reclamación, se le cobrará por cualquier responsabilidad de pago adicional del paciente que se deba de acuerdo a su seguro. La responsabilidad del paciente es pagadera en el momento del servicio.
AutoNDA by SimpleDocs
Medicaid Clients. The Contractor shall bill Medicaid upon the completion of full and satisfactory dental services. The Contractor will follow Medicaid guidelines, protocols and fee schedule.
Medicaid Clients. When a Medicaid client is detained (ITA), or voluntarily seeks inpatient treatment, the servicing facility is required to coordinate care and payment with the MCO, in which the enrollee is assigned to in P1. When a Medicaid client from another state is detained (ITA) and the individual’s state of residence does not cover a service model unique to Washington State, such as Secure Withdrawal Management and Stabilization Services (Secure Detox), the servicing facility is required to coordinate care and payment with the BH-ASO of the detaining Designated Crisis Responder.
Medicaid Clients. When a Medicaid client is detained (ITA), or voluntarily seeks inpatient treatment, the servicing facility is required to coordinate care and payment with the MCO (for clients in integrated regions) or the BHO (in on-time-adopter regions), in which the enrollee is assigned to in P1. When a Medicaid client from another state is detained (ITA) and the individual’s state of residence does not cover a service model unique to Washington State, such as Secure Withdrawal Management and Stabilization Services (Secure Detox), the servicing facility is required to coordinate care and payment with the BH-ASO (for integrated regions) or the BHO (in on-time-adopter regions) of the detaining Designated Crisis Responder.  ITA o When a Non-Medicaid individual is detained (ITA) outside of their region of residence, the BH- ASO/BHO of the individual’s region of residence is responsible for authorization and payment to the servicing facility. This includes E&T facilities and Community Hospitals.  Voluntary o When a Non-Medicaid individual voluntarily seeks inpatient treatment, outside of their region of residence, the BH-ASO/BHO of the individual’s region of residence is responsible for authorization and payment to the servicing facility. This includes E&T facilities and Community Hospitals. Prior- authorization is required for these services. Approval or denial will be based on medical necessity and available resources.
Medicaid Clients. The provider at his or her discretion may terminate you as a client for two no-shows or cancellations that occur back to back. Legal Services - Court appearance is not a part of the therapy process. This includes testimony as a fact witness, as an expert witness, written or oral deposition, or any type of contact with an attorney. Clients will be charged a minimum of $1500 for 4 hours, 5-8 hours will be a $3,000 charge for providers required to be available to the legal system (court appearance). You will be required to deposit four

Related to Medicaid Clients

  • Medicaid Enrollment Treatment Grantees shall enroll as a provider with Texas Medicaid and Healthcare Partnership (TMHP) and all Medicaid Managed Care organizations in Grantee’s service region within the first quarter of this procurement term and maintain through the procurement term.

  • Medicaid If and when the Resident’s assets/funds have fallen below the Medicaid eligibility levels, and the Resident otherwise satisfies the Medicaid eligibility requirements and is not entitled to any other third party coverage, the Resident may be eligible for Medicaid (often referred to as the “payor of last resort”). THE RESIDENT, RESIDENT REPRESENTATIVE AND SPONSOR AGREE TO NOTIFY THE FACILITY AT LEAST THREE (3) MONTHS PRIOR TO THE EXHAUSTION OF THE RESIDENT’S FUNDS (APPROXIMATELY $50,000) AND/OR INSURANCE COVERAGE TO CONFIRM THAT A MEDICAID APPLICATION HAS OR WILL BE SUBMITTED TIMELY AND ENSURE THAT ALL ELIGIBILITY REQUIREMENTS HAVE BEEN MET. THE RESIDENT, RESIDENT REPRESENTATIVE AND/OR SPONSOR AGREE TO PREPARE AND FILE AN APPLICATION FOR MEDICAID BENEFITS PRIOR TO THE

  • Medicaid Program Parties (applicable to any Party providing services and supports paid for under Vermont’s Medicaid program and Vermont’s Global Commitment to Health Waiver):

  • Medicare Parts A and B of the health care program for the aged and disabled provided by Title XVIII of the United States Social Security Act, as amended from time to time. [MEMBER]. An eligible person who is covered under this Contract (includes Covered Employee[ and covered Dependents, if any)].

  • Subcontracting for Medicaid Services Notwithstanding any permitted subcontracting of services to be performed under this Agreement, Party shall remain responsible for ensuring that this Agreement is fully performed according to its terms, that subcontractor remains in compliance with the terms hereof, and that subcontractor complies with all state and federal laws and regulations relating to the Medicaid program in Vermont. Subcontracts, and any service provider agreements entered into by Party in connection with the performance of this Agreement, must clearly specify in writing the responsibilities of the subcontractor or other service provider and Party must retain the authority to revoke its subcontract or service provider agreement or to impose other sanctions if the performance of the subcontractor or service provider is inadequate or if its performance deviates from any requirement of this Agreement. Party shall make available on request all contracts, subcontracts and service provider agreements between the Party, subcontractors and other service providers to the Agency of Human Services and any of its departments as well as to the Center for Medicare and Medicaid Services.

  • Child Care Leave The Employer shall, upon her request, grant an employee: (i) Who is the natural parent of a newborn or unborn child, or (ii) Who is adopting or has adopted a child, a leave of absence without pay of thirty-seven (37) consecutive weeks or such a shorter period as the employee requests so as to enable the employee to care for the child An employee who is or will be a natural parent intending to take this childcare leave shall (iii) Provide the Employer with a medical doctor’s certificate specifying the probable date of delivery or the date upon which the birth has occurred and, (iv) In absence of an emergency, give four (4) weeks written notice to the Employer of the commencement date and duration of the leave. An employee who is a parent of the newborn, other than the birth mother, shall be granted three (3) days leave without loss of pay within a reasonable period of time surrounding the occasion of the birth of the child. While on child care leave, an employee shall retain her full employment status and continue to accumulate seniority. An employee who is an adoptive parent intending to take this leave shall: (v) Provide the Employer with the proof that a child has been or will be placed with the employee for the purpose of adoption, (vi) Notify the Employer of the commencement date and duration of the leave on being made aware of the date of placement with the employee for adoption, and (vii) In the absence of an emergency, give four (4) months notice to the Employer before the anticipated day on which a child will come into the employees care and custody in the case of private adoption or upon approval in accordance with the Family Services Act as a prospective adopting parent. Where a natural mother intends to take a child care leave in addition to a maternity leave, except if the newborn is hospitalized when an employee’s maternity leave expires, the employee is required to commence the child care leave immediately on expiration of the maternity leave unless the Employer and the employee otherwise agree. The child care leave may be taken by either natural or adoptive parents. Where both parents are employees it may be shared by the child’s parent’s but the leave is only thirty-seven (37) weeks in TOTAL, regardless of how it is divided, and it must be taken in a consecutive manner. The combined maternity leave of seventeen (17) weeks and child care leave thirty-seven (37) weeks taken by one or both parents cannot total more than fifty-two (52) weeks after that date. Child care leave shall begin not earlier than the date on which the newborn or adopted child came into the care and custody of the employee and end not later than fifty-two (52) weeks after that date.

  • HIPAA To the extent (if any) that DXC discloses “Protected Health Information” or “PHI” as defined in the HIPAA Privacy and Security Rules (45 CFR, Part 160-164) issued pursuant to the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) to Supplier or Supplier accesses, maintains, uses, or discloses PHI in connection with the performance of Services or functions under this Agreement, Supplier will: (a) not use or further disclose PHI other than as permitted or required by this Agreement or as required by law; (b) use appropriate safeguards to prevent use or disclosure of PHI other than as provided for by this Agreement, including implementing requirements of the HIPAA Security Rule with regard to electronic PHI; (c) report to DXC any use or disclosure of PHI not provided for under this Agreement of which Supplier becomes aware, including breaches of unsecured protected health information as required by 45 CFR §164.410, (d) in accordance with 45 CFR §164.502(e)(1)(ii), ensure that any subcontractors or agents of Supplier that create, receive, maintain, or transmit PHI created, received, maintained or transmitted by Supplier on DXC’s behalf, agree to the same restrictions and conditions that apply to Supplier with respect of such PHI; (e) make available PHI in a Designated Record Set (if any is maintained by Supplier) in accordance with 45 CFR section 164.524;

  • Medi Cal/daily service logs and notes and other documents used to record provision of services provided by instructional assistants, behavior intervention aides, bus aides, and supervisors

  • Pharmacy Pharmacy hereby represents that neither Pharmacy, nor, to the best of Pharmacy’s knowledge, Pharmacist, Pharmacy’s employees, agents or independent

  • HEALTH PROGRAM 3701 Health examinations required by the Employer shall be provided by the Employer and shall be at the expense of the Employer. 3702 Time off without loss of regular pay shall be allowed at a time determined by the Employer for such medical examinations and laboratory tests, provided that these are performed on the Employer’s premises, or at a facility designated by the Employer. 3703 With the approval of the Employer, a nurse may choose to be examined by a physician of her/his own choice, at her/his own expense, as long as the Employer receives a statement as to the fitness of the nurse from the physician. 3704 Time off for medical and dental examinations and/or treatments may be granted and such time off, including necessary travel time, shall be chargeable against accumulated income protection benefits.

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!