Medicaid Eligibility. Facility Participating Provider shall make reasonable effort to verify an Individual's eligibility at time of service by following appropriate procedures, including without limitation, and at a minimum, the terms and conditions of this Agreement, Protocols and the Supplemental Provider Service Guide. Facility Participating Provider however recognizes that the Individual’s eligibility information may be inaccurate at the time. Facility Participating Provider obtains verification and that the Individual, or the Services provided to the Individual, may later be determined to be Medicaid eligible and, except as otherwise required by law, not eligible for payment under this Agreement. Under such circumstances, Facility Participating Provider may then, except as otherwise stated herein, directly xxxx the other responsible party for such services.
Appears in 2 contracts
Samples: Facility Participating Provider Agreement, Facility Participating Provider Agreement
Medicaid Eligibility. Facility Participating Provider shall make reasonable effort to verify an Individual's eligibility at time of service by following appropriate procedures, including without limitation, and at a minimum, the terms and conditions of this Agreement, Protocols and the Supplemental Provider Service Guide. Facility Participating Provider however recognizes that the Individual’s eligibility information may be inaccurate at the time. Facility Participating Provider obtains verification and that the Individual, or the Services provided to the Individual, may later be determined to be Medicaid eligible and, except as otherwise required by law, not eligible for payment under this Agreement. Under such circumstances, Facility Participating Provider may then, except as otherwise stated herein, directly xxxx bill the other responsible party for such services.
Appears in 1 contract
Medicaid Eligibility. Facility Participating Provider shall make reasonable effort to verify an Individual's eligibility at time of service by following appropriate procedures, including without limitation, and at a minimum, the terms and conditions of this Agreement, Protocols and the Supplemental Provider Service Guide. Facility Participating Provider however recognizes that the Individual’s 's eligibility information may be inaccurate at the time. Facility Participating Provider obtains verification and that the Individual, or the Services provided to the Individual, may later be determined to be Medicaid eligible and, except as otherwise required by law, not eligible for payment under this Agreement. Under such circumstances, Facility Participating Provider may then, except as otherwise stated herein, directly xxxx the other responsible party for such services.
Appears in 1 contract