Common use of Needs Not Payable Through Other Clause in Contracts

Needs Not Payable Through Other. Sources 1) Payment for physical, emotional and mental health services cannot be made until the Department has been notified that such services will begin, the Department has approved the requested services, and a contract (when applicable) with the identified vendor is in place. 2) The Department will pay the service provider directly or reimburse the family for Medicaid ineligible services relating to a pre-existing condition, which must be approved by the Department prior to providing services and at a rate negotiated and agreed to regardless of the state in which the child lives. 3) The Department will make direct payments to providers not enrolled in Medicaid. Prior approval from the Department is required. 4) The Department will also make direct payments to the provider or reimburse the family when services from a Medicaid enrolled provider are not available within a twenty-five mile radius of the family’s home.

Needs Not Payable Through Other. Sources 1) Payment for physical, emotional and mental health services cannot be made until the Department has been notified that such services will begin, the Department has approved the requested services, and a contract (when applicable) with the identified vendor is in place. 2) The Department will pay the service provider directly or reimburse the family for Medicaid ineligible services relating to a pre-existing condition, which must be approved by the Department prior to providing services and at a rate negotiated and agreed to regardless of the state in which the child lives. 3) The Department will make direct payments to providers not enrolled in Medicaid. Prior approval from the Department is required. 4) The Department will also make direct payments to the provider or reimburse the family when services from a Medicaid enrolled provider are not available within a twenty-five mile radius of the family’s home.