Common use of Needs Not Payable Through Other Clause in Contracts

Needs Not Payable Through Other. Sources 1) Payment for medical, 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 at the Medicaid rate to providers not enrolled in Medicaid. Prior approval from the Department is required. 4) The Department will also make direct payments at the Medicaid rate 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. 5) Current Services that will continue to be provided following the transfer of guardianship. Include only those services that are NOT payable through the medical card or other sources and that are allowable per subsidized guardianship rule and procedure (Do not include provider name, rate or hours of service to be provided):

Needs Not Payable Through Other. Sources 1) Payment for medical, 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 at the Medicaid rate to providers not enrolled in Medicaid. Prior approval from the Department is required. 4) The Department will also make direct payments at the Medicaid rate 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. 5) Current Services that will continue to be provided following the transfer finalization of guardianshipthe adoption. Include only those services that are NOT payable through the medical card or other sources and that are allowable per subsidized guardianship adoption assistance rule and procedure (Do not include provider name, rate or hours of service to be provided):