Common use of One Year Limit to Assert Claim Clause in Contracts

One Year Limit to Assert Claim. (A) The STATE shall not assert any claim for or seek the reimbursement of or make any adjustment for any alleged overpayment made by the STATE to the MCO under this section more than one year after the date such payment was actually received by the MCO from the STATE. This one year limitation, along with the notice requirement described in section 4.17.5, does not apply to duplicate payments made because of multiple identification numbers for the same Enrollee, payments for full months for a Medical Assistance Enrollee who is incarcerated in a facility, and payments for full months after the death of the Enrollee.

Appears in 2 contracts

Samples: www.publicrecordmedia.org, www.publicrecordmedia.org

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One Year Limit to Assert Claim. (A) The STATE shall not assert any claim for or for, seek the reimbursement of or make any adjustment for any alleged overpayment made by the STATE to the MCO under this section more than one year after the date such payment was actually received by the MCO from the STATE. This one year limitation, along with the notice requirement described in section 4.17.5, 4.19.2 does not apply to duplicate payments made because of multiple identification numbers for the same Enrollee, payments for full months for a Medical Assistance an Enrollee who is while incarcerated in a facility, and payments for full months after the death of the Enrollee.

Appears in 2 contracts

Samples: Human Services Contract, www.publicrecordmedia.org

One Year Limit to Assert Claim. (A) The STATE shall not assert any claim for or seek the reimbursement payment of or make any adjustment for any alleged overpayment made by the STATE to the MCO under this section 4.1 more than one year after the date such payment was actually received by the MCO from the STATE. This one year limitation, along with the notice requirement described in section 4.17.54.11.1(C), does not apply to duplicate payments made because of multiple identification numbers for the same Enrollee, payments for full months for a Medical Assistance Enrollee who is while incarcerated in a facility, and payments for full months after the death of the Enrollee.

Appears in 2 contracts

Samples: www.publicrecordmedia.org, www.publicrecordmedia.org

One Year Limit to Assert Claim. (A) The STATE shall not assert any claim for or seek the reimbursement of or make any adjustment for any alleged overpayment made by the STATE to the MCO under this section more than one year after the date such payment was actually received by the MCO from the STATE. This one year limitation, along with the notice requirement described in section 4.17.54.23.1(C), does not apply to duplicate payments made because of multiple identification numbers for the same Enrollee, payments for full months for a Medical Assistance Enrollee who is incarcerated in a facility, and payments for full months after the death of the Enrollee.

Appears in 1 contract

Samples: www.publicrecordmedia.org

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One Year Limit to Assert Claim. (A) The STATE shall not in no event assert any claim for or for, seek the reimbursement of or make any adjustment for any alleged overpayment made by the STATE to the MCO under this section Article more than one year after the date such payment was actually received by the MCO from the STATE. This one year limitation, along with the notice requirement described in section 4.17.54.20.2, does not apply to duplicate payments made because of multiple identification numbers for the same Enrollee, payments for full months for a Medical Assistance Enrollee who is incarcerated in a facility, and payments for full months after the death of the Enrollee.

Appears in 1 contract

Samples: www.publicrecordmedia.org

One Year Limit to Assert Claim. (A) The STATE shall not assert any claim for or seek the reimbursement payment of or make any adjustment for any alleged overpayment made by the STATE to the MCO under this section 4.1 more than one year after the date such payment was actually received by the MCO from the STATE. This one year limitation, along with the notice requirement described in section 4.17.54.7.2, does not apply to duplicate payments made because of multiple identification numbers for the same Enrollee, payments for full months for a Medical Assistance Enrollee who is while incarcerated in a facility, and payments for full months after the death of the Enrollee.

Appears in 1 contract

Samples: www.publicrecordmedia.org

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