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

One Year Limit to Assert Claim. (A) The STATE shall in no event assert any claim for, seek the reimbursement of or make any adjustment for any alleged overpayment made by the STATE to the MCO under this 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 4.20.2, 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. (B) The MCO shall in no event assert any claim for, seek the reimbursement of or make any adjustment for any alleged underpayment made by the STATE to the MCO more than one year after the date such payment was actually received by the MCO from the STATE.‌

Appears in 1 contract

Samples: Contract for Minnesota Disability Health Options Project Services

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One Year Limit to Assert Claim. (A) The STATE shall in no event not assert any claim for, for or seek the reimbursement of or make any adjustment for any alleged overpayment made by the STATE to the MCO under this Article 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 4.20.24.17.5, 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. (B) The MCO shall in no event not assert any claim for, for or seek the reimbursement of or make any adjustment for any alleged underpayment made by the STATE to the MCO more than one year after the date such payment was actually received by the MCO from the STATE.‌STATE.

Appears in 1 contract

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

One Year Limit to Assert Claim. (A) The STATE shall in no event not assert any claim for, for or seek the reimbursement of or make any adjustment for any alleged overpayment made by the STATE to the MCO under this Article 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 4.20.24.23.1(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. (B) The MCO shall in no event not assert any claim for, for or seek the reimbursement of or make any adjustment for any alleged underpayment made by the STATE to the MCO more than one year after the date such payment was actually received by the MCO from the STATE.‌STATE.

Appears in 1 contract

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

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One Year Limit to Assert Claim. (A) The STATE shall in no event not assert any claim for, for or seek the reimbursement of or make any adjustment for any alleged overpayment made by the STATE to the MCO under this Article 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 4.20.24.17.5, 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. (B) The MCO shall in no event not assert any claim for, for or seek the reimbursement of or make any adjustment for any alleged underpayment made by the STATE to the MCO more than one year after the date such payment was actually received by the MCO from the STATE.‌

Appears in 1 contract

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

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