Participant Reimbursement. At least ninety-eight percent (98%) of all PARTICIPANT reimbursements in the QUARTER will be paid via check or direct deposit within three (3) BUSINESS DAYS from the date the claim was processed. (See
Participant Reimbursement. The CWD is responsible for reimbursing participants for necessary and reasonable expenses incurred in fulfilling FSET requirements. Expenditures that may be included in this category are transportation, dependent care, books, training manuals, uniforms or other special equipment, and any other necessary, reasonable, and properly allocated cost that a participant incurs for participation in the FSET program. Participant reimbursements must not be paid for with 100 percent federal grant or 50 percent matched administrative cost funding. Participant expenses for transportation and costs other than dependent care—per participant per month—are reimbursed by the CWD with 50 percent federal cost sharing up to the actual cost of the participant expenses or the CWD maximum reimbursement rate, whichever is lowest. Expenditures for dependent care—per dependent per month—are reimbursed by the CWD, with 50 percent federal cost sharing, up to the actual cost of the dependent care or the Regional Market Rate,1 whichever is lowest. The CWD may provide reimbursements above established dependent care limits, but such costs must be paid for with 100 percent county dollars. Participants with monthly expenses that exceed the amounts and limits above may have good cause for not participating. However, lack of county reimbursement funds is not a legitimate reason for deferring an individual from participation.
Participant Reimbursement. The MO HealthNet Participant Reimbursement program is devised to make payment to those participants whose eligibility for MO HealthNet benefits has been denied and whose eligibility is subsequently established as a result of an agency hearing decision, a court decision based on an agency hearing decision, or any other legal agency decision rendered on or after January 1, 1986. Participants are reimbursed for the payments they made to providers for medical services received between the date of their denial and the date of their subsequent establishment of eligibility. The participant is furnished with special forms to have completed by the provider(s) of service. If MO HealthNet participants have any questions, they should call (000) 000-0000.
Participant Reimbursement. CITY may collect funds from Participants for reimbursement of the CITY for a portion of the costs of providing benefits under the Plan. Failure to collect any such reimbursements shall not relieve CITY from any of its obligations under this Agreement. Participant reimbursements will be used only to reimburse CITY for claims for benefits under the Plan, and will not be used to pay insurance premiums or fees.
