Common use of Payment by Members Clause in Contracts

Payment by Members. Except as provided in Section 8.1.23.1, MCOs, Network Providers, and Out-of-Network Providers are prohibited from billing or collecting any amount from a Member for Covered Services. MCOs must inform Members of their responsibility to pay the costs for non-covered services, and must require its Network Providers to:

Payment by Members. Except as provided in Section 8.1.23.1, MCOs, Network Providers, and Out-of-Network Providers are prohibited from billing or collecting any amount from a Member for Covered Services. However, the STAR+PLUS MCO will work with Members or their representatives to help facilities collect applied income where applicable. MCOs must also inform Members of their responsibility to pay the costs for non-covered services, and must require its Network Providers to:

Payment by Members. Except as provided in Section 8.1.23.1, MCOs, Network Providers, and Out-of-Network Providers are prohibited from billing or collecting any amount from a Member for Covered Services. MCOs must inform Members of their responsibility to pay the costs for non-covered services, and must require its Network Providers to: 1. inform Members of costs for non-covered services prior to rendering such services; and

Payment by Members. Except as provided in Section 8.1.23.1, MCOs, Network Providers, MCOs and Out-of-their Network Providers are prohibited from billing or collecting any amount from a Member for Covered ServicesHealthcare Services covered by this Contract. MCOs MCO must inform Members of their responsibility to pay the costs for non-covered services, and must require its Network Providers to: (1) inform Members of costs for non-covered services prior to rendering the services; and (2) obtain a signed Private Pay form from Members prior to rendering the services.