Payment Timelines. 1. Fee-For-Service: MSHN shall, through application of Medical Necessity determination criteria, authorize Fee-for-Service payment pursuant to the Rate Schedule included in Attachment B. All payments will be made in accordance with applicable Federal and State rules and regulations, and especially pursuant to the payment timeliness standards set forth in the Balanced Budget Act of 1997. These standards require that ninety percent (90%) of payments for services shall be made within thirty (30) days following the receipt of a completed clean claim and ninety-nine percent (99%) of payments shall be made with ninety (90) days, except when the claim is contested in good faith. 2. Cost Reimbursement: MSHN shall make payment to provider within thirty (30) days of XXXX’s receipt of the PROVIDER’s FSR.
Appears in 4 contracts
Samples: Substance Use Disorder Treatment Contractual Agreement, Substance Use Disorder Treatment Contractual Agreement, Recovery Contractual Agreement
Payment Timelines. 1. Fee-For-Service: MSHN shall, through application of Medical Necessity determination criteria, authorize Fee-for-Service payment pursuant to the Rate Schedule included in Attachment B. All payments will be made in accordance with applicable Federal and State rules and regulations, and especially pursuant to the payment timeliness standards set forth in the Balanced Budget Act of 1997. These standards require that ninety percent (90%) of payments for services shall be made within thirty (30) days following the receipt of a completed clean claim and ninety-nine percent (99%) of payments shall be made with ninety (90) days, except when the claim is contested in good faith.
2. Cost Reimbursement: MSHN shall make payment to provider within thirty (30) days of XXXXMSHN’s receipt of the PROVIDER’s FSR.
Appears in 4 contracts
Samples: Substance Use Disorder Treatment Contractual Agreement, Treatment Contractual Agreement, Substance Use Disorder Treatment Contractual Agreement
Payment Timelines. A.
1. Fee-For-Service: MSHN shall, through application of Medical Necessity determination criteria, authorize Fee-for-Service payment pursuant to the Rate Schedule included in Attachment B. All payments will be made in accordance with applicable Federal Federalfederal and State Statestate rules and regulations, and especially pursuant to the payment timeliness standards set forth in the Balanced Budget Act of 1997. These standards require that ninety percent (90%) of payments for services shall be made within thirty (30) days following the receipt of a completed clean claim and ninety-nine percent (99%) of payments shall be made with ninety (90) days, except when the claim is contested in good faith.
2. Cost Reimbursement: MSHN shall make payment to provider within thirty (30) days of XXXXMSHN’s receipt of the PROVIDER’s FSR.
Appears in 1 contract
Samples: Substance Use Disorder Recovery Contractual Agreement
Payment Timelines. 1. Fee-For-Service: MSHN shall, through application of Medical Necessity determination criteria, authorize Fee-for-Service ServiceFFS payment pursuant to the Rate Schedule included in Attachment B. All payments will be made in accordance with applicable Federal Federalfederal and State Statestate rules and regulations, and especially pursuant to the payment timeliness standards set forth in the Balanced Budget Act of 1997. These standards require that ninety percent (90%) of payments for services shall be made within thirty (30) days following the receipt of a completed clean claim and ninety-nine percent (99%) of payments shall be made with ninety (90) days, except when the claim is contested in good faith.
2. Cost Reimbursement: MSHN shall make payment to provider providerPROVIDER within thirty (30) days of XXXXMSHN’s receipt of the PROVIDER’s FSR.
Appears in 1 contract
Samples: Substance Use Disorder Treatment Contractual Agreement
Payment Timelines. 1. Fee-For-Service: MSHN shall, through application of Medical Necessity determination criteria, authorize Fee-for-Service payment pursuant to the Rate Schedule included in Attachment B. All payments will be made in accordance with applicable Federal and State rules and regulations, and especially pursuant to the payment timeliness standards set forth in the Balanced Budget Act of 1997. These standards require that ninety percent (90%) of payments for services shall be made within thirty (30) days following the receipt of a completed clean claim and ninety-nine percent (99%) of payments shall be made with ninety (90) days, except when the claim is contested in good faith.
2. Cost Reimbursement: MSHN shall make payment to provider within thirty (30) days of XXXX’s receipt of the PROVIDER’s FSR.of
Appears in 1 contract
Samples: Substance Use Disorder Recovery Contractual Agreement
Payment Timelines. 1. Fee-For-Service: MSHN shall, through application of Medical Necessity determination criteria, authorize Fee-for-Service FFS payment pursuant to the Rate Schedule included in Attachment B. All payments will be made in accordance with applicable Federal federal and State state rules and regulations, and especially pursuant to the payment timeliness standards set forth in the Balanced Budget Act of 1997. These standards require that ninety percent (90%) of payments for services shall be made within thirty (30) days following the receipt of a completed clean claim and ninety-nine percent (99%) of payments shall be made with ninety (90) days, except when the claim is contested in good faith.
2. Cost Reimbursement: MSHN shall make payment to provider PROVIDER within thirty (30) days of XXXXMSHN’s receipt of the PROVIDER’s FSR.
Appears in 1 contract
Samples: Substance Use Disorder Treatment Contractual Agreement