Payor of Last Resort. The Department is the payer of last resort and all third party sources must be billed before billing Department for program services.
Payor of Last Resort. Funds may not be used to cover the costs for any item or service covered by other state, federal or private benefits or service programs and shall be used as dollars of last resort.
Payor of Last Resort. The Contractor must:
i. Use Federal Part C of IDEA funds as Payor of Last Resort for direct EIS.
ii. Funds must not be used to satisfy a financial commitment for EIS that otherwise would have been paid for in-full or in-part from another public or private funding.
iii. Federal funds may be used to cover the remainder of a partially covered cost.
iv. Federal funds may be used for county infrastructure costs necessary for the provision of pass-through for direct services.
Payor of Last Resort. Except as provided in paragraph (b) of this section, funds under Part C of IDEA may not be used to satisfy a financial commitment for services that would otherwise have been paid for from another public or private source, including any medical program administered by the Department of Defense, but for the enactment of Part C of IDEA. Therefore, funds under Part C of IDEA may be used only for early intervention services that an infant or toddler with a disability needs but is not currently entitled to receive or have payment made from any other Federal, State, local, or private source, subject to §§303.520 Policies Related to Use of Public Benefits or Insurance or Private Insurance To Pay for Part C Services and 303.521 System of Payments and Fees.
Payor of Last Resort. The Contractor ensures the subcontractor:
(1) Uses Federal IDEA Part C funds as Payor of Last Resort.
(2) Does not use Federal IDEA Part C funds to satisfy a financial commitment for EIS that otherwise would have been paid for in-full or in-part from another public or private funding.
(3) May use Federal Idea Part C funds to cover the remainder of a partially covered cost.
(4) May use Federal IDEA Part C funds for infrastructure costs necessary for the provision of direct services.
(5) Must have a written payor of last resort policy and procedure.
(6) Notifies the CLA by (insert date), when all Part C of IDEA funds, awarded by this Contract, are, or will be, expended prior to the end of the Contract year, to document that payor of last resort has been utilized.
Payor of Last Resort. 7.2.1. Funds provided through this Contract are part C of IDEA payor of last resort and the Contractor shall ensure these funds are:
7.2.1.1. Not used to satisfy a financial commitment for EIS that otherwise would have been paid for in-full or in-part from another public or private source; and
7.2.1.2. Only used for EIS that an infant or toddler with a disability needs, but is not currently entitled to receive or have payment made from any other federal, state, local, or private source.
7.2.2. The Contractor shall ensure it has a written payor of last resort policy and procedure.
7.2.3. When the Contractor is paid by another source for EIS, the Contractor shall not xxxx DEL for the same EIS.
7.2.4. The Contractor shall notify ESIT, when all part C of IDEA funds, awarded by this Contract, are or will be expended prior to the end of the Contract year; in order to document that payor of last resort has been utilized.
Payor of Last Resort. Sub-Contractor shall attain funding through other sources than the Contractor to provide services or support to participants whenever possible. In cases where a participant is qualified for benefits from another source (such as MediCal, Healthy Families, federal or state funded programs, personal insurance, etc.), costs relating to services provided to that participant should be paid for by the primary payor first. Only the costs not covered will be allowable under this Sub-Contract. Written verification shall be provided upon request.
Payor of Last Resort. 3.1 FINANCIAL RESPONSIBILITY ACRC and SELPA will operate within the provisions of the applicable laws and regulations.
3.11 Payor of last resort means the regional center or LEA that is required to pay for early intervention services listed on the Individualized Family Service Plans (IFSP) when third party payers or other agencies do not have an obligation to pay as required by 34 CFR § 303.510. (17 C.C.R. § 52000(b)(42).)
Payor of Last Resort. A. Financial Responsibility
1. Definition - Payor of last resort means the regional center or Local Education Agency (LEA) is ultimately responsible to arrange, provide, or pay for appropriate Early Intervention Services listed on the IFSP when third party payers or other agencies do not have an obligation to pay as required by 34 CFR 303.527. Other providers or payors shall include insurance, community resources, and other agencies.
2. Regional Center - The Regional Center will be the payor of last resort for all Part C eligible infants or toddlers who are served by Regional Center as defined by state law and policies, and the annual state application. This includes infants who may be eligible for both Regional Center and special education services. It will not include infants with solely low incidence visual, hearing, or severe orthopedic impairments, or any combination thereof, who meet the criteria in Sections 56026 and 56026.5 of the Education Code, and in subdivisions (a), (b), (d) or (e) of Section 3030, and Section 3031 of Title 5 of the California Code of Regulations.
Payor of Last Resort. A. Financial Responsibility
1. Regional Center - NBRC will be the payor of last resort for all Part C infants who are regional center clients as defined by state law and policies and the annual state application. This includes infants who may be eligible for both regional center and special education services. It will not include infants with solely visual, hearing, or severe orthopedic impairments or any combination thereof.
2. SELPA will be the payor of last resort for those infants with solely visual, hearing or severe orthopedic impairment, or any combination thereof.
