Payor of Last Resort Sample Clauses
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. 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. 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. 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. 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.
Payor of Last Resort. While Part C IDEA funding requirements must be met, and will be monitored, the availability of these funds to EIPAs, will be determined based on availability of funds. When available, SRHD will ensure that The Other Party:
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 immediately, when all Part C of IDEA funds, if 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. 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. CONTRACTOR shall initiate application for, charge, xxxx, and diligently seek to collect all third party reimbursements from medical insurers and government agencies for any services rendered by CONTRACTOR under this Contract to CMHSP consumers for whom such reimbursement may be available. This includes, but is not limited to, public and private insurance plans, Medicare, and other health plans. CONTRACTOR shall fulfill recertification requirements for CMHSP consumers with insurances that require the same. CONTRACTOR acknowledges that CMHSP is the payer of last resort. CONTRACTOR shall not be reimbursed or otherwise compensated by CMHSP for any loss of reimbursement resulting directly from CONTRACTOR error(s) of omission or commission, including CONTRACTOR’s failure to xxxx for eligible services. CMHSP payments to CONTRACTOR shall be contingent upon receipt of accurate xxxxxxxx, which indicate the CMHSP consumer was served and the services were provided. CONTRACTOR or its subcontractors shall not seek to collect any service fee payments directly from consumers, legal guardians, parents, or relatives for services provided under this agreement unless authorized to do so by CMHSP in accordance with the CMHPSM Ability to Pay policy or allowed to do so by the consumer’s third-party insurance. CONTRACTOR or its subcontractors shall not require any recipient pay amount, or other cost-sharing arrangement, service charge, or additional supplemental payments when a consumer is insured by Medicaid. CONTRACTOR agrees to assist the consumer and CMHSP, according to the consumer’s individual plan of service, in securing entitlements in a timely fashion including, but not limited to, Supplemental Security Income (SSI), cash assistance, food stamps, Medicaid, and Medicare. Such assistance may include transportation of consumers to the Department of Health and Human Services and Social Security offices, as well as hands-on assistance in the application process.