Recoupments. The Department will not normally recoup County per capita payments when the County actually provided service. However if the BadgerCare Plus member cannot use County facilities, the Department will recoup County capitation payments. Such situations are described more fully below. 1. The Department will recoup County capitation payments for the following situations where a member’s County status has changed before the first day of a month for which a capitation payment has been made: a. Member moves out of the County’s service area; or b. Member enters a public institution; or
Appears in 2 contracts
Samples: Contract for Services, Contract for Services
Recoupments. The Department will not normally recoup County per capita payments when the County actually provided service. However However, if the BadgerCare Plus member cannot use County facilities, the Department will recoup the County capitation payments. Such situations are described more fully below.
1. The Department will recoup the County capitation payments for the following situations where a an member’s County status has changed before the first day of a month for which a capitation payment has been made:
a. Member moves out of the County’s service area; or
b. Member enters a public institution; or
Appears in 2 contracts
Samples: Contract for Services, Contract for Services
Recoupments. The Department will not normally recoup County per capita payments when the County actually provided service. However if the BadgerCare Plus member cannot use County facilities, the Department will recoup County capitation payments. Such situations are described more fully below.
1. The Department will recoup County capitation payments for the following situations where a member’s County status has changed before the first day of a month for which a capitation payment has been made:
a. Member moves out of the County’s service area; or
b. Member enters a public institution; or
Appears in 2 contracts
Samples: Contract for Services, Contract for Services
Recoupments. The Department will not normally recoup County per capita payments when the County actually provided service. However However, if the BadgerCare Plus member cannot use County facilities, the Department will recoup the County capitation payments. Such situations are described more fully below.
1. The Department will recoup the County capitation payments for the following situations where a an member’s County status has changed before the first day of a month for which a capitation payment has been made:
a. Member moves out of the County’s service area; or
b. Member enters a public institution; or
Appears in 2 contracts
Samples: Contract for Services, Contract for Services