Common use of Refund and Recoupment Clause in Contracts

Refund and Recoupment. The Division may request and obtain a refund of, or it may recoup from subsequent payments, any payment previously made to the Contractor for an Enrollee who is determined to have been ineligible for enrollment in the Plan for any month. Upon notice by the Division of an Enrollee who is ineligible, the Contractor may recoup from the Provider the amounts paid for any provided Covered Services. The Contractor may not recoup from the Provider any payments for months in which no services were provided.

Refund and Recoupment. The Division may request and obtain a refund of, or it may recoup from subsequent payments, any payment previously made to the Contractor for an Enrollee who is determined to have been ineligible for enrollment in the Plan for any month. Upon notice by the Division of an Enrollee who is ineligible, the Contractor may recoup from the Provider Enrollee the amounts paid for any provided Covered Services. The Contractor may not recoup from the Provider Enrollee any payments for months in which no services were provided.

Refund and Recoupment. The Division may request and obtain a refund of, or it may recoup from subsequent payments, any payment previously made to the Contractor for an Enrollee who is determined to have been ineligible for enrollment in the Plan for any month. Upon notice by the Division of an Enrollee who is ineligible, the Contractor may recoup from the Provider the amounts paid for any provided Covered Services. The Contractor may not recoup from the Provider any payments for months in which no services were provided.