REIMBURSEMENT METHODOLOGY Sample Clauses

REIMBURSEMENT METHODOLOGY. School districts will be reimbursed on a Fee-For-Service (FFS) basis for specialized transportation, and additionally report eligible and allowable costs on an annual cost report. This reimbursement is part of a cost based methodology that will include a reconciled settlement. On an annual basis, a cost reconciliation and cost settlement will be processed comparing the amount of FFS interim payments to the costs reported on the annual cost report in accordance with the criteria set forth by CMS. Under the Individuals with Disabilities Education Act (IDEA), IEPs must include only specialized transportation services that a child would not otherwise receive while attending school. A child with special education needs under IDEA, who rides the standard school bus to school with children without disabilities and who does not meet all of the criteria under 3. STUDENT ELIGIBILITY CRITERIA must not have the cost of that bus ride billed to MHD as specialized transportation. School districts may submit claims for specialized transportation services to MHD using a daily one-way trip base rate with the appropriate procedure code for covered specialized transportation services. The first 10 miles of the trip are included in the daily one-way trip base rate. The daily one-way trip base rate is equal to one unit. The daily one-way trip units billed should equal the number of one-way trips for the participant for the date of service. FFS claims must follow timely filing requirements. The requirements can be referenced in Section 4 of the Therapy Manual at: For specialized transportation services of more than 10 miles, school districts may submit claims using a mileage specific procedure code in addition to the one-way trip procedure code. School districts may bill the first 10 miles using the base rate procedure code and then bill the remaining miles of the trip using the appropriate mileage procedure code with each additional mile equal to one unit. For those services of more than 10 miles, school districts are required to indicate the pickup and drop-off locations and total miles in the child’s record. School districts may also choose to bill only the base rate code for children whose mileage exceeds 10 miles. School districts are responsible to bill Medicaid on a FFS basis throughout the school year for eligible services. Partial mileage should not be rounded up. Providers may submit claims using a medical claim type through an X12 Version 5010 electronic transaction, ...
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REIMBURSEMENT METHODOLOGY. The Company Entities shall pay the Capital Entities the original equipment cost ("OEC") financed by the Capital Entity less payments received by the Capital Entities, multiplied by the following percentages: if OEC is less than $300,000 - 85%; if OEC is $300,000 or more, but less than $1,000,000 - 90%; and if OEC is $1,000,000 or more - 95%.
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REIMBURSEMENT METHODOLOGY. 1. Contractor will be paid on a combined administrative costs and direct services cost basis, where administrative costs must not exceed 10 percent of total expenditures and direct services costs must comprise at least 90 percent of total expenditures. 2. Cost Reimbursement- This payment method is based on an approved budget and submission of a request for reimbursement of expenses contractor has incurred at the time of the request. 3. Payment for services will be made by the HHS Agency in accordance with agreed pricing. See Attachment E
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Related to REIMBURSEMENT METHODOLOGY

  • Payment Methodology The Contractor shall be compensated based on the Service Rates in Attachment for units of service authorized by the Institution in a total amount not to exceed the Contract Maximum Liability established in Section C. 1. The Contractor’s compensation shall be contingent upon the satisfactory completion of units of service or project milestones identified in Attachment B. The Contractor shall submit invoices, in form and substance acceptable to the Institution with all of the necessary supporting documentation, prior to any payment. Such invoices shall be submitted for completed units of service or project milestones for the amount stipulated.

  • Reimbursement Option Provided that the Recipient satisfies the terms and conditions of this Agreement, the Recipient may elect to receive Fund proceeds for land acquisition directly from the OPWC after Closing. After Closing, which Closing shall not occur until the Recipient's submission of the Request to Proceed and the Recipient's receipt of the Notice to Proceed, the Recipient may submit a Disbursement Request to the OPWC for reimbursement of acquisition and other eligible costs. The Recipient shall attach to the Disbursement Request a copy of: (i) the executed and recorded deed, or such other instrument conveying the interest approved by the Director, with respect to the Land acquired by the Recipient, (ii) a copy of the recorded Deed Restrictions, (iii) a copy of the executed settlement statement, (iv) certification, or other documentation acceptable to the Director from the Title Agent that the Recipient has marketable title in and to the Land, and (v) such other documentation required by the OPWC. After receipt of such documentation, and subject to Recipient's compliance with the terms and conditions of this Agreement, the OPWC shall disburse Funds payable under this Agreement.

  • Reimbursement Procedures An employee must keep a record of each trip made. Reimbursement shall be for the actual mileage driven in the performance of assigned duties as verified by the appropriate school district administrator and in accordance with School District Business Office policies and procedures.

  • Reimbursement Procedure All claims for reimbursement must be submitted or forwarded to MediCard Head Office within thirty (30) calendar days after discharge from the hospital. Failure to do so shall invalidate the claim, except if it can be shown in writing that it was not reasonably possible to furnish such documents within thirty (30) calendar days. Required documents in availing reimbursement: a. Emergency confinement in non-accredited hospital attended by a non-accredited doctor ▪ Duly filled-up claim form ▪ Clinical Abstract ▪ Medical Certificate to include complete final diagnosis ▪ Surgical/Operative report if an operation was done ▪ Original Official Receipt paid to hospital and doctor ▪ Hospital statement of account and corresponding charge slips ▪ Police report if due to accident or medico-legal case ▪ Incident report why MEMBER was confined in a non-accredited hospital b. Emergency confinement in an accredited hospital attended to by a non-accredited doctor ▪ Duly filled-up claim form ▪ Clinical Abstract ▪ Medical Certificate to include complete final diagnosis ▪ Original Official Receipt paid to the hospital and doctor ▪ Hospital statement of account and corresponding charge slips ▪ Police report if due to accident or medico-legal case ▪ Incident report or proof that MediCard accredited doctor was not available during the time of confinement c. Out-Patient emergency consultation/treatment by a non-accredited doctor in areas where there are accredited hospitals/clinics. ▪ Medical Certificate to include complete final diagnosis ▪ Original Official Receipt paid to the doctor ▪ Incident report ▪ Police report if due to accident or medico-legal case d. Out-Patient emergency or non-emergency consultation/treatment by a non- accredited doctor in areas where there is no accredited Hospital/Clinic. ▪ Medical Certificate to include complete final diagnosis ▪ Original Official Receipt ▪ Incident report ▪ Police report if due to accident or medico-legal case

  • Payment Method Payment shall be made by the Contractor to the Subcontractor as follows: (choose one) ☐ - Immediately upon completion of the Services to the satisfaction of the Contractor. ☐ - Within ____ business days after completion of the Services to the satisfaction of the Contractor. ☐ - Shall be paid on a ☐ weekly ☐ monthly ☐ quarterly ☐ other ______________________ basis. If the Subcontractor completes the Services to the satisfaction of the Contractor, before the full amount or balance has been fully paid, any remaining amount shall be payable immediately. ☐ - Other: ________________________________________________________

  • Payment Methods A. Except as otherwise provided by this Contract, the payment method will be one or more of the following:

  • Reimbursement Amount Except for the metropolitan areas listed below, the maximum reimbursement for meals including tax and gratuity, shall be: Breakfast $ 9.00 Lunch $11.00 Dinner $16.00 For the following metropolitan areas the maximum reimbursement shall be: Breakfast $11.00 Lunch $13.00 Dinner $20.00 The metropolitan areas are: Atlanta Boston Cleveland Denver Hartford Kansas City Miami New York City Portland, OR San Francisco St. Louis Baltimore Chicago Dallas/Fort Worth Detroit Houston Los Angeles New Orleans Philadelphia San Diego Seattle Washington D.C. See Appendix L for details related to the boundaries of the above-mentioned metropolitan areas. The metropolitan areas also include any location outside the forty-eight (48) contiguous United States. Employees who meet the eligibility requirements for two (2) or more consecutive meals shall be reimbursed for the actual costs of the meals up to the combined maximum reimbursement amount for the eligible meals.

  • Compensation; Reimbursement At the closing of each Offering (each, a “Closing”), the Company shall compensate Xxxxxxxxxx as follows:

  • Travel Expense Reimbursement Pricing for services provided under this Contract are exclusive of any travel expenses that may be incurred in the performance of those services. Travel expense reimbursement may include personal vehicle mileage or commercial coach transportation, hotel accommodations, parking and meals; provided, however, the amount of reimbursement by Customers shall not exceed the amounts authorized for state employees as adopted by each Customer; and provided, further, that all reimbursement rates shall not exceed the maximum rates established for state employees under the current State Travel Management Program (xxxx://xxx.xxxxxx.xxxxx.xx.xx/procurement/prog/stmp/). Travel time may not be included as part of the amounts payable by Customer for any services rendered under this Contract. The DIR administrative fee specified in Section 5 below is not applicable to travel expense reimbursement. Anticipated travel expenses must be pre-approved in writing by Customer.

  • Payment Methods and Amounts There are limits on the amount of money you can send or receive through our Service. Your limits may be adjusted from time-to-time in our sole discretion. For certain Services, you may have the ability to log in to the Site to view your individual transaction limits. We or our Service Provider also reserve the right to select the method in which to remit funds on your behalf though the Service, and in the event that your Eligible Transaction Account is closed or otherwise unavailable to us the method to return funds to you. These payment methods may include, but may not be limited to, an electronic debit, a paper check drawn on the account of our Service Provider, or draft check drawn against your account.