Reimbursement Terms. The Contract must provide a complete description of the payment method or payment amounts applicable to a provider. The MCO provider Contract or provider manual must explain to providers how to submit a clean claim including a complete listing of all required information, including claims coding and processing guidelines for the applicable provider type. The MCO provider must understand and agree that BMS is not liable or responsible for payment for covered services rendered pursuant to the MCO provider contract;
Reimbursement Terms. Based on the estimated Project Cost of $1,608,849.00, and the Grantee’s Match participation rate of 68.92%, the reimbursement rate will be 31.08%. Upon successful completion of the Project, and of the requirements set forth in the “Retention” and “Final Report and Request for Reimbursement” sections below, and receipt by OPRD of the final reimbursement request, the State will pay Grantee the remaining Grant Funds balance, or 31.08% of the total cost of the Project, whichever is less.
Reimbursement Terms. The total estimated project cost is included in the grant agreement. Subject to and in accordance with the terms and conditions of this Agreement, OPRD shall provide Grant Funds to Grantee for the project in an amount not to exceed the amount awarded in the grant agreement, whichever is less, for eligible costs of work completed. Grantee shall accept the Grant Funds and provide Match Funds for the Project as required by the grant.
Reimbursement Terms. A. For the following services, DMS shall reimburse ADH at a rate equal to the physicians’ fee schedule. The rates are subject to change according to revisions made to that schedule.
Reimbursement Terms. If the Service Provider violates or breaches contract terms, the ESHP office must be notified and the Service Provider may be excluded from participating in future ESHP projects. In addition, reimbursement may be withheld from the Owner until contract requirements are satisfied.
Reimbursement Terms. If the Service Provider violates or breaches contract terms, the SHOP office must be notified and the Service Provider may be excluded from participating in future SHOP projects. In addition, reimbursement may be withheld from the Owner until contract requirements are satisfied.
Reimbursement Terms. The Department shall reimburse the Contractor for Suitable Representative Functions under the following limitations.
Reimbursement Terms. 3.1 NIAC shall invoice COLUMBIA after delivery of the Goods for all Reimbursable Costs for the Goods and for NIAC's commission. Any unanticipated Reimbursable Costs incurred thereafter shall be billed by NIAC as soon as possible after such costs are incurred.
Reimbursement Terms. A. REPORTING ATTENDANCE: Regulated child care vendors are not required to report attendance; however, vendors are required to: Report a child as absent using Vendor Connection when the child has five (5) consecutive days of absences. Example: A child is absent Thursday and Friday of one week and then Monday, Tuesday, and Wednesday of the next week. This means this child has five consecutive days of absences. The provider must report the five absences no later than the next workday. Report to Workforce Solutions if a child(xxx) doesn’t start attending your facility by the fifth (5th) day after authorization. Each vendor report will count towards a child’s 40 absences limit in a 12-month eligibility period. Child care terminations will occur when a child has eight vendor reports. five consecutive day absences = one vendor report eight vendor reports = 40 absence limit Vendor policies must address attendance requirements and reporting procedures for parents receiving child care.
Reimbursement Terms. A. The first sentence of paragraph 3.2 of Article IV of AGREEMENT shall be read as follows:
