Satisfaction of STATE. All services provided by COUNTY pursuant to this CONTRACT shall be performed to the satisfaction of STATE, as determined at the sole discretion of its authorized representative, and in accord with all applicable federal, state, and local laws, ordinances, rules and regulations. COUNTY shall not receive payment for work found by STATE to be unsatisfactory, or performed in violation of federal, state or local law, ordinance, rule or regulation.
Satisfaction of STATE. All services provided by REGIONAL ADMINISTRATIVE AGENCY pursuant to this CONTRACT shall be performed to the satisfaction of STATE, as determined at the sole discretion of its authorized representative, and in accord with all applicable federal, state, and local laws, ordinances, rules and regulations. REGIONAL ADMINISTRATIVE AGENCY shall not receive payment for work found by STATE to be unsatisfactory, or performed in violation of federal, state or local law, ordinance, rule or regulation.
Satisfaction of STATE. All services provided by GRANTEE pursuant to this CONTRACT shall be performed to the satisfaction of STATE, as determined at the sole discretion of its authorized representative, and in accord with all applicable federal, state, and local laws, ordinances, rules and regulations including business registration requirements of the Office of the Secretary of State. GRANTEE shall not receive payment for work found by STATE to be unsatisfactory, or performed in violation of federal, state or local law, ordinance, rule or regulation. Payments will be made for days a patient is on leave from the GRANTEE program, provided that the need for such leave is specified in the patient's individual plan of care and that the leave does not exceed two days during the medically necessary length of stay covered under this contract. Any medical or surgical hospital days are not covered under this contract and are excluded from the count of total allowable contract days. The GRANTEE shall not be reimbursed for days of service provided after the STATE or its designated representative determines that placement is no longer appropriate. The successful GRANTEE may appeal such decisions using the procedures that are made available by the STATE for Medical Assistance (MA) inpatient services in general. The GRANTEE must assure that the STATE and the county of financial responsibility are the payers of last resort by identifying and billing all other applicable sources of payment and meeting all STATE requirements for payment. The GRANTEE must meet all requirements necessary to participate in the Medicaid and Medicare programs and not be considered an Institution for Mental Diseases as defined under federal law 42 CFR § 435.1010. Services not required or reimbursed: Treatment for most medical conditions, including routine lab work, X-rays and medications, is included as part of the per diem under this contract. The per diem will not include the following services, which may be eligible for reimbursement separately:
