SERVICES ELIGIBLE FOR REIMBURSEMENT Sample Clauses

SERVICES ELIGIBLE FOR REIMBURSEMENT. Category County CalOptima/Health Networks Non-DOT TB Treatment Medi-Cal: PDS will xxxx CalOptima for covered TB screening and treatment services for both CalOptima Direct and Health Network Members. Medi-Cal: CalOptima will pay County for claims for covered TB screening and treatment services for both CalOptima Direct and Health Network Members. CalOptima shall not pay County for DOT professional services. HIV and STD Services (00xx Xxxxxx Testing, Treatment and Care) Medi-Cal: For CalOptima clients in the process of transitioning to a CalOptima provider, County will xxxx CalOptima for medical services provided to CalOptima Direct Members, and the appropriate Health Network for Health Network Members. Medi-Cal and PACE: CalOptima will pay claims submitted for Medi-Cal and PACE Covered Services provided at 00xx Xxxxxx Testing, Treatment and Care to CalOptima Direct Medi-Cal Members and to PACE Members, respectively. PACE: County will xxxx CalOptima for HIV testing and counseling services, and STD Services provided to PACE Members. Medi-Cal: CalOptima’s Health Networks are responsible for Claims for Covered Services provided at 00xx Xxxxxx Testing, Treatment and Care to their Members. Adult Immunizations Medi-Cal: County will xxxx CalOptima or the appropriate Health Network for Health Network Members for Medi-Cal covered adult immunizations provided to CalOptima Direct and Health Network Members over the age of 18. For Members 18 to 21 years of age, County will xxxx CalOptima on a CMS-1500, UB-04 claim form, or electronic equivalent. PACE: County will xxxx CalOptima for Medicare covered adult immunizations provided to CalOptima PACE Members. Medi-Cal: CalOptima or the appropriate Health Network for Health Network Members will reimburse County for Medi-Cal covered adult immunizations provided to CalOptima Direct and Health Network Members over the age of 18. PACE: CalOptima will reimburse County for Medicare covered adult immunizations provided to CalOptima PACE Members. Category County CalOptima/Health Networks Pediatric Preventive Services Medi-Cal: County Children’s Clinic will xxxx CalOptima or the appropriate Health Network for Health Network Members for Pediatric Preventive Services on a CMS-1500, UB-04 claim form, or electronic equivalent. For vaccines supplied free through the Vaccine For Children (VFC) Program, County will xxxx CalOptima or the appropriate Health Network for Health Network Members for vaccine administration costs only. Sick care (i.e...
Sample 1
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SERVICES ELIGIBLE FOR REIMBURSEMENT. Category
Sample 1
SERVICES ELIGIBLE FOR REIMBURSEMENT. CATEGORY County CalOptima/Health Networks Non-DOT TB Treatment PDS will xxxx CalOptima for covered TB screening and treatment services for both CalOptima Direct and Health Network members. CalOptima will pay County for claims for covered TB screening and treatment services for both CalOptima Direct and Health Network members. CalOptima shall not pay County for DOT professional services.
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Related to SERVICES ELIGIBLE FOR REIMBURSEMENT

  • Education Reimbursement The County will provide education reimbursement for education costs incurred by regular employees who apply for such reimbursement in accordance with the policies and procedures governing the education reimbursement program. The maximum reimbursement shall be $1,500 per year.

  • Reimbursement of Eligible Costs To be eligible for reimbursement, the Engineer's costs must (1) be incurred in accordance with the terms of a valid work authorization; (2) be in accordance with Attachment E, Fee Schedule; and (3) comply with cost principles set forth at 48 CFR Part 31, Federal Acquisition Regulation (FAR 31). Satisfactory progress of work shall be maintained as a condition of payment.

  • Educational Reimbursement SECTION 1. The purpose of this Article is to xxxxxx a learning environment and provide educational opportunities that are mutually beneficial to the employees and the County and will encourage eligible employees to participate in education programs which will further their skills and knowledge for use in their current position or for use in a possible future position of greater responsibility. The Educational Reimbursement Program shall be a plan as provided for in Section 127 of the Internal Revenue Code of 1986, as amended (the “Code”) and shall be construed consistently with the requirements of Section 127. Amounts paid for tuition reimbursement meeting the requirements of Section 127 of the IRS Tax Code are not included in an Employee’s income or subject to income tax withholding up to a maximum of $5,250 annually. If subsequent tax law changes fail to continue the tax-free treatment, or in any way modify its treatment, appropriate adjustments in tax withholding will be made from the effective date of the change. This Article does not apply to training seminars, conferences, workshops, etc.

  • Compensation and Reimbursement The Company agrees:

  • Compensation for Reimbursable Expenses 11.8.1 Reimbursable Expenses are in addition to compensation for Basic, Supplemental, and Additional Services and include expenses incurred by the Architect and the Architect’s consultants directly related to the Project, as follows:

  • REIMBURSEMENT OF FEES AND COSTS The Parties acknowledge that Xxxxxxxx and his counsel offered to reach preliminary agreement on the material terms of this dispute before reaching terms on the amount of fees and costs to be reimbursed to them. The Parties thereafter reached an accord on the compensation due to Xxxxxxxx and his counsel under general contract principles and the private attorney general doctrine and principles codified at California Code of Civil Procedure § 1021.5, for all work performed through the mutual execution of this agreement. Under these legal principles, X. Xxxxx shall reimburse Xxxxxxxx’x counsel for fees and costs incurred as a result of investigating and bringing this matter to X. Xxxxx’x attention, and negotiating a settlement in the public interest. Within ten (10) days of the Effective Date, X. Xxxxx shall issue a check payable to “Xxxxxxx Xxxxx” in the amount of $16,500.00 for delivery to the address identified in Section 3.2(a)(i), above.

  • Meal Reimbursement 1. If an employee is required to work one and one-half (1-1/2) hours before or beyond his/her normal working day or on overtime for emergency purposes or for extended work periods of five (5) or more hours in length on a day that is not the employee’s regular work day, and the employee is not exercising flexible work hours, the employee shall be reimbursed for the actual cost of a meal/food items not to exceed $18.00, plus tip (not to exceed 15%) and applicable taxes. Reimbursement is contingent upon the employee providing receipts.

  • DEPENDENT CARE REIMBURSEMENT ACCOUNT During the term of this MOU, Management agrees to maintain a Dependent Care Reimbursement Account (DCRA), qualified under Section 129 of the Internal Revenue Code, for active employees who are members of LACERS, provided that sufficient enrollment is maintained to continue to make the account available. Enrollment in the DCRA is at the discretion of each employee. All contributions into the DCRA and related administrative fees shall be paid by employees who are enrolled in the plan. As a qualified Section 129 Plan, the DCRA shall be administered according to the rules and regulations specified for such plans by the Internal Revenue Service.

  • Payment of Extraordinary Education Related Expenses Section 5.1. PAYMENT OF EXTRAORDINARY EDUCATION-RELATED EXPENSES. In addition to the amounts determined pursuant to Articles IV and VI of this Agreement, Applicant on an annual basis shall also indemnify and reimburse District for all non-reimbursed costs, certified by the District’s external auditor to have been incurred by the District for extraordinary education-related expenses directly and solely related to the project that are not directly funded in state aid formulas, including expenses for the purchase of portable classrooms and the hiring of additional personnel to accommodate a temporary increase in student enrollment caused directly by such project. Applicant shall have the right to contest the findings of the District’s external auditor pursuant to Section 4.9 above.

  • Requesting Reimbursement Requests for reimbursements must be submitted via the ASAP system. Requests for reimbursement should coincide with normal billing patterns. Each request must be limited to the amount of disbursements made for the Federal share of direct project costs and the proportionate share of allowable indirect costs incurred during that billing period.

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