Common use of Services with Unestablished Fees Clause in Contracts

Services with Unestablished Fees. If a fee has not been established by Medicare for a particular procedure, and CalOptima has provided authorization for Professional to provide such service, CalOptima shall reimburse County under the following guidelines:

Appears in 4 contracts

Samples: Coordination and Provision of Public Health Care Services Contract, Coordination and Provision of Public Health Care Services Contract, Coordination and Provision of Public Health Care Services Contract

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Services with Unestablished Fees. If a fee has not been established by Medicare Medi-Cal for a particular procedure, and CalOptima has provided authorization for Professional County to provide such service, CalOptima shall reimburse County under the following guidelines:

Appears in 3 contracts

Samples: Coordination and Provision of Public Health Care Services Contract, Coordination and Provision of Public Health Care Services Contract, Coordination and Provision of Public Health Care Services Contract

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