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
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