Suspension and Termination of Service. The decision to remove a PERS is at the sole discretion of the Inclusa team. For all PERS removals, notification will be by telephone, followed by written notification, from the authorized Inclusa team. If the provider is notified directly by a member’s family or other representative to remove the PERS, authorization must first be obtained from the Inclusa team. When a member with a PERS no longer requires such services, regardless of the reason, the Inclusa team will discuss with appropriate staff, as needed, and contact the provider, so that the PERS may be transferred or removed. 1. When a member’s services are suspended because of the member’s admission to the hospital, the Inclusa team will notify and/or authorize the provider to take the unit off-line. Services will be resumed to the member only after the Inclusa team notifies the provider. Payment for leased equipment will be made at the standard unit price as long as a unit remains in the home of a member. 2. The provider shall disconnect/remove a PERS from a member’s residence within 5 working days of notification by the Inclusa team. Inclusa will discontinue payment effective 5 days after notice of disconnect or the following day after removal of the PERS, whichever is sooner. 3. If PERS is discontinued due to member disenrollment or death, payment will cease the following day after disenrollment or death. 4. Inclusa is not responsible for equipment that the provider is unable to collect from the member or their representative after service is terminated.
Appears in 4 contracts
Samples: Service Agreement, Provider Subcontract Agreement, Provider Subcontract Agreement
