Third Party Liability Requirements Sample Clauses

Third Party Liability Requirements. The Provider is required to identify and seek recovery from all liable third parties, consistent with the requirements of the Mental Health Code, the MDHHS/CMHSP Master Contract for General Funds and with the MDHHS/PIHP Master Contract for Medicaid Funds. The Provider shall be responsible under this Agreement for seeking support/service reimbursements, if applicable, from third party liability claims for the Consumer hereunder, pursuant to federal and State requirements. The Provider shall not seek or collect any support/service fee payments directly from the Consumer, legal guardian, parents or relatives, etc. or any reimbursement fee payments from Medicare, and/or private insurers, the State of Michigan, health maintenance organizations, or other managed care entities acting on behalf of private insurers, etc., for Provider’s supports/services rendered hereunder, unless authorized to do so, in writing, by the Payor.
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Third Party Liability Requirements. Service Provider shall be responsible under this Agreement for seeking service reimbursements, if applicable, from third party liability claims for Enrollees hereunder, pursuant to federal and State requirements. Service Provider shall not seek or collect any service fee payments directly from Enrollees, legal guardians, parents or relatives, etc. or any reimbursement fee payments from Medicaid and/or the State of Michigan, for Service Provider’s services rendered hereunder, unless authorized to do so, in writing, by Authority.

Related to Third Party Liability Requirements

  • Claims Made Policy Requirements If General Liability, Pollution and/or Asbestos Pollution Liability and/or Errors & Omissions coverage are required and are provided on a claims-made form, the following requirements also apply:

  • Professional Liability (Errors & Omissions Insurance with limits of not less than $1,000,000 each occurrence, $2,000,000 aggregate. Such insurance will cover all professional services rendered by or on behalf of PROVIDER and its subcontractors under this Agreement. Renewal policies written on a claims- made basis will maintain the same retroactive date as in effect at the inception of this Agreement. If coverage is written on a claims-made basis, PROVIDER agrees to purchase an Extended Reporting Period Endorsement, effective for two (2) full years after the expiration or cancellation of the policy. No professional liability policy written on an occurrence form will include a sunset or similar clause that limits coverage unless such clause provides coverage for at least three (3) years after the expiration of cancellation of this Agreement.

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