Common use of Third Party Liability Requirements Clause in Contracts

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.

Third Party Liability Requirements. The Provider 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 PROVIDER shall be responsible under this Agreement for seeking support/service reimbursements, if applicable, from third party liability claims for the Consumer CONSUMER hereunder, pursuant to federal and State requirements. The Provider PROVIDER shall not seek or collect any support/service fee payments directly from the ConsumerCONSUMER, 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 ProviderPROVIDER’s supports/services rendered hereunder, unless authorized to do so, in writing, by the PayorPAYOR.