Unallowable Services/Cost Claims and Financial Paybacks. Should the PROVIDER fail to fulfill its obligations as required under this Agreement, thereby resulting in unallowable Medicaid or non-Medicaid program services and/or cost claims, it shall not be reimbursed by the PAYOR hereunder for any such services and/or cost claims; thereto, the PROVIDER shall repay to the PAYOR as financial paybacks of any claims payments made by the PAYOR to the PROVIDER for such unallowable services and/or cost claims. This requirement shall survive the termination of this Agreement and such repayment shall be made by the PROVIDER to the PAYOR within sixty (60) days of PAYOR’s final disposition notification to the PROVIDER that financial payback by the PROVIDER is required.
Unallowable Services/Cost Claims and Financial Paybacks. Should Service Provider fail to fulfill its obligations as required under this Agreement, thereby resulting in unallowable services and/or cost claims, it shall not be reimbursed by Authority hereunder for any such services and/or cost claims. Service Provider shall repay to Authority for such unallowable services and/or cost claims. This requirement shall survive the termination of this Agreement and such repayment shall be made by Service Provider to Authority within sixty
Unallowable Services/Cost Claims and Financial Paybacks. Should the PROVIDER fail to fulfill its obligations as required under this Agreement, thereby resulting in unallowable Medicaid or non-Medicaid program services and/or cost claims, it shall not be reimbursed by the PAYOR hereunder for any such services and/or cost claims; thereto, the PROVIDER shall repay to the PAYOR as financial paybacks of any claims payments made by the PAYOR to the PROVIDER for such unallowable services and/or cost claims. This requirement shall survive the termination of this Agreement and such repayment shall be made by the PROVIDER to the PAYOR within sixty (60) days of PAYOR’s final disposition notification to the PROVIDER that financial payback by the PROVIDER is required. Disallowed Expenditures and Financial Repayments. In the event that the MDHHS, the PAYOR, the State of Michigan, or the federal government ever determines in any final revenue and expenditure reconciliation and/or any final finance or service audit that the PROVIDER has been paid inappropriately per the PAYOR’s expenditures of federal, State, and/or local funds pursuant to this Agreement for Medicaid or non-Medicaid program services claims and/or cost claims which are later disallowed, the PROVIDER shall fully repay the PAYOR for such disallowed payments within sixty (60) days of the PAYOR’s final disposition notification of the disallowed payment.
