Pay and chase definition

Pay and chase means that the state pays the total amount allowed under the agency’s payment schedule and then seeks reimbursement from the liable third party. The pay and chase provision applies to Medicaid claims for prenatal care, for preventive pediatric services, and for all services provided to a person for whom there is court-ordered medical support.
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Pay and chase means that the IME pays the total amount allowed under the Medicaid payment schedule and then seeks reimbursement from the liable third party. Pay and chase applies only to claims for:
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Pay and chase means the provider bills IME or the MCO, even though the client has health insurance and IME or the MCO bills the insurance company. Medicaid allows “pay and chase” for certain situations, including when services are provided to:
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Examples of Pay and chase in a sentence

  • This is referred to as “pay and chase.” Pay and chase is required or permitted in certain circumstances where there is a risk that if the SMA were to cost-avoid claims, providers might choose not to participate in the Medicaid program, in order to avoid dealing with the administrative burden associated with Medicaid cost avoidance claims processing requirements.

  • Quality of care b Discourages the efficiencies of integrat Pay and chase audits Quality Incentive Based PaymentsAgenda als and 3.

  • This is referred to as “pay and chase.” Pay and chase is required or permitted in certain circumstances where there is a risk that if the SMA were to cost-avoid claims, providers might choose not to participate in the Medicaid program, in order to avoid dealing with the administrative burden associated with Medicaid cost-avoidance claims processing requirements.


More Definitions of Pay and chase

Pay and chase means the provider bills Medicaid, even though the member has health insurance and Medicaid bills the insurance company. Medicaid allows “pay and chase” for certain situations, including when services are provided to:
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Pay and chase means that the state pays the total amount allowed under the agency’s payment schedule and then seeks reimbursement from the liable third party. The pay and chase provision applies
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Related to Pay and chase

  • Home and community-based services or "HCBS" means Home and Community-Based Services as defined in OAR chapter 411, division 004.

  • Foster care services means the provision of a full range of casework, treatment and community

  • Retirement system means a retirement plan or system that is established by or pursuant to title 38.

  • Foster care means substitute care furnished on a 24-hour-a-day basis to an eligible child in a licensed or approved facility by a person or agency other than the child’s parent or guardian but does not include care provided in a family home through an informal arrangement for a period of 20 days or less. Child foster care shall include but is not limited to the provision of food, lodging, training, education, supervision, and health care.

  • Primary care giver means a person who assumes the principal role of providing care and attention to a child.

  • Scope of Services or “Scope of Work” means the work to be performed by the Proposer or Consultant as described in Section 2.0 of this RFP, as amended thereto.

  • Claims processing services means the administrative services performed in connection with the processing and adjudicating of claims relating to pharmacist services that include:

  • Basic health care services means in and out-of-area emergency services, inpatient hospital and