Payor of last resort definition

Payor of last resort means all other payment sources must be exhausted before enrollment in the technology assisted waiver and Medicaid reimbursement may occur.

Payor of last resort means a funding source that may be used only after all other available public and private funding sources have been accessed.

Payor of last resort means funds under this part may not be used to satisfy a financial commitment for services that would otherwise have been paid for from another public or private source, including any medical program administered by the Department of Defense, but for the enactment of Part C of the Act.

Examples of Payor of last resort in a sentence

• Payor of last resort provisions in §§303.510 through 303.521 (regarding the identification and coordination of funding resources for, and the provision of, early intervention services under Part C of the Act within the State).

• The department must ensure that federal funds made available to the state under Section 643 of the Act will be expended in accordance with the provisions of this chapter, including rules 281—120.500(34CFR303) and 281—120.501(34CFR303).[ARC 0100C, IAB 4/18/12, effective 5/23/12] 281—120.222(34CFR303) Payor of last resort.

• Conducting periodic follow-up on each referral, to determine if the sta- tus of the infant or toddler involved has changed with respect to the eligi- bility of the infant or toddler for serv- ices under this part.(Authority: 20 U.S.C. 1435(a)(10)–(12), 1437(b), 1438)PAYOR OF LAST RESORT—GENERAL PROVISIONS § 303.510 Payor of last resort.

• Financial Administration 470 IAC 3.1-12-1 Payor of last resort; interim payments; nonreduction of benefitsAuthority: IC 12-13-2-3; IC 12-13-5-3Affected: IC 12-17-15 Sec.

• Example: • Legislative Finding: Payor of last resort finding for not billing billable services.

More Definitions of Payor of last resort

Payor of last resort means a source of funding for TBI program services that is not to be used until all other possible payor sources have been denied or exhausted.

Payor of last resort means “funds under Part C of IDEA may not be used to satisfy a financial commitment for ESIT services that would otherwise have been paid for from another public or private source, including any medical program administered by the Department of Defense, but for the enactment of Part C of IDEA. Therefore, IDEA Part C funds may be used only for ESIT services that an infant or toddler with a disability needs but is not currently entitled to receive or have payment made from any other federal, state, local, or private source (subject to 34 CFR §§303.520 and 303.521).” (34 CFR §303.510(a)).

Payor of last resort means the Regional Center or LEA that is required to pay for early intervention services listed on the IFSP when third party payers or other agencies do not have an obligation to pay as required by 34 CFR 303.527.

Payor of last resort means "funds under Part C of IDEA may not be used to satisfy a financial commitment for EIS that would otherwise have been paid for from another public or private source, including any medical program administered by the Department of Defense, but for the enactment of Part C of IDEA. Therefore, IDEA Part C funds may be used only for EIS that an infant or toddler with a disability needs but is not currently entitled to receive or have payment made from any other federal, state, local, or private source (subject to 34 CFR 99303.520 and 303.521)." (34 CFR 9303.510(a)).

Payor of last resort means the federal pro- gram that makes part C funds available to pay for early intervention services for an eligible child that are not paid from other public or private sources.

Payor of last resort. Means the Participating Agency that has responsibility for paying for a service authorized pursuant to statute or TennCare Rules for a Child with a Disability or his family after all other potential resources have been exhausted.

Payor of last resort rules means that we’ll cover your deductibles and coinsurance up to the maximum allowable reimbursement amount that would have been paid if you didn’t have another insurance plan.