Payor Source definition

Payor Source. Enter the payor source for the AT service/device. If the parent has consented to use of private insurance for the AT service and you find an error, complete and submit the SCDHHS Health Insurance Information Referral Form (HIIRF) per instructions.
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Payor Source. Enter the payor source for the AT service/device. Ensure private insurance information is correct on the Financial support screen. If policy information is missing or incorrect, submit the SCDHHS Health Insurance Information Referral Form (HIIRF) per instructions.
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Payor Source. Enter the payor source for the AT service/device. If the parent has consented to use of private insurance for the AT service and you find an error, complete and submit the SCDHHS Health Insurance Information Referral Form (HIIRF) per instructions. SCDHHS and IDEA/Part C will utilize the SCDHEC Hearing Program guidelines and fee schedule for coverage of initial and replacement hearing aids. Children who have Medicaid or are below 250% of the federal poverty level and have a hearing loss that requires amplification are eligible for the SCDHEC Hearing Program. SCDHEC will provide hearing aids for eligible children, and also cover ear molds, hearing aid kits, replacement batteries, etc., up to allowable program limits. If the child is not eligible for Medicaid, the Service Coordinator is required to determine if the child meets income requirements for the SCDHEC Hearing Program as payor of first resort prior to requesting IDEA/Part C funds for hearing aids. SCDHEC Hearing Program Guidelines (includes link to family income requirements): xxxxx://xxx.xxxxxx.xxx/health/child-teen-health/services-children-special-health-care-needs/hearing-program SCDHEC Hearing Program Equipment and Fee Schedule: xxxxx://xxx.xxxxxx.xxx/sites/default/files/docs/Health/docs/SNC-HearingFee.pdf If the request is for purchase of hearing aids, the AT purchase request must include: • Documentation from an audiologist that hearing loss meets IDEA/Part C criteria, and hearing aid use is recommended; or • The family has obtained a prescription for hearing aids from an ENT. A new AT Purchase request for replacement ear molds and new ear impressions is not needed if the hearing aid(s) have been previously approved. The hearing aid request does not have to include: • Specific IFSP outcome to address the use of hearing aids. • Participation of all IFSP team members in the IFSP change review meeting (Service Coordinator and parent may complete the meeting and notify the other team members).
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Examples of Payor Source in a sentence

  • Part J : Patient Revenue by Payor Source for Non-Medicaid Providers 1.

  • Hospital and non-hospital applicants shall provide Medicaid information in a manner consistent with the information reported each year to the Illinois Department of Public Health regarding "Inpatients and Outpatients Served by Payor Source" and "Inpatient and Outpatient Net Revenue by Payor Source" as required by the Board under Section 13 of this Act and published in the Annual Hospital Profile.

  • Specify Units by Payor Source in Row 61 – 67.Note: Do not include special program (special rate) expenditures in this column.

  • Section 3.19.3 Target is certified for participation and reimbursement and qualified as participating providers under the Payor Source Programs set forth in Schedule 3.19.

  • Furthermore, for informational purposes, the project analyst calculated the historical payor mix per patient days that Brookridge Assisted Living reported in their 2020 LRA (FY2019), as follows: BROOKRIDGE HISTORICAL PAYOR MIX FY2019 Historical Payor Source# of Patient Days% of Total PatientsMedicaid/Special Assistance11,31564.6%Private Pay6,20535.4%Total17,520100.0%Source: 2020 LRA.

  • Mark all that apply: 25.0%Federal26.9%State13.5%Grant5.8%Don’t Know/No Answer17.3%Local: Contract, County, ICBHS, ICOE, CUSD, & SIP Funds 11.5%Other: Payor Source, Private Party, Insurance, Charity, & School District Funds Figure 5a Figure 5a represents the different funding sources for each agency.

  • The table below shows the projected PY2 payment sources for the facility for in-center patients: FMC EAST NORTHAMPTON COUNTYProjected Payor Source PY2In-Center Revenue by Percent of TotalSelf-Pay/ Indigent/ Charity0.55%Medicare83.01%Medicaid3.40%Medicare / Commercial8.66%Commercial Insurance1.66%Misc.

  • If this option is selected, the client will not be eligible to enroll in any program.c. No Other Payor Source Identified: Client is not enrolled in health insurance and does not have access to other insurance.

  • Payor Source* Including any managed care plans The projected payor mix is reasonable and adequately supported.

  • Table 76 show that no such permissions were granted in 2011/12, thus meeting the target.

Related to Payor Source

  • Minor source means any sta- tionary source that does not meet the definition of major stationary source in paragraph (b)(1) of this section for any pollutant at the time the PAL is issued.

  • Third-party payer means an entity that is, by

  • Third Party Payor Programs means all third party payor programs in which Tenant presently or in the future may participate, including, without limitation, Medicare, Medicaid, CHAMPUS, Blue Cross and/or Blue Shield, Managed Care Plans, other private insurance programs and employee assistance programs.

  • Third Party Provider means licensors, subcontractors and suppliers of BNYM furnishing the Third Party Products.

  • Major source means any stationary source (or any group of stationary sources that are located on one or more contiguous or adjacent properties, and are under common control of the same person [or persons under common control]) belonging to a single major industrial grouping and that are described in subsection (A), (B), or (C) of this definition. For the purposes of defining “major source,” a stationary source or group of stationary sources shall be considered part of a single industrial grouping if all of the pollutant emitting activities at such source or group of sources on contiguous or adjacent properties belong to the same Major Group (i.e., all have the same two-digit code) as described in the Standard Industrial Classification Manual, 1987.

  • Third Party Manufacturer means any person, firm or company which carries out the reproduction of Work and/or manufactures and/or prints the Licensed Publication on behalf of the Licensee;

  • Third Party Vendor means any person or entity that provides SaaS, third party software and/or related intellectual property. “Work” means any additional work the Customer requests Singtel to perform in relation to the Service.

  • Third Party Product means a product (whether hardware, software or services) supplied to you by a third party;

  • Other Sources means (i) distributions or payments of Capital Commitment Partner Carried Interest (which shall include amounts of Capital Commitment Partner Carried Interest which are not distributed or paid to a Partner but are instead contributed to a trust (or similar arrangement) to satisfy any “holdback” obligation with respect thereto), and (ii) distributions from Blackstone Entities (other than the Partnership) to such Partner.

  • Approved Source means Cisco or a Cisco authorized reseller, distributor or systems integrator.

  • Third Party Products means the Third Party Software and Third Party Hardware.

  • Third Party means a provider of digital educational software or services, including cloud- based services, for the digital storage, management, and retrieval of Education Records and/or Student Data, as that term is used in some state statutes. However, for the purpose of this DPA, the term “Third Party” when used to indicate the provider of digital educational software or services is replaced by the term “Provider.”

  • Primary Source means the Screen Page specified as such in the applicable Pricing Supplement and (in the case of any Screen Page provided by any information service other than the Reuters Monitor Money Rates Service (“Reuters”)) agreed to by the Agent Bank;

  • Third Party Data has the meaning set forth in Section 9.3(a).

  • Area source means any stationary source of hazardous air pollutants that is not a major source as defined in rule 567—22.100(455B).

  • Third Party Materials means materials and information, in any form or medium, including any software, documents, data, content, specifications, products, equipment or components of or relating to the Services that are not proprietary to NCIT.

  • Third Party IPR means any Intellectual Property Rights not belonging to either party to this Agreement but used by the Supplier in the creation of the Deliverables and/or in the course of or in connection with the Project.

  • Third Party(ies) means a person or entity who or which is neither a Party nor an Affiliate of a Party.

  • Third Party Providers or “TPPs” means any payment service provider that provides payment services to you or someone else that concerns the Account, for example, an AISP (described in Clause 1(c) below).

  • Sublicensee means a third party to whom LICENSEE grants a sublicense of certain rights granted to LICENSEE under this Agreement.

  • Third Party Material means software, software development tools, methodologies, ideas, methods, processes, concepts and techniques owned by, or licensed to a third party and used by the Service Provider in the performance of the Services;

  • Third Party Licensor means the relevant licensor of any Third Party Data or any Third Party Trade Xxxx;

  • Third Party IP means the Intellectual Property Rights of any third party that is not a party to this Contract, and that is not a Subcontractor.

  • Subrecipient means a non-Federal entity receiving an Award from a Recipient to carry out part of a Federal program. The term does not include an individual who is a beneficiary of such program.

  • Third Party License means licenses from third parties governing third party software embedded or used in the Trading Platform.

  • Third Party Payor means Medicare, Medicaid, TRICARE, and other state or federal health care program, Blue Cross and/or Blue Shield, private insurers, managed care plans and any other Person or entity which presently or in the future maintains Third Party Payor Programs.