Common use of Duplication of Services Clause in Contracts

Duplication of Services. ‌ The Contractor is prohibited from providing any paid Wisconsin Medicaid supports or services to the participants for whom they provide ICA or FEA services without the expressed prior approval of the Department. This prohibition includes agencies that the Contractor, their parent organization, or owner(s) has any direct or indirect financial or fiduciary relationship. If determined as unallowable, the participant will be required to make a choice of receiving services from the Contractor or receiving paid Medicaid supports or services from the Contractor’s affiliate entity providing services. This excludes administrative contracts that do not provide direct service or eligibility and enrollment for services, as well as agencies that provide accessibility assessments.