For Medi Sample Clauses

For Medi. Cal services provided pursuant to the Agreement, COUNTY shall claim 20 reimbursement to the State Medi-Cal unit on behalf of CONTRACTOR to the extent these services are 21 eligible.

For Medi. Cal funded services, Contractor shall maintain certification through San Mateo County to provide ▇▇▇▇▇-▇▇▇▇▇ Medi-Cal reimbursable services.

For Medi. Cal funded services, DHCS, CMS, the Office of the Inspector General, the Comptroller General, and their designees may, at any time, inspect and audit any records or documents of the Contractor, or its subcontractors, and may, at any time, inspect the premises, physical facilities, and equipment where Medi-Cal related activities are conducted. The right to audit exists for 10 years from the final date of the State/County Intergovernmental Agreement or from the date of completion of any audit, whichever is later. [State-County Intergovernmental Agreement, Exhibit A, Attachment I]

For Medi. Cal services provided pursuant to the Agreement, COUNTY shall claim 13 reimbursement to the State Medi-Cal unit on behalf of CONTRACTOR to the extent these services are 14 eligible.

For Medi. Cal services provided pursuant to the Contract, COUNTY shall claim 10 reimbursement to the State Medi-Cal unit on behalf of CONTRACTOR to the extent these services are 11 eligible.

For Medi. Cal services provided pursuant to the Agreement, COUNTY shall claimreimbursement to the State Medi-Cal unit on behalf of CONTRACTOR to the extent these services are 34

For Medi. Cal services provided pursuant to the Agreement, COUNTY shall claim 6 reimbursement to the State Medi-Cal unit on behalf of CONTRACTOR to the extent these services are 7 eligible.

For Medi. Cal patients, the Contractor will be reimbursed by the State for the Contract Allowable Acute Rate of $1,025 and the State DHCS established Administrative Day Rate. For uninsured or indigent patients, the Contractor will invoice LACDMH the Contract Allowable Rate amount of $1,025 per acute day services. Up to the maximum of 20% of the guaranteed beds will be available for uninsured/indigent patients.

For Medi. Cal services, County agrees to reimburse Contractor at a Negotiated Fee-For-Service rate (the “Negotiated Fee”) during the term of this Agreement as specified in the Exhibit B-1 and Exhibit B-3 MHS. County may increase the fee-for- service rate at the discretion of the Director of the Department of Behavioral Wellness or designee and based on Contractor's documented operating needs. Reimbursement remains subject to the contract maximum amount specified in the Exhibit B-1. Specialty mental health services provided to Non-Medi-Cal clients will be paid at the rates, subject to the maximum amount specified in the Exhibit B-1 MHS. County shall only pay for a maximum of 23 hours per client stay in accordance with C.C.R Title 9, Section 1840. 368, with payment also subject to the contract maximum as stated in the Exhibit B(s). Further, Contractor shall only enter a maximum of 23 hours in the County’s SmartCare system for each client to conform with State billing rules.