Non-Medi Clause Samples

Non-Medi. Cal beneficiaries receiving mental health services shall be charged fees in accordance with the DHCS Uniform Method of Determining Ability to Pay (UMDAP). CONTRACTOR shall report UMDAP fees paid to COUNTY annually. The patient’s annual liability shall be calculated in accordance with UMDAP effective 10/1/1989.
View SourceView Similar (19)
Non-Medi. Cal and Medi-Cal recipients shall be screened financially in accordance with the Uniform Method of Determining Ability to Pay (UMDAP). The recipient’s annual liability shall be calculated in accordance with UMDAP effective 10/1/1989. While a Medi-Cal recipient cannot be charged any fees for the service, the UMDAP does show their liability should they have to pay and must be maintained as part of the clinical record. Medi-Cal reimbursement rate shall be accepted as payment in full for appropriate Medi-Cal beneficiaries.
View SourceView Similar (7)
Non-Medi. Cal and Medi-Cal recipients shall be screened financially in accordance with the DMH Uniform Method of Determining Ability to Pay (UMDAP). The recipient’s annual liability shall be calculated in accordance with UMDAP effective 10/1/1989. While a Medi-Cal recipient cannot be charged any fees for specific services, the UMDAP establishes their liability should they have to pay and must be maintained as part of the clinical record. Medi-Cal reimbursement rate shall be accepted as payment in full for appropriate Medi-Cal beneficiaries. This is a fee for services contract. CONTRACTOR will be paid for services at the rates set forth below. All rates are per session unless otherwise noted. This payment provision is subject to modification with approval of the County Contract Administrator and the Revenue and Budget Manager, not to exceed the total payment indicated in Section 3 of the main agreement, and limited to moving identified funding amounts between lines and rate changes within 10% of rate listed in this agreement. Detailed Budgets are on file and managed by the Contract Administrator, by type of service. • Treatment services (Mode 15) shall be billed at the rate of $2.80 per minute. CONTRACTOR shall input treatment and billing data into COUNTY’S Avatar software system. • Specialty mental health treatment services shall be billed at the rate of $2.80 per minute. CONTRACTOR shall input treatment and billing data into COUNTY’S Avatar software system. • Couples Counseling services shall be billed at the rate of $138 per couple per 60-minute session. CONTRACTOR shall submit a manual invoice to COUNTY on a monthly basis for these services. Support services (Mode 60) shall be billed at actual cost, as included in the following line item budget. CONTRACTOR shall submit a manual invoice to COUNTY at a minimum of monthly for these expenses. • Crisis Services: varies $ 27087 $ 1,466 $ 61,001 13% $ 7,930 12% $ 7,320 $ 76,252 $ 2,600 $ 400 $ 500 $ 3,500 $ 79,752 14% $ 11,962.73 $ 91,714 On site Crisis Specialists Crisis Specialists Program Administrator Total Salaries Benefits as % of Salaries Payroll Taxes as % of Salaries
View SourceView Similar (3)
Non-Medi. Cal reimbursable services: 1.3.5.1 While delivering a service in a lock-out situation, CONTRACTOR shall document services as described in this Section 1.3 utilizing the corresponding “X” code if the service that is provided would generally be a Medi-Cal billable service. The following places are considered to be “locked out” for Medi-Cal billing: i.
View SourceView Similar (2)
Non-Medi. Cal Services: Non-Medi-Cal Services shall not be performed by CONTRACTOR without prior authorization from COUNTY Contract Administrator. The Negotiated Net Rates contained in Exhibit B are specific and fixed dollar rates, proposed in response to the above-referenced Request for Proposals and approved by COUNTY, for the specified units of service provided, based upon the projected cost of providing the services and projected revenues realized as a result of providing the services.
View Source
Non-Medi. Cal reimbursable services:
View Source
Non-Medi. Cal and Medi-Cal recipients shall be screened financially in accordance with the DMH Uniform Method of Determining Ability to Pay (UMDAP). The recipient’s annual liability shall be calculated in accordance with UMDAP effective 10/1/1989. While a Medi-Cal recipient cannot be charged any fees for specific services, the UMDAP establishes their liability should they have to pay and must be maintained as part of the clinical record. Medi-Cal reimbursement rate shall be accepted as payment in full for appropriate Medi-Cal beneficiaries. Contactor will seek approval, from the county designee, prior to commencing treatment with a non-medical client.
View Source

Related to Non-Medi

  • Voluntary Mediation a) The central parties may, on mutual agreement, request the assistance of a mediator. b) Where the central parties have agreed to mediation, the cost shall be shared equally between the central parties. c) Timelines shall be suspended for the period of mediation.

  • Termination of Mediation The mediation shall be terminated: 1) By the execution of a Settlement Agreement by the Parties; 2) By a written declaration of the mediator to the effect that further efforts at mediation are no longer worthwhile; or 3) By a written declaration of a Party or Parties to the effect that the mediation proceedings are terminated.

  • Selection of Mediator A single mediator that is acceptable to both parties shall be used to mediate the dispute. The mediator will be knowledgeable in the subject matter of this Contract, if possible.

  • Mandatory Mediation a. The PARTIES hereto agree prior to commencing any legal action relating to any Claim, as defined herein, to submit the Claim to a mandatory good-faith mediation process (“Mediation”). The PARTIES’ expectations are that if the Claim is made by a third party (e.g., a contractor), that the third party will be a participant in that Mediation. The PARTIES agree that any statute of limitations applicable to any Claim shall be tolled for the period from the date a PARTY requests Mediation through fourteen (14) days after termination of the Mediation, unless otherwise agreed to by the Parties. b. Except as set forth below, the PARTIES agree to refrain from filing, maintaining or prosecuting any action related to the Claim during the pendency of the Mediation provided that the Mediation must commence within thirty (30) days after a PARTY makes written demand to the other for Mediation. c. The PARTIES shall participate in a minimum of one full-day mediation session before the Mediation may be declared unsuccessful and terminated by either PARTY. The Mediation shall be conducted in accordance with the rules as the PARTIES agree upon, or in the absence of agreement, in accordance with the Commercial Mediation Rules of JAMS/Endispute. Evidence of anything said, any admissions made, and any documents prepared in the course of the Mediation shall not be admissible in evidence or subject to discovery in any court action pursuant to Evidence Code Section 1152.5. d. The PARTIES shall mutually agree to the selection of a mediator who is an attorney that is experienced in public works construction claims. If the PARTIES are unable to agree upon a mediator, then the mediator shall be appointed by JAMS/Endispute. e. The Mediation shall take place at a location within twenty (20) miles of the DISTRICT’s administrative office. The mediator’s fees and administrative fees, if any, shall be split equally between the PARTIES, but, unless otherwise agreed to in writing, each PARTY shall bear its own attorney's fees. f. If any PARTY commences a legal action without first attempting to resolve the Claim as required by this Article IX, that PARTY shall be in breach of this AGREEMENT and shall not be entitled to recover attorney's fees that might have otherwise been recoverable. g. This mandatory mediation process shall only apply to Claims pursuant to the Article XIII, Section 5 herein and shall not apply to any disputes to be resolved pursuant to the Alternative Dispute Resolution provision herein.