Common use of Department Clause in Contracts

Department. Each UM Department authorization for Covered Services shall expire upon the earlier of (i) expiration date specified in the authorization and/or (ii) termination of this Agreement. Authorization requests shall be based on clinical eligibility and medical necessity as defined in the MSHN-SUDSP MANUAL. MSHN obligation to pay any claim shall be subject to MSHN verification of a consumer's status as a Medicaid/HMP beneficiary or verification of financial eligibility at the time the service was rendered. If the consumer did not meet eligibility criteria and is not a Medicaid or Healthy Michigan Plan covered consumer at the time the service was delivered, the PROVIDER may bill the consumer for the service. In no case shall a Medicaid or Healthy Michigan Plan covered consumer be billed for any service or for any portion of a service. The PROVIDER must use REMI’s brief screening and level of care determination as part of the initial determination of eligibility for services at the time of the initial request for services, prior to an assessment being scheduled.

Department. Each UM Department authorization for Covered Services shall expire upon the earlier of (i) expiration date specified in the authorization and/or (ii) termination of this Agreement. Authorization requests shall be based on clinical eligibility and medical necessity as defined in the MSHN-SUDSP MANUAL. MSHN obligation to pay any claim shall be subject to MSHN verification of a consumer's status as a Medicaid/HMP beneficiary Member or verification of financial eligibility at the time the service was rendered. If the consumer did not meet eligibility criteria and is not a Medicaid or Healthy Michigan Plan covered consumer at the time the service was delivered, the PROVIDER may bill the consumer for the service. In no case shall a Medicaid or Healthy Michigan Plan covered consumer be billed for any service or for any portion of a service. The PROVIDER must use REMI’s brief screening and level of care determination as part of the initial determination of eligibility for services at the time of the initial request for services, prior to an assessment being scheduled.

Department. Each UM Department authorization for Covered Services shall expire upon the earlier of (i) expiration date specified in the authorization and/or (ii) termination of this Agreement. Authorization requests shall be based on clinical eligibility and medical necessity as defined in the MSHN-SUDSP MANUALManual. MSHN MSHN's obligation to pay any claim shall be subject to MSHN verification of a consumer's status as a Medicaid/HMP beneficiary or verification of financial eligibility at the time the service was rendered. If the consumer did not meet eligibility criteria and is not a Medicaid or Healthy Michigan Plan covered consumer at the time the service was delivered, the PROVIDER may bill the consumer for the service. In no case shall a Medicaid or Healthy Michigan Plan covered consumer be billed for any service or for any portion of a service. The PROVIDER must use REMI’s brief screening and level of care determination as part of the initial determination of eligibility for services at the time of the initial request for services, prior to an assessment being scheduled.

Department. Each UM Department authorization for Covered Services shall expire upon the earlier of of: (i) expiration date specified in the authorization and/or (ii) termination of this Agreement. Authorization requests shall be based on clinical eligibility and medical necessity Medical Necessity as defined in the MSHN-SUDSP MANUAL. MSHN MSHN's obligation to pay any claim shall be subject to MSHN verification of a consumer's status as a Medicaid/HMP beneficiary or verification of financial eligibility at the time the service was rendered. If the consumer did not meet eligibility criteria and is not a Medicaid or Healthy Michigan Plan covered consumer at the time the service was delivered, the PROVIDER may bill the consumer for the service. In no case shall a Medicaid or Healthy Michigan Plan covered consumer be billed for any service or for any portion of a service. The PROVIDER must use REMI’s brief screening and level of care determination as part of the initial determination of eligibility for services at the time of the initial request for services, prior to an assessment being scheduled.

Department. Each UM Department authorization for Covered Services shall expire upon the earlier of (i) expiration date specified in the authorization and/or (ii) termination of this Agreement. Authorization requests shall be based on clinical eligibility and medical necessity as defined in the MSHN-SUDSP MANUAL. MSHN obligation to pay any claim shall be subject to MSHN verification of a consumer's status as a Medicaid/HMP beneficiary Member or verification of financial eligibility at the time the service was rendered. If the consumer did not meet eligibility criteria and is not a Medicaid or Healthy Michigan Plan covered consumer at the time the service was delivered, the PROVIDER may bill the consumer for the service. In no case shall a Medicaid or Healthy Michigan Plan covered consumer be billed for any service or for any portion of a service. The PROVIDER must use REMI’s brief screening and level of care determination as part of the initial determination of eligibility for services at the time of the initial request for services, prior to an assessment being scheduled. Please see the MSHN-SUDSP Manual. for applicable policies and/or procedures.

Department. Each UM Department authorization for Covered Services shall expire upon the earlier of (i) expiration date specified in the authorization and/or (ii) termination of this Agreement. Authorization requests shall be based on clinical eligibility and medical necessity as defined in the MSHN-SUDSP MANUAL. MSHN obligation to pay any claim shall be subject to MSHN verification of a consumer's status as a Member Medicaid/HMP beneficiary Member or verification of or financial eligibility at the time the service was rendered. If the consumer did not meet eligibility criteria and is not a Medicaid or Healthy Michigan Plan covered consumer at the time the service was delivered, the PROVIDER may bill the consumer for the service. In no case shall a Medicaid or Healthy Michigan Plan covered consumer be billed for any service or for any portion of a service. The PROVIDER must use REMI’s brief screening and level of care determination as part of the initial determination of eligibility for services at the time of the initial request for services, prior to an assessment being scheduled.

Department. Each UM Department authorization for Covered Services shall expire upon the earlier of (i) expiration date specified in the authorization and/or (ii) termination of this Agreement. Authorization requests shall be based on clinical eligibility and medical necessity as defined in the MSHN-SUDSP MANUAL. MSHN obligation to pay any claim shall be subject to MSHN verification of a consumer's status as a Medicaid/HMP beneficiary Member or verification of financial eligibility at the time the service was rendered. If the consumer did not meet eligibility criteria and is not a Medicaid or Healthy Michigan Plan covered consumer at the time the service was delivered, the PROVIDER may bill the consumer for the service. In no case shall a Medicaid or Healthy Michigan Plan covered consumer be billed for any service or for any portion of a service. The PROVIDER must use REMI’s brief screening and level of care determination as part of the initial determination of eligibility for services at the time of the initial request for services, prior to an assessment being scheduled.

Department. Each UM Department authorization for Covered Services shall expire upon the earlier of (i) expiration date specified in the authorization and/or (ii) termination of this Agreement. Authorization requests shall be based on clinical eligibility and medical necessity as defined in the MSHN-SUDSP MANUAL. MSHN obligation to pay any claim shall be subject to MSHN verification of a consumer's status as a Medicaid/HMP beneficiary beneficiaryMember or verification of financial eligibility at the time the service was rendered. If the consumer did not meet eligibility criteria and is not a Medicaid or Healthy Michigan Plan covered consumer at the time the service was delivered, the PROVIDER may bill the consumer for the service. In no case shall a Medicaid or Healthy Michigan Plan covered consumer be billed for any service or for any portion of a service. The PROVIDER must use REMI’s brief screening and level of care determination as part of the initial determination of eligibility for services at the time of the initial request for services, prior to an assessment being scheduled.