Common use of FEE FOR SERVICE ALLOCATION Clause in Contracts

FEE FOR SERVICE ALLOCATION. In providing its services and operations, Contractor will maintain compliance with requirements of the AOD Policy and Procedure Manual including additions and revisions, incorporated by reference herein. Reimbursement will be approved only for clients who referred through the formal referral process outlined in the AOD Policy and Procedure Manual. 1. Drug Medi-Cal In accordance with the AOD Policy and Procedure Manual, Contractor will provide the following alcohol and drug treatment and recovery services to clients who are enrolled in the Medi-Cal Program: a. Day Care Rehabilitative (DCR) Treatment Services b. Outpatient Drug Free (ODF) Treatment Services 2. NRC Adolescent In accordance with the AOD Policy and Procedure Manual, Contractor will provide the following alcohol and drug treatment and recovery services to clients who have been referred by an Alcohol and Drug Services Case Manager or designee. Contractor shall be in good standing with the County of San Mateo’s Children and Youth System of Care (CYSOC). a. Day Treatment Services b. Outpatient Treatment Services From July 1, 2009 to December 31, 2009 San Mateo County adolescents not eligible for outpatient and day treatment services funded through Drug Medi-Cal and/or Minor Consent Medi-Cal, will be eligible for NRC funded services on a Fee-for-Service basis. During this six (6) month period, contractor will pursue billing for adolescent Outpatient Drug Free services funded through Minor Consent Medi-Cal, and will begin billing with the provision that all necessary components are in place. Contractor will pursue third party payer funding sources through Managed Care System health plans to provide outpatient and day treatment services to eligible clients. This funding is considered one- time bridge funding to support contractor’s transition to Minor Consent Medi-Cal and other Managed Care System health plans. Any remaining funds will be available for reimbursement to the contractor for day treatment services, approved pursuant to Section E. 2 of this contract, provided to adolescents who are not eligible for any of the aforementioned funding streams, and not to exceed one (1) adolescent slot (90 days) at a time and for a maximum of four (4) adolescents.

FEE FOR SERVICE ALLOCATION. In providing its services and operations, Contractor will maintain compliance with requirements of the AOD Policy and Procedure Manual including additions and revisions, incorporated by reference herein. Reimbursement will be approved only for clients who referred through the formal referral process outlined in the AOD Policy and Procedure Manual. 1. Drug Medi-Cal In accordance with the AOD Policy and Procedure Manual, Contractor will provide the following alcohol and drug treatment and recovery services to clients who are enrolled in the Medi-Cal Program: a. Day Care Rehabilitative (DCR) Treatment Services b. Outpatient Drug Free (ODF) Treatment Services 2. NRC Adolescent In accordance with the AOD Policy and Procedure Manual, Contractor will provide the following alcohol and drug treatment and recovery services to clients who have been referred by an Alcohol and Drug Services Case Manager or designee. Contractor shall be in good standing with the County of San Mateo’s Children and Youth System of Care (CYSOC). a. Day Treatment Services b. Outpatient Treatment Services From July 1, 2009 to December 31, 2009 San Mateo County adolescents not eligible for outpatient and day treatment services funded through Drug Medi-Cal and/or Minor Consent Medi-Cal, will be eligible for NRC funded services on a Fee-for-Service basis. During this six (6) month period, contractor will pursue billing for adolescent Outpatient Drug Free services funded through Minor Consent Medi-Cal, and will begin billing with the provision that all necessary components are in place. Contractor will pursue third party payer funding sources through Managed Care System health plans to provide outpatient and day treatment services to eligible clients. This funding is considered one- one-time bridge funding to support contractor’s transition to Minor Consent Medi-Cal and other Managed Care System health plans. Any remaining funds will be available for reimbursement to the contractor for day treatment services, approved pursuant to Section E. 2 of this contract, provided to adolescents who are not eligible for any of the aforementioned funding streams, and not to exceed one (1) adolescent slot (90 days) at a time and for a maximum of four (4) adolescents.