For Medi. Cal services provided pursuant to the Agreement, COUNTY shall claim reimbursement to the State Medi-Cal unit on behalf of CONTRACTOR to the extent these services are eligible.
For Medi. Cal funded services, Contractor shall maintain certification through San Mateo County to provide Xxxxx-Xxxxx Medi-Cal reimbursable services.
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, 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 12 reimbursement to the State Medi-Cal unit on behalf of CONTRACTOR to the extent these services are 13 eligible.
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 reimbursementfor an admission to a psychiatric inpatient hospital, the beneficiary shall meet medical necessity criteria set forth in (1) and (2) below:
For Medi. Cal services provided pursuant to the Agreement, COUNTY shall claim reimbursement to the State Medi-Cal unit on behalf of CONTRACTOR to the extent these services are ADMINISTRATOR, payments may be reduced accordingly. 5 with non-compliant billing practices. If CAPs are not completed within timeframes as determined by 6 8 10 11 13
