No duty of Payment for any charges or amounts that are not originally invoiced by Referral Agency to AVCC within one hundred twenty (120) days from date of service.
No duty of Payment for any services provided by Provider after Provider receives a notice from AVCC that services to any client(s) should cease (“Termination of Services” notification).
No duty of Payment from the date a client has transferred into a long term care facility, hospital, rehabilitation facility or other such facility unless express and written permission to continue Services is provided by AVCC. Upon knowledge of such transfer, Referral Agency has a duty to notify AVCC. A breach of this duty will be considered to endanger the financial welfare of a client.
No duty of Payment if a change in the client’s state funding (including but not limited to funding for home care services) occurs after the date the client’s application for VA Benefits was sent to the VA unless express and written permission to continue Services is provided by AVCC. Upon knowledge of such additional funding, Referral Agency has a duty to notify AVCC. A breach of this duty will be considered to endanger the financial welfare of a client.
No duty of Payment if Referral Agency does not provide client assistance with at least two (2) Activities of Daily Living. If Referral Agency fails to provide such assistance to client, all other services provided will be considered unauthorized. Unauthorized services will not be reimbursed.
No duty of Payment for any charges, or amounts that are not invoiced by Provider to AVCC within ninety (90) days from date of termination of services by death, removal to long term care facility or termination of services between AVCC and Client and/or Provider.
No duty of Payment if provider does not provide client assistance with at least two (2)
