Reimbursement Programs Clause Samples

Reimbursement Programs. (a) Seller, the Facilities and all Employed Physicians are duly certified to participate in, and have provider agreements for participation in, the Medicare and Medicaid programs. Seller and the Facilities are in material compliance with all of the material terms, conditions and provisions of such contracts, as well as state and federal laws related thereto except where any failure to be in compliance would not have a Material Adverse Effect. Copies of any notices of termination of Seller’s or the Facilities’ participation in the Medicare or Medicaid program, and Seller’s or the Facilities’ Statement of Deficiencies and Plan of Correction, if any, for the past three (3) years, have previously been provided or made available to Purchaser. (b) All cost reports for the Facilities and all home office cost reports required to be filed by Seller or any of its Affiliates under the Medicare, Medicaid or other programs or any other applicable governmental or private provider regulations have been, or by the respective due date will be, prepared and filed in accordance with applicable laws, rules and regulations, except where the failure to so file would not have a Material Adverse Effect, and Seller has paid or made provisions to pay all Notices of Program Reimbursement received from the Medicare and Medicaid programs, tentative settlements and other adjustments for the Facilities for periods ended prior to the Closing Date. With respect to any cost reports for the Facilities which remain to be filed or settled with respect to periods on or prior to the Closing: (i) each has been or will be timely filed by Seller by the due date, (ii) each is or will be complete and accurate in all material respects for the periods indicated, and (iii) all liabilities associated with such filings have been or will be paid in full by Seller. All material liabilities and contractual adjustments of the Business under any third party payor or reimbursement programs have, in the opinion of the Responsible Officers of Seller, been properly reflected and adequately reserved for in the Financial Statements. (c) To the Knowledge of Seller, Seller has not claimed or received reimbursements from the Medicare program, the Medicaid program (including any advances or pre-payments from the Missouri Medicaid program), TRICARE/ CHAMPUS, or any other governmental health benefit program in connection with the operation of the Business materially in excess of the amounts permitted by law, except as an...

Reimbursement Programs. Section 1. LIVING QUARTERS, MEALS, OR LAUNDRY SERVICE Rates for maintenance, including living quarters, meals, or laundry service, furnished by the County to any officer or employee, shall be fixed by a resolution of the Board of Supervisors from time to time. Payment therefore shall be made by a deduction from compensation, or by performance of additional services, as may be determined by the Board of Supervisors.

Reimbursement Programs. 1. WELLNESS REIMBURSEMENT A permanent full-time employee shall be eligible for reimbursement of eligible expenses up to but not exceeding fifty dollars ($50) for each full month the employee has been employed. Eligible expenses shall be: health/fitness club dues, purchase of pre-approved exercise/fitness equipment, chiropractic services, weight loss/management programs (including specialty supplements directly related to the program), and fitness-related classes (such as yoga or sports which may be offered through a community/recreation center). It will be the responsibility of the employee to submit requests for reimbursement to the Human Resources department in order to receive reimbursement. The CITY shall pay this reimbursement quarterly under the CITY reimbursement policy. Each participating employee is solely liable and responsible for any and all personal injuries, and shall fully indemnify the CITY. The CITY assumes no liability for injury or compensation for employee participation in this program, nor is this a mandated program or a job requirement.

Reimbursement Programs. Borrower and its Subsidiaries are qualified to participate in Government Reimbursement Programs and are entitled to reimbursement thereunder for services rendered to qualified beneficiaries and have complied in all materials respects with the conditions of participation in all Governmental Reimbursement Programs and related contracts. Borrower and its Subsidiaries are in compliance in all material respects with contracts with Nongovernmental Payors. With respect to Government Reimbursement Programs and contracts with Nongovernmental Payors, (i) no notice of any offsets against future reimbursement has been received by Borrower or any of its Subsidiaries, nor to the knowledge of Borrower is there any reasonable basis therefor, except with respect to offsets in the Ordinary Course of Business that could not reasonably be expected to materially and adversely affect the business of the Borrower and its Subsidiaries, taken as a whole, (ii) there are no pending appeals,

Reimbursement Programs. To the best of their knowledge, except as set forth on Section 4.15

Reimbursement Programs. The Section 125 Benefits Plan allows an individual to direct some of their salary or wages on a pre- tax basis in order to pay for certain allowed expenses called qualified expenses. In order for an expense to be eligible for reimbursement it must be "qualified", as explained below. It must also be incurred during the period of coverage. This means that a person must have received services, such as having seen the doctor or had a child in day care, on a date during the Plan Year. As an example, assume that an individual's enrollment is effective as of February 1. If they saw a doctor on January 28, that expense would not be eligible for reimbursement, even if the individual received an invoice dated after February I. There are certain circumstances under which expenses may be qualified under the Plan such as orthodontia care where actual services have not yet been performed. Contact the Benefits Staff for additional information related to specific claim issues.

Reimbursement Programs