THIRD-PARTY LIABILITY RECOVERY Clause Samples
THIRD-PARTY LIABILITY RECOVERY. A. The provider shall utilize and require its subcontractors to utilize, when available, covered medical and hospital services or payments from other public or private sources, including Medicare.
B. The provider shall attempt to recover, and shall require its subcontractors to attempt to recover, monies from third party liability cases involving workers’ compensation, accidental injury insurance and other subrogation of benefit settlements.
C. The Department shall notify the provider of any reported third party payment sources.
D. The provider shall verify third party payment sources directly, when appropriate.
E. Payment of Federal and District funds under the State Plan to the provider shall be conditional upon the utilization of all benefits available from such payment sources.
F. Each third party collection by a provider for a Medicaid beneficiary shall be reported to the Department and all recovered monies shall be returned to the Department immediately upon recovery.
THIRD-PARTY LIABILITY RECOVERY. A. The Provider shall utilize and shall require its Sub-Provider(s) to utilize, when available, substance abuse services covered by 3rd party insurers or payments from other public or private sources, including Medicaid and/or Medicare.
B. The Department shall notify the Provider of any reported third- party payment sources.
C. The Provider shall verify third-party payment sources directly, when appropriate.
D. Each third-party collection by a Sub-Provider for a DTCP client shall be reported by the Provider on a written form specified by APRA in the DTCP Provider Agreement Manual, to the Deputy Director for Operations (or his/her designee), Addiction Prevention and Recovery Administration, ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇, ▇▇▇ ▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ and all recovered monies shall be returned to the Department immediately upon recovery.
THIRD-PARTY LIABILITY RECOVERY. G.1.12.1 Provider shall utilize and require its Subproviders to utilize, when available, covered medical and hospital services or payments from other public or private sources, including Medicare, prior to submitting a claim for MHRS to DBH.
G.1.12.2 Provider shall insure that Medicaid coverage is maintained for all Medicaid- eligible Consumers for whom any claim for MHRS is submitted to DBH.
G.1.12.3 Provider shall attempt to recover and shall require its Subproviders to attempt to recover monies from third party liability cases involving workers' compensation, accidental injury insurance and other subrogation of benefit settlements.
G.1.12.4 DBH shall notify Provider of any reported third party payment sources.
G.1.12.5 Provider shall verify third party payment sources directly, when appropriate.
G.1.12.6 Payment of District and federal funds under the District State Medicaid Plan to Provider shall be conditioned upon the utilization of all benefits available from such payment sources.
G.1.12.7 Each third party collection by Provider for a Medicaid recipient shall be reported to DBH, and all recovered monies shall be returned to DBH immediately upon recovery.