Payer of Last Resort definition
Payer of Last Resort means using FACT enhancement funds after exhausting all other potential sources of funds.
Payer of Last Resort means the entity that pays after all other programs have been pursued for enrollment and payment. Under the “payer of last resort” (also referred to in Medicaid as “third party liability”) (Section 1902(a)(25)) of the Social Security Act) requirement, State Medicaid programs must take “all reasonable measures to ascertain the legal liability of third parties.”xv Even though many, but not all, publicly funded services are defined as the payer of last resort, there are options that permit braiding resources with other public funders to meet the needs of individuals with disabilities. Further, if the payer of last resort has paid a bill that should have been paid by another entity, then the State or local agency that is the payer of last resort may seek reimbursement.xvi
Payer of Last Resort means a requirement to coordinate services and seek payment from all other sources before Ryan White funds are used.
Examples of Payer of Last Resort in a sentence
Region V and DHHS reserve the right to be Payer of Last Resort for consumers who meet the clinical criteria for an identified level of care and who are without the financial resources to pay for care.
The Program Subrecipient is required to use the ▇▇▇▇ ▇▇▇▇▇ Part B Payer of Last Resort Client Certification Form provided by the Department or a form that is approved by the Department.
The 1/10th of 1% funding should be utilized as a Payer of Last Resort.
Contractees are required to adhere to the Reimbursement for Services Rendered Payer of Last Resort promulgated January 22, 2015 when securing a FFS authorization through NJSAMS.
More Definitions of Payer of Last Resort
Payer of Last Resort means as a condition of eligibility for residential accessibility modification program services, another public or private insurance or coverage and a community resource is exhausted first.
Payer of Last Resort means an entity that pays after all other programs have been pursued for enrollment and payment. Examples of other programs include, but are not limited to: private health insurance, employer-sponsored health insurance, Medicaid and other State and Federal Programs.