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 that the Program pays benefits secondary to all other public and private third-party payers who have an obligation to pay for such benefits.
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

  • Learn about clinical trials: III.3.E. Exceptions to the Payer of Last Resort RequirementRWHAP recipients may not deny services, including prescription drugs, to an individual receiving benefits through Veterans Affairs (VA) who is otherwise eligible for RWHAP services, even if they could obtain services and medications through the VA (PCN 16-01).

  • Section 8082(b) and (c): Clarification of Payer of Last Resort Application to Child Welfare Prevention and Family Services; Effective DateBackgroundAs amended by the Family First Prevention Services Act (Title VII, Division E of P.L. 115-123), beginning with FY2020, states may elect to use funding under the Title IV-E program to support certain SUD and mental health treatment services, as well as skills-based programs for in-home parents.

  • For more information, please refer to: Medicaid Payer of Last Resort Under Medicaid law and regulations, Medicaid is generally the payer of last resort.

  • 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 1/10th of 1% funding should be utilized as a Payer of Last Resort.

  • The Payer of Last Resort policy is to be incorporated into the Subcontractor’s policies and procedure, operation/administration manual and client chart.

  • Proposals are being solicited for the following services:Provide comprehensive pharmacy benefit & information management; Client Eligibility Administration, Coordination of Benefits and Payer of Last Resort Program Management, Statewide Pharmacy Network, Claims Processing, Pharmacy Payment Processing, ADAP Formulary Management, ADAP Program Member Technical Support, Reporting and Data Management.

  • Payer of Last Resort means using FACT enhancement funds after exhausting all other potential sources of funds.

  • The training includes a mix of new Service Coordinators, veteran Service Coordinators, District Coordinators, and other stakeholders, including Parent Advisors, Quality Monitors, etc.Topics covered include statute and regulations; policies, procedures and forms; SPP and APR; Payer of Last Resort; Targeted Case Management; Family Educational Rights and Privacy Act; General Supervision; Data collection/entry/analysis; and IFSP development/review/revision/reevaluation.

  • By way of example, all new poles must be hollow metal, fiberglass or a similar composite material that is structurally designed and certified for the intended use, and designed for internal cabling.

More Definitions of Payer of Last Resort

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 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.

Related to Payer of Last Resort

  • Houseboat means any boat containing a toilet or sleeping accommodation or capable of containing enclosed or semi-enclosed sleeping accommodation;

  • Resort means the complete and entire Burswood Island Resort (including the Resort Complex) referred to in the Development Proposals, to be constructed and developed on the Site and the Resort Site pursuant to and in accordance with the provisions of this Agreement;

  • connecting sewer means a pipe owned by the municipality and installed by it for the purpose of conveying sewage from a drainage installation on a premises to a sewer beyond the boundary of those premises or within a servitude area or within an area covered by a way-leave or by agreement;

  • Nationwide Mortgage Licensing System and Registry means a mortgage licensing system developed and maintained by the Conference of State Bank Supervisors and the American Association of Residential Mortgage Regulators for the licensing and registration of licensed mortgage loan originators.

  • STCW Convention means the International Maritime Organisation (IMO) Convention on Standards of Training, Certification and Watchkeeping for Seafarers, 1978, as it applies to the matters concerned taking into account the transitional provisions of Article VII and Regulation I/15 of the Convention and including, where appropriate, the applicable provisions of the STCW Code, all being applied in their up-to-date versions;

  • Public School Student Accessing Courses at a Distance means a student who is scheduled for a full course load through the District and attends all classes virtually.

  • Maintenance agreement means a legally recorded document that acts as a property deed restriction, and which provides for long-term maintenance of storm water management practices.

  • Boat means any device capable of being used as a means of transportation on water.

  • Maintenance Agency means the Company or association of owners or such other agency/ body/ entity, to whom the Company may handover the maintenance and who shall be responsible for providing the maintenance services within the Project/Group Housing Colony.