Payer of Last Resort definition

Payer of Last Resort means using FACT enhancement funds after exhausting all other potential sources of funds.
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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.
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Payer of Last Resort means a requirement to coordinate services and seek payment from all other sources before Ryan White funds are used.
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Examples of Payer of Last Resort in a sentence

  • Learn about clinical trials: http://aidsinfo.nih.gov 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).

  • Doctors were forced to amputate her leg, and it took two years for Ms. Oga to learn to walk with crutches.

  • For more information, please refer to: http://www.eohhs.ri.gov/I.4 Medicaid Payer of Last Resort Under Medicaid law and regulations, Medicaid is generally the payer of last resort.

  • These services include Enrollment & Eligibility Data Administration, Coordination of Benefits and Payer of Last Resort Program Management, Pharmacy Networks Management for Public Health Programs, Claims Processing, ADAP Formulary Management, ADAP Program Member Technical Support, and Reporting and Data Management.

  • In all votes regarding license, ordination, or conference membership, the requirements set forth herein are minimum requirements.

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

  • See Policy 16-11 – Payer of Last Resort Exemptions.❖ Eligibility specialists should screen and document Ryan White applicants for access to insurance programs through employers, as well as spouses/significant others.

  • Exception to Medicaid as the Payer of Last Resort – Medicaid-covered Services on a Medicaid Eligible Student’s IEP 105 5.

  • See Policy 16-11 – Payer of Last Resort Exemptions.❖ If an applicant is a legally registered Nevada tribal member and has medical services available through Indian Health Service (IHS), the individual is still eligible to receive services through Ryan White per HRSA guidelines.

  • RYAN WHITE PAYER OF LAST RESORT: The Subcontractor shall ensure that the Ryan White Treatment and Modernization Act is the Payer of Last Resort.


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
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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.
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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.
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Related to Payer of Last Resort

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  • Permitted Special Servicer/Affiliate Fees Any commercially reasonable treasury management fees, banking fees, title insurance and/or other insurance commissions and fees, title agency fees, and appraisal review fees received or retained by the Special Servicer or any of its Affiliates in connection with any services performed by such party with respect to any Serviced Loan or REO Property, in each case, in accordance with Article III of this Agreement.

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  • Collection site means the location of waste containers on collection day.