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 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

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).

  • 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: 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.

  • 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.

  • 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.

  • Provide comprehensive pharmacy benefit & information management; Client Eligibility Administration, Coordination of Benefits and Payer of Last Resort Program Management, Statewide Pharmacy Network, Claims Processing, ADAP Formulary Management, ADAP Program Member Technical Support, Reporting and Data Management.

  • Payer of Last Resort The state and federal requirement that Xxxx Xxxxx services are billed after the primary payers have been billed.


More Definitions of Payer of Last Resort

Payer of Last Resort means a requirement to coordinate services and seek payment from all other sources before Ryan White funds are used.
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.
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.

Related to Payer of Last Resort

  • Houseboat means a powered vessel containing living accommodation, usually flat- bottomed and used in navigation.

  • 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;

  • Subordinate joint force commander means a sub-unified commander or joint task force commander.

  • 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;

  • Resort Site means those parts of Burswood Island as are ‑

  • Reciprocal state means a state other than this state in which section 507C.18, subsection 1, sections 507C.52 and 507C.53 and sections 507C.55 through 507C.57 are in force, and in which provisions are in force requiring that the commissioner or equivalent official be the receiver of a delinquent insurer, and in which some provision exists for the avoidance of fraudulent conveyances and preferential transfers.

  • Interconnection Construction Service Agreement means the agreement entered into by an Interconnection Customer, Interconnected Transmission Owner and the Transmission Provider pursuant to Tariff, Part VI, Subpart B and in the form set forth in Tariff, Attachment P, relating to construction of Attachment Facilities, Network Upgrades, and/or Local Upgrades and coordination of the construction and interconnection of an associated Customer Facility. A separate Interconnection Construction Service Agreement will be executed with each Transmission Owner that is responsible for construction of any Attachment Facilities, Network Upgrades, or Local Upgrades associated with interconnection of a Customer Facility. Interconnection Customer:

  • 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.

  • Sewerage Undertaker means the Company appointed to be the sewerage undertaker under Section 6(1) of the 1991 Act for the area in which the property is or will be situated;

  • Airport lounge means a business location:

  • AT&T WEST REGION 2-STATE means the AT&T owned ILEC(s) doing business in California and Nevada.

  • Affiliate of a declarant means any person who controls, is controlled by, or is under common control with a declarant. A person controls a declarant if the person: Is a general partner, officer, director, or employee of the declarant; directly or indirectly, or acting in concert with one or more other persons or through one or more subsidiaries, owns, controls, holds with power to vote, or holds proxies representing more than twenty percent of the voting interests of the declarant; controls in any manner the election of a majority of the directors of the declarant; or has contributed more than twenty percent of the capital of the declarant. A person is controlled by a declarant if the declarant: Is a general partner, officer, director, or employee of the person; directly or indirectly, or acting in concert with one or more other persons or through one or more subsidiaries, owns, controls, holds with power to vote, or holds proxies representing more than twenty percent of the voting interests of the person; controls in any manner the election of a majority of the directors of the person; or has contributed more than twenty percent of the capital of the person. Control does not exist if the powers described in this subsection (1) are held solely as security for an obligation and are not exercised.

  • 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.

  • STCW Convention means the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers, 1978;

  • Default Management Charge has the meaning given to it in paragraph 6.2 of Framework Schedule 9 (Management Information);

  • Warsaw Convention means the Convention for the Unification of Certain Rules Relating to International Carriage by Air, signed at Warsaw, October 12, 1929, as amended, but not including the Montreal Convention as defined above.

  • State Load Despatch Centre or ”SLDC” means the centre established by the State Government for the purpose of exercising the powers and discharging the functions under Section 31 of the Act;

  • Compliance Declaration means a compliance declaration substantially in the form set out in Schedule F;

  • System with a single service connection means a system which supplies drinking water to consumers via a single service line.

  • Chesapeake Bay Preservation Act land-disturbing activity means a land-disturbing activity including clearing, grading, or excavation that results in a land disturbance equal to or greater than 2,500 square feet and less than one acre in all areas of jurisdictions designated as subject to the Chesapeake Bay Preservation Area Designation and Management Regulations (9VAC25-830) adopted pursuant to the Chesapeake Bay Preservation Act.

  • Maintenance Supervisor (Tradesperson) means an employee who has trade qualifications and has overall responsibility for maintenance at the place of employment and may be required to supervise other maintenance staff.

  • 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.

  • Construction Service Agreement means either an Interconnection Construction Service Agreement or an Upgrade Construction Service Agreement.

  • Maintenance agreement means a document recorded in the land records that acts as a property deed restriction, and which provides for long-term maintenance of stormwater management practices.

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

  • Postpartum recovery means (a) the entire period a woman or