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

  • 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.

  • 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.

  • 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).

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

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

  • Acknowledge that the BISF is not an Entitlement Program and serves as the Payer of Last Resort.

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

  • The Program Subrecipient is required to use the Xxxx Xxxxx Part B Payer of Last Resort Client Certification Form provided by the Department or a form that is approved by the Department.

  • 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: Describe how the agency will ensure that Ryan White funds will be cost effective, coordinated, and used as the payer of last resort for each service category for which funds are requested.


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

  • Supplier of Last Resort means a supplier who is designated by a Member State to take over the supply of electricity to customers of a supplier which has ceased to operate;

  • Houseboat means watercraft primarily used as habitation and not used primarily as a means of transportation.

  • 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 that part of Burswood Island as is shown bordered red on Lands and Surveys Miscellaneous Plan 1512 but does not include the Site;

  • 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.

  • 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;

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

  • Rental application means the written application or similar document used by a landlord to

  • 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: (i) Is a general partner, officer, director or employer of the declarant; (ii) 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 20% of the voting interests of the declarant; (iii) controls in any manner the election of a majority of the directors of the declarant; or (iv) has contributed more than 20% of the capital in the declarant. A person "is controlled by" a declarant if the declarant: (i) Is a general partner, officer, director or employer of the person; (ii) 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 20% of the voting interests in the person; (iii) controls in any manner the election of a majority of the directors of the person; or (iv) has contributed more than 20% of the capital of the person;

  • 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;

  • Site Lease or “Lease” means the Site Lease of even date herewith, by and between the District and the Lessor together with any duly authorized and executed amendment thereto under which the District leases the Site to the Lessor.

  • 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.

  • Security alarm system means a device or series of devices, intended to summon law enforcement personnel during, or as a result of, an alarm condition. Devices may include hard- wired systems and systems interconnected with a radio frequency method such as cellular or private radio signals that emit or transmit a remote or local audible, visual, or electronic signal; motion detectors, pressure switches, duress alarms (a silent system signal generated by the entry of a designated code into the arming station to indicate that the user is disarming under duress); panic alarms (an audible system signal to indicate an emergency situation); and hold-up alarms (a silent system signal to indicate that a robbery is in progress).

  • 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.

  • Expansion to an existing manufactured home park or subdivision means the preparation of additional sites by the construction of facilities for servicing the lots on which the manufactured homes are to be affixed (including the installation of utilities, the construction of streets, and either final site grading or the pouring of concrete pads).

  • 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 contract of limited duration