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Will the USPO/USPSO be willing to be a payor of last resort for services provided when private insurance ends up not reimbursing for non-clinical services that they initially said they would cover during pre-authorization?

Will the USPO/USPSO be willing to be a payor of last resort for services provided when private insurance ends up not reimbursing for non-clinical services that they initially said they would cover during pre-authorization? (Examples might include, the insurance policy doesn’t actually cover the service, the individual is later determined not eligible for out of network services, the individual can’t afford to pay their deductible, the insurance covers only a portion of the stay.)

A. No. The USPO/USPSO is to pay for services when a program plan (Probation Form 45) is submitted for referral to the contracting agency. The USPO/USPSO is responsible for cost of the services provided as outlined on the Probation Form 45.

General
FAQ Type: 
Treatment Services