EXPLANATION OF THE NON-MEDICAID
ELIGIBLE (NME) CONSUMER PAYMENT SUMMARY
The purpose of the NME Consumer Payment Summary is to advise the vendor of any units that were denied, the reason for payment denial, and the total dollar amount approved for payment.
The following information on the NME Consumer Payment Summary is based on the invoice: the DHSS Vendor Number, Vendor Name, Vendor Address, Invoice Date, Service Delivery Month, and Type of Invoice. The LTACS Unit staff person who processes the invoice for payment will complete the OA Vendor Number and Invoice Number fields.
If any units were denied, the NME Consumer Payment Summary will note the consumer name, the number of units denied, and the reason for payment denial.
The NME Consumer Payment Summary will list the total number of units denied and the dollar amount that will be deducted from the invoiced amount.
The vendor will be reimbursed the dollar amount shown in both the Amount Paid and Total Amount Paid fields.
The LTACS Unit staff person who processes the invoice for payment and completes the NME Consumer Payment Summary will sign and date the form. That information will be noted in the preparer’s name and date fields in the Accounting Distribution section of the form.
The NME Consumer Payment Summary will be mailed to the vendor in advance of payment.