Members are Not Held Liable

Members are not to be held liable for the following situations:

1. Non-payment — ValueOptions^® of Kansas shall provide that its Members are not held liable for the covered services provided to the Member, for which the Contracting Agencies does not pay ValueOptions^® of Kansas, except as allowed for non-T-XIX sliding fee scale payments by Members.
   
   
2. Non-payment to provider — ValueOptions^® of Kansas shall provide that its Members are not held liable for the covered services provided to the Members, for which the Contracting Agencies or ValueOptions^® of Kansas does not pay the provider that furnishes the services under a contractual, referral, or other arrangement, except as allowed for non-T-XIX sliding fee scale payments by Members
   
   
3. ValueOptions^® of Kansas shall provide that its Members are not held liable
   
   
   1. for payments, including ValueOptions^® of Kansas’ debts, in the event of ValueOptions^® of Kansas’ insolvency.
      
      
   2. for payments for covered services furnished under a contractual, referral, or other arrangement, to the extent that those payments are in excess of the amount the Member would owe if ValueOptions^® of Kansas provided the service directly (i.e. no balance billing by providers.)

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