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5.1.7 Fiscal Agent Payment Deadline
The CSHCN Services Program fiscal agent is required to finalize all claims, including appeals or adjustments, within 24 months.
• Provider claims - CSHCN Services Program payments cannot be made after 24 months from the date of service or discharge date on inpatient claims.
•Retroactive SSI eligibility claims - The payment deadline is derived from the client's eligibility add date to allow 24 months from the add date for the retroactive SSI-eligible client.
Payment deadlines should not be confused with the claims filing deadlines that are in place for claim submissions and appeals.
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