![]() If a person is covered by one Plan that calculates its benefits or services on the basis of Usual and Reasonable fees or relative value schedule reimbursement methodology or other similar reimbursement methodology and another Plan that provides its benefits or services on the basis of negotiated fees, the Primary plan's payment arrangement shall be the Allowable expense for all Plans. Reasonable fees or profit to cost- type contractors but not any fee or profit (or other increment above allow- able costs) to the grantee or sub- grantee. ![]() ![]() If a person is covered by 2 or more Plans that compute their benefit payments on the basis of Usual and Reasonable fees or relative value schedule reimbursement methodology or other similar reimbursement methodology, any amount in excess of the highest reimbursement amount for a specific benefit is not an Allowable expense. Reasonable fees, fines, and charges not prohibited by law may be established by the Superintendent. Reasonable fees and travel allowances and per diem (or meals provided in lieu of per diem). Reasonable fees or profit to cost- type contractors but not any fee or profit (or other increment above allow- able costs) to the grantee or sub- grantee.(b) Applicable cost principles. Examples of Reasonable fees in a sentence
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