Centers for Medicare & Medicaid Services Program Sample Clauses

Centers for Medicare & Medicaid Services Program. Approving Officials The authorized program and approving officials, whose signatures appear below, accept and expressly agree to the terms and conditions expressed herein, confirm that no verbal agreements of any kind shall be binding or recognized, and hereby commit the organization to the terms of this agreement. Approved by (Signature of Authorized CMS Program Official) Xxxx Xxxxx Deputy Director Center for Consumer Information and Insurance Oversight Centers for Medicare & Medicaid Services Date
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Centers for Medicare & Medicaid Services Program. Approving Officials The authorized program and approving officials, whose signatures appear below, accept and expressly agree to the terms and conditions expressed herein, confirm that no verbal agreements of any kind shall be binding or recognized, and hereby commit the organization to the terms of this agreement. Approved by (Signature of Authorized CMS Program Official) JeffreyJeffreyJeffreyJeffreyJeffreyJeffreyJeffreyJeffreyJeffrey GrantGrantGrantGrantGrantGrantGrantGrantGrant --------- SSSSSSSSS DigitallyDigitallyDigitallyDigitallyDigitallyDigitallyDigitallyDigitallyDigitally signedsignedsignedsignedsignedsignedsignedsignedsigned bybybybybybybybyby JeffreyJeffreyJeffreyJeffreyJeffreyJeffreyJeffreyJeffreyJeffrey GrantGrantGrantGrantGrantGrantGrantGrantGrant -S-S-S-S-S-S-S-S-S Date:Date:Date:Date:Date:Date:Date:Date:Date: 2023.03.272023.03.272023.03.272023.03.272023.03.272023.03.272023.03.272023.03.272023.03.27 09:43:4709:43:4709:43:4709:43:4709:43:4709:43:4709:43:4709:43:4709:43:47 -04'00'-04'00'-04'00'-04'00'-04'00'-04'00'-04'00'-04'00'-04'00' Xxxxxxx Xxxxx S Xxxxxxx X. Xxxxx - Digitally signed by Xxxxxxx Xxxxx -S Date: 2023.03.27 09:43:47 -04'00' Deputy Director for Operations Center for Consumer Information and Insurance Oversight Centers for Medicare & Medicaid Services Date 03/27/2023 Date 03/27/2023 24 Xxxxxx Xxxxxxx Digitally signed by Xxxxxx -S Xxxxxxx -S Date: 2023.04.03 10:25:37 -04'00' XXXXXX XXXXXX 139116 Digitally signed by XXXXXX XXXXXX 139116 Date: 2023.04.03 12:49:15 -04'00' Xxxx X. Xxxxxxxxxx 237842 Digitally signed by Xxxx X. Xxxxxxxxxx 237842 Date: 2023.04.13 08:41:39 -04'00' Attachment 1 Marketplace Computer Matching Programs: Cost-Benefit Analysis MARKETPLACE COMPUTER MATCHING PROGRAMS: COST-BENEFIT ANALYSIS Prepared by: Center of Consumer Information and Insurance Oversight (CCIIO), CMS COST-BENEFIT ANALYSIS FOR MARKETPLACE MATCHING PROGRAMS UPDATED SEPTEMBER 15, 2022 Table of Contents Introduction 2 Costs 3 Benefits 4 Matching Program Structure 4 Background assumptions 5
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Centers for Medicare & Medicaid Services Program. Approving Officials The authorized program and approving officials, whose signatures appear below, accept and expressly agree to the terms and conditions expressed herein, confirm that no verbal agreements of any kind shall be binding or recognized, and hereby commit the organization to the terms of this agreement. Approved by (Signature of Authorized CMS Program Official) Xxxx Xxxxx Deputy Center and Operations Director Center for Consumer Information and Insurance Oversight Centers for Medicare & Medicaid Services Date Centers for Medicare & Medicaid Services Program & Approving Officials The authorized program official, whose signatures appear below, accept and expressly agree to the terms and conditions expressed herein, confirm that no verbal agreements of any kind shall be binding or recognized, and hereby commit their respective organizations to the terms of this agreement. Approved by (Signature of Authorized CMS Program Official) Xxxxx Xxxxxxx Deputy Director Center for Medicaid and CHIP Services Centers for Medicare & Medicaid Services Date Centers for Medicare & Medicaid Services Program & Approving Officials The authorized approving official, whose signature appears below, accepts and expressly agrees to the terms and conditions expressed herein, confirm that no verbal Agreements of any kind shall be binding or recognized, and hereby commits their respective Organization to the terms of this Agreement. Approved by (Signature of Authorized CMS Approving Official) Xxxxxxx Xxxxxx Director, Division of Security and Privacy Policy Governance, and Acting Senior Official for Privacy Information Security and Privacy Group Office of Information Technology Centers for Medicare & Medicaid Services Date
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Centers for Medicare & Medicaid Services Program. Approving Officials The authorized program and approving officials, whose signatures appear below, accept and expressly agree to the terms and conditions expressed herein, confirm that no verbal agreements of any kind shall be binding or recognized, and hereby commit the organization to the terms of this agreement. Approved by (Signature of Authorized CMS Program Official) Xxxxxxx X. Xxxxx Deputy Director for Operations Center for Consumer Information and Insurance Oversight Centers for Medicare & Medicaid Services Date Approved by (Signature of Authorized CMS Program Official) Xxxxx Xxxxxxx Deputy Director Center for Medicaid and CHIP Services Centers for Medicare & Medicaid Services Date Approved by (Signature of Authorized CMS Approving Official) Xxxxxxx Xxxxxx Director Division of Security Privacy Policy and Governance, and Acting Senior Official for Privacy Information Security and Privacy Group Office of Information Technology Centers for Medicare & Medicaid Services Date
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Related to Centers for Medicare & Medicaid Services Program

  • Subcontracting for Medicaid Services Notwithstanding any permitted subcontracting of services to be performed under this Agreement, Party shall remain responsible for ensuring that this Agreement is fully performed according to its terms, that subcontractor remains in compliance with the terms hereof, and that subcontractor complies with all state and federal laws and regulations relating to the Medicaid program in Vermont. Subcontracts, and any service provider agreements entered into by Party in connection with the performance of this Agreement, must clearly specify in writing the responsibilities of the subcontractor or other service provider and Party must retain the authority to revoke its subcontract or service provider agreement or to impose other sanctions if the performance of the subcontractor or service provider is inadequate or if its performance deviates from any requirement of this Agreement. Party shall make available on request all contracts, subcontracts and service provider agreements between the Party, subcontractors and other service providers to the Agency of Human Services and any of its departments as well as to the Center for Medicare and Medicaid Services.

  • Pharmacy Services The Contractor shall establish a network of pharmacies. The Contractor or its PBM must provide at least two (2) pharmacy providers within thirty (30) miles or thirty (30) minutes from a member’s residence in each county, as well as at least two (2) durable medical equipment providers in each county or contiguous county.

  • Medicaid Program Contractors Inspection of Records: Any contracts accessing payments for services through the Global Commitment to Health Waiver and Vermont Medicaid program must fulfill state and federal legal requirements to enable the Agency of Human Services (AHS), the United States Department of Health and Human Services (DHHS) and the Government Accounting Office (GAO) to: Evaluate through inspection or other means the quality, appropriateness, and timeliness of services performed; and Inspect and audit any financial records of such Contractor or subcontractor.

  • Hospice Services Services are available for a Member whose Attending Physician has determined the Member's illness will result in a remaining life span of six months or less.

  • Medicaid If and when the Resident’s assets/funds have fallen below the Medicaid eligibility levels, and the Resident otherwise satisfies the Medicaid eligibility requirements and is not entitled to any other third party coverage, the Resident may be eligible for Medicaid (often referred to as the “payor of last resort”). THE RESIDENT, RESIDENT REPRESENTATIVE AND SPONSOR AGREE TO NOTIFY THE FACILITY AT LEAST THREE (3) MONTHS PRIOR TO THE EXHAUSTION OF THE RESIDENT’S FUNDS (APPROXIMATELY $50,000) AND/OR INSURANCE COVERAGE TO CONFIRM THAT A MEDICAID APPLICATION HAS OR WILL BE SUBMITTED TIMELY AND ENSURE THAT ALL ELIGIBILITY REQUIREMENTS HAVE BEEN MET. THE RESIDENT, RESIDENT REPRESENTATIVE AND/OR SPONSOR AGREE TO PREPARE AND FILE AN APPLICATION FOR MEDICAID BENEFITS PRIOR TO THE EXHAUSTION OF THE RESIDENT’S RESOURCES. Services reimbursed under Medicaid are outlined in Attachment “A” to this Agreement. Once a Medicaid application has been submitted on the Resident’s behalf, the Resident, Sponsor, and Resident Representative agree to pay, to the extent they have access to the Resident’s funds, to the Facility the Resident’s monthly income, which will be owed to the Facility under the Resident’s Medicaid budget. Medicaid recipients are required to pay their Net Available Monthly Income (“NAMI”) to the Facility on a monthly basis as a co-payment obligation as part of the Medicaid rate. A Resident’s NAMI equals his or her income (e.g., Social Security, pension, etc.), less allowed deductions. The Facility has no control over the determination of NAMI amounts, and it is the obligation of the Resident, Resident Representative and/or Sponsor to appeal any disputed NAMI calculation with the appropriate government agency. Once Medicaid eligibility is established, the Resident, Resident Representative and/or Sponsor agree to pay NAMI to the Facility or to arrange to have the income redirected by direct deposit to the Facility and to ensure timely Medicaid recertification. The Resident, Sponsor and Resident Representative agree to provide to the Facility copies of any notices (such as requests for information, budget letters, recertification, denials, etc.) they receive from the Department of Social Services related to the Resident’s Medicaid coverage. Until Medicaid is approved, the Facility may bill the Resident’s account as private pay and the Resident will be responsible for the Facility’s private pay rate. If Medicaid denies coverage, the Resident or the Resident’s authorized representative can appeal such denial; however, payment for any uncovered services will be owed to the Facility at the private pay rate pending the appeal determination. If Medicaid eligibility is established and retroactively covers any period for which private payment has been made, the Facility agrees to refund or credit any amount in excess of the NAMI owed during the covered period.

  • Medicaid Program Parties (applicable to any Party providing services and supports paid for under Vermont’s Medicaid program and Vermont’s Global Commitment to Health Waiver):

  • Medical Services Plan 10.1.1 Regular Full-Time and Temporary Full-Time Employees shall be entitled to be covered under the Medical Services Plan commencing the first day of the calendar month following the date of employment.

  • Urgent Care Services All Medically Necessary Covered Services received in Urgent Care Centers, Retail Clinics or your Primary Care Physician’s office after-hours to treat an Urgent Medical Condition will be covered by AvMed. Any request for reimbursement of payment made by a Member for services received must be filed within 90 days or as soon as reasonably possible but not later than one year unless the Member was legally incapacitated. If Urgent Medical Services and Care are required while outside the continental United States, Alaska or Hawaii, it is the Member’s responsibility to pay for such services at the time they are received. For information on filing a Claim for such services, see Part XIII. REVIEW PROCEDURES AND HOW TO APPEAL A CLAIM (BENEFIT) DENIAL.

  • Medicaid Enrollment Treatment Grantees shall enroll as a provider with Texas Medicaid and Healthcare Partnership (TMHP) and all Medicaid Managed Care organizations in Grantee’s service region within the first quarter of this procurement term and maintain through the procurement term.

  • Child Care A. Employees employed as of March 1 who meet the following criteria shall be eligible for a lump sum payment each year. Eligible employees may apply for this payment between March 1 and April 15 of each year. Payment shall be made within thirty (30) days of receipt of the completed application. Any application received after April 15 will be considered on a case by case basis and shall not be arbitrarily rejected.

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