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Dual Eligible Sample Clauses

Dual Eligible refers to an individual who meets the requirements to receive benefits from both the Federal Medicare Program and the Wisconsin Medicaid Program. “Dual eligibility” does not guarantee “dual coverage.”
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Dual Eligible. An enrollee who is eligible for both Medicaid (Title XIX) and Medicare (Title XVIII) programs.
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Dual Eligible. An individual who is entitled to both Medicare coverage (Part A and Part B) as well as some form of assistance under Title XIX (Medicaid), such as payment of a Medicare premium, even if the individual is not eligible for AHCCCS acute or ALTCS services. Dual eligibles include, but are not limited to, persons who are referred to as QMB Only, QMB Dual, SLMB, QI 1, Acute Care Duals and ALTCS Duals.
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Dual Eligible. A person who qualifies for Medicare and Medicaid coverage.
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Dual Eligible. For purposes of this document, an adult aged 65 or older who is eligible for and enrolled in Medicare Parts A and B and enrolled in MassHealth Standard coverage. This includes Qualified Medicare Beneficiaries with full Medicaid (QMB Plus) and Low-Income Medicare Beneficiaries with full Medicaid (SLMB Plus) aged 65 or older and with MassHealth Standard coverage. 29
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Dual Eligible. For purposes of this document, an adult aged 65 or older who is eligible for and enrolled in Medicare Parts A and B and enrolled in MassHealth Standard coverage. This includes Qualified Medicare Beneficiaries with full Medicaid (QMB Plus) and Low-Income Medicare Beneficiaries with full Medicaid (SLMB Plus) aged 65 or older and with MassHealth Standard coverage. Effective Enrollment Date - The first calendar day of the month following the receipt of Enrollee’s enrollment into a SCO plan. Eligibility Verification System (EVS) - The online and telephonic system Providers must access to verify eligibility, managed care enrollment, and available third-party liability information about Members. Eligible Individual - An Eligible Individual is a person aged 65 or older, or who turns 65 within the first calendar month of enrollment, who is enrolled in MassHealth Standard and no other comprehensive private or public health coverage. An Eligible Individual may be enrolled in Medicare Parts A and B, but Medicare enrollment is not a requirement for SCO eligibility.
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Dual Eligible. As used in this Contract, a Medicare enrollee who is also eligible for TennCare and for whom TennCare has a responsibility for payment of Medicare Cost Sharing Obligations under the State Plan. For purposes of this Contract, Dual Eligibles are limited to the following categories of recipients: QMB Only, QMB Plus, SLMB Plus, and Other Full Benefit Dual Eligible (“FBDE”).
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Dual Eligible. “Dual Eligible” or dually eligible, means individuals who have been determined eligible for both Medicare and Medicaid services.
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Related to Dual Eligible

  • Special Eligibility The following employees also receive an Employer Contribution:

  • General Eligibility i. A teacher who received an evaluation rating of ineffective or improvement necessary in the prior school year is not eligible for any salary increase and remains at their prior year salary.

  • Program Eligibility The COUNTY shall provide eligibility determination for those persons applying for home repair under this Agreement by using the following factors: 1. The applicant is a resident of the CITY; and 2. The total income for all members of the applicant’s household does not exceed 80% of the median income of the Kansas City metropolitan area, as determined by the Secretary of Housing and Urban Development; and 3. The applicant is the homeowner and must have occupied the property as a primary residence for at least six (6) months; 4. The property to be repaired is within the corporate limits of the CITY; and 5. When required, medical need will be substantiated and documented.

  • Continuing Eligibility To continue health benefits, a permanent intermittent employee must be credited with a minimum of 480 paid hours in a control period or 960 paid hours in two consecutive control periods.

  • Dependent Eligibility For all programs covered in this article, eligible dependents are an employee’s lawful spouse or domestic partner (as defined by Section 297 of the California Family Code), and unmarried children (natural, step, adopted, legal guardianship, and/or xxxxxx) of the employee or domestic partner, who are qualified IRS dependents of the employee or domestic partner, up to twenty-three (23) years of age. Disabled dependents may be able to continue coverage beyond the limiting age if the disability occurred while the dependent was covered under a County-sponsored medical plan or prior to the dependent’s 19th birthday, and is certified by a licensed physician.

  • Overtime Eligibility An Employee must work at least fifteen (15) minutes beyond their normal shift before being eligible for overtime compensation.

  • Holiday Eligibility Except as otherwise provided in this Article, an employee must be in a paid status during any portion of the working day immediately preceding or succeeding the holiday to be paid for the holiday. Employees in the bargaining unit who are not normally assigned to duty during the Christmas and Spring Recess periods shall be paid for those holidays occurring during those periods provided that they were in a paid status during any portion of the working day of their normal assignment immediately preceding or succeeding the holiday period.

  • Member Eligibility Verify Member eligibility contemporaneous with the rendering of services. BCBS will provide systems and/or methods for verification of eligibility and benefit coverage for Members. This is furnished as a service and not as a guarantee of payment;

  • Funding Eligibility Contractor understands, acknowledges, and agrees that, pursuant to Chapter 2272 (eff. Sept. 1, 2021, Ch. 2273) of the Texas Government Code, except as exempted under that Chapter, HHSC cannot contract with an abortion provider or an affiliate of an abortion provider. Contractor certifies that it is not ineligible to contract with HHSC under the terms of Chapter 2272 (eff. Sept. 1, 2021, Ch. 2273) of the Texas Government Code.

  • S-3 Eligibility (i) At the time of filing the Registration Statement and (ii) at the time of the most recent amendment thereto for the purposes of complying with Section 10(a)(3) of the Securities Act (whether such amendment was by post-effective amendment, incorporated report filed pursuant to Section 13 or 15(d) of the Exchange Act or form of prospectus), the Company met the then applicable requirements for use of Form S-3 under the Securities Act, including compliance with General Instruction I.B.1 of Form S-3.

Most Referenced Clauses

Most Referenced Definitions