Medicaid Application Clause Samples

The Medicaid Application clause outlines the responsibilities and procedures related to applying for Medicaid benefits. Typically, this clause specifies which party is responsible for submitting the application, providing necessary documentation, and following up with the relevant government agencies. For example, in a healthcare or guardianship agreement, it may require a designated individual or entity to ensure that all steps are taken to secure Medicaid coverage for an eligible person. The core function of this clause is to ensure that Medicaid benefits are pursued in a timely and organized manner, thereby helping to secure financial assistance for healthcare costs and clarifying each party's obligations in the process.
Medicaid Application. Title V of the Social Security Act mandates that all maternal and child health-related programs identify and provide application assistance for pregnant women and children potentially eligible for Medicaid services. LPHA must collaborate with OHA to assure Medicaid application assistance to pregnant women and children who receive MCAH Services supported in whole or in part with funds provided under this Agreement for this Program Element and who are potentially eligible for Medicaid services, according to Title V Section 505 [42 USC 705].
Medicaid Application. The PROVIDER shall make reasonable documented attempts that uninsured CONSUMERS apply for benefits, including Medicaid, and that PAYOR required Ability to Pay (ATP) forms are completed. The PROIVDER and PAYOR shall cooperate and coordinate efforts as necessary. The PROVIDER shall maintain a record for review by the PAYOR that applications and required forms have been completed. If CONSUMER does not agree to provide information to complete the ATP assessment, the PROVIDER shall bill the CONSUMER for the full amount of the services received but may also direct the CONSUMER to the PAYOR to coordinate the completion of the ATP assessment. PROVIDER agrees to cooperate and provide demographic and insurance information gathered during admission on a case-by-case basis as needed in order to assist the PAYOR in completing the CONSUMERS ATP assessment.
Medicaid Application. Title V of the Social Security Act mandates that all maternal and child health-related programs identify and provide application assistance for pregnant women and children potentially eligible for Medicaid services. Tribes must collaborate with OHA to develop the specific procedures that Tribes must implement to provide Medicaid application assistance to pregnant women and children who receive MCAH Services and who are potentially eligible for Medicaid services, according to Title V Section 505 [42 USC 705].

Related to Medicaid Application

  • 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.

  • 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):