Minnesota Health Care Programs Sample Clauses

Minnesota Health Care Programs. The following health care programs administered by the Minnesota Department of Human Services (DHS), for which PrimeWest Health provides County-Based Purchasing services: Prepaid Medical Assistance Program (PMAP), MinnesotaCare, Minnesota Senior Care Plus (MSC+), Special Needs BasicCare (SNBC), Minnesota Senior Health Options (MSHO), and other similar programs that may be established by DHS. This includes Federal Medicare Advantage Programs as they apply to Minnesota Health Care Programs.
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Minnesota Health Care Programs. (MHCP) DHS-4469-ENG 5-13 Individual PCA Enrollment Application Please complete this form online, print and then fax to MHCP. Complete at least all bolded fields to enroll an individual PCA. We will return incomplete forms to you. New hire (requires new background study and completion of PCA training) Rehire (requires new background study and completion of PCA training) PREVIOUS EMPLOYMENT END DATE / / Previously used for Managed Care Organization claims only (new background study not required) Individual PCA Information PROVIDER TYPE 38 – INDIVIDUAL LEGAL NAME (FIRST) FULL MIDDLE LAST SOCIAL SECURITY NUMBER ADDRESS (RESIDENTIAL ADDRESS ONLY – DO NOT ENTER A PO BOX) PHONE NUMBER - - NPI/UMPI (IF REQUESTING REINSTATEMENT) CITY STATE ZIP CODE COUNTY OF RESIDENCE DATE OF BIRTH / / INDIVIDUAL PCA TRAINING DATE PASSED / / CERTIFICATION NUMBER IS THE INDIVIDUAL 18 YEARS OR OLDER? Yes No* *May affiliate with only one agency If previously used for MCO only claims, has this individual maintained continuous employment with your agency? Yes No BGS NUMBER/REQUEST ID Individual PCA Provider Statement I have reviewed and certify the information provided above is true and correct to the best of my knowledge. I will notify the Minnesota Department of Human Services Provider Enrollment of any additions and/or changes to the information. By signing this form, I acknowledge I have read and understand the Application and Background Study Privacy Notice. I also authorize the Minnesota Department of Human Services to use the information collected in accordance with the Privacy Notice. NAME OF PCA (PLEASE PRINT OR TYPE) SIGNATURE OF PCA DATE SIGNED / / Group Affiliation Information You have the option to affiliate/enroll the individual PCA named above, if 18 years or older, with other agencies you own without completing another application and agreement. Do you want to affiliate the above named individual PCA with any other agency(ies) you own? Yes No (If yes, enter information below.) ORGANIZATION/AGENCY NAME AGENCY NPI/UMPI STUDY ID Agency Information AGENCY NAME AGENCY NPI/UMPI AGENCY FAX NUMBER - - AGENCY PERSONNEL COMPLETING FORM AGENCY SIGNATURE Next Steps Read, sign and date the Minnesota Health Care Programs Provider Agreement Individual Personal Care Assistant form (DHS-4611), and return it with this application.
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Minnesota Health Care Programs. Provider Agreement –
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Minnesota Health Care Programs. Pay- ment to Providers will now be the lesser of 105% of the Medical Assistance fee schedule or 90% of the Provider’s regu- lar billed charge. (IV. B.)
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Minnesota Health Care Programs. (MHCP): Medical Assistance, General Assistance Medical Care, Prepaid Medical Assistance Program, and MinnesotaCare.
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Related to Minnesota Health Care Programs

  • HEALTH CARE PLANS ‌ Notwithstanding the references to the Pacific Blue Cross Plans in this article, the parties agree that Employers, who are not currently providing benefits under the Pacific Blue Cross Plans may continue to provide the benefits through another carrier providing that the overall level of benefits is comparable to the level of benefits under the Pacific Blue Cross Plans.

  • Home Health Care This plan covers the following home care services when provided by a certified home healthcare agency: • nursing services; • services of a home health aide; • visits from a social worker; • medical supplies; and • physical, occupational and speech therapy.

  • Health Promotion and Health Education Both parties to this Agreement recognize the value and importance of health promotion and health education programs. Such programs can assist employees and their dependents to maintain and enhance their health, and to make appropriate use of the health care system. To work toward these goals:

  • Extended Health Care Plan (a) The Employer shall pay the monthly premium for regular employees entitled to coverage under a mutually acceptable Extended Health Care Plan.

  • Covered Health Care Services We agree to provide coverage for medically necessary covered health care services listed in this agreement. If a service or category of service is not specifically listed as covered, it is not covered under this agreement. Only services that we have reviewed and determined are eligible for coverage under this agreement are covered. All other services are not covered. See Section 1.4 for how we identify new services and our guidelines for reviewing and making coverage determinations. We only cover a service listed in this agreement if it is medically necessary. We review medical necessity in accordance with our medical policies and related guidelines. The term medically necessary is defined in Section 8.0 - Glossary. It does not include all medically appropriate services. The amount of coverage we provide for each health care service differs according to whether or not the service is received: • as an inpatient; • as an outpatient; • in your home; • in a doctor’s office; or • from a pharmacy. Also coverage differs depending on whether: • the health care provider is a network provider or non-network provider; • deductibles (if any), copayments, or maximum benefit apply; • you have reached your plan year maximum out-of-pocket expense; • there are any exclusions from coverage that apply; or • our allowance for a covered health care service is less than the amount of your copayment and deductible (if any). In this case, you will be responsible to pay up to our allowance when services are rendered by a network provider. Please see the Summary of Medical Benefits to determine the benefit limits and amount that you pay for the covered health care services listed below. Please see the Summary of Pharmacy Benefits to determine the benefit limits and amount that you pay for prescription drug and diabetic equipment and supplies purchased at a pharmacy.

  • EMPLOYEE HEALTH CARE 233. Pursuant to the Charter, the City contributes whatever rate is applicable per month directly into the City Health Service System for each employee who is a member of the Health Service System. Subsequent City contributions will be set pursuant to the Charter.

  • Health Care Operations Health Care Operations shall have the meaning set out in its definition at 45 C.F.R. § 164.501, as such provision is currently drafted and as it is subsequently updated, amended or revised.

  • Health Care Benefits (a) Each regular full-time employee may elect coverage for himself and his eligible dependents* under one of the following health insurance plans:

  • Health Care The Company will reimburse the Executive for the cost of maintaining continuing health coverage under COBRA for a period of no more than 12 months following the date of termination, less the amount the Executive is expected to pay as a regular employee premium for such coverage. Such reimbursements will cease if the Executive becomes eligible for similar coverage under another benefit plan.

  • Clinical Management for Behavioral Health Services (CMBHS) System The CMBHS is the official record of documentation by System Agency. Grantee shall:

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