Ohio Medicaid Sample Clauses

Ohio Medicaid. The Ohio Department of Medicaid (ODM), the agency responsible for administering the Medicaid program in the state of Ohio.
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Ohio Medicaid. The Office of Medical Assistance (OMA), the agency responsible for administering the Medicaid program in the state of Ohio. Ohio Revised Code (ORC)—Contains all Ohio statutes of a general and permanent nature passed by the Ohio General Assembly and signed by the governor. Opt Out – A process by which a beneficiary can choose not to participate in the Demonstration and receive their Medicare benefits through Fee for Service (FFS) Medicare and a standalone Part D Plan; Program of All-inclusive Care for the Elderly (PACE); or Medicare Advantage. Passive Enrollment - The process through which an eligible individual is enrolled in an ICDS Plan, when not otherwise affirmatively electing one, following a minimum 60-day notice prior to the effective date. Privacy - Requirements established in the Health Insurance Portability and Accountability Act of 1996, and implementing regulations, Medicaid regulations, including 42 CFR 431.300 through 431.307, as well as relevant Ohio privacy laws. Quality Improvement Organization (QIO) – A statewide organization that contracts with CMS to evaluate the appropriateness, effectiveness, and quality of care provided to Medicare beneficiaries. Solvency - Standards for requirements on cash flow, net worth, cash reserves, working capital requirements, insolvency protection and reserves established by the State and agreed to by CMS. State - The State of Ohio. Trans-disciplinary care management team – A team of appropriately qualified professionals comprised of the Enrollee, the Enrollee’s family/caregiver, the ICDS Plan care manager, the waiver service coordinator, if appropriate, the primary care provider, specialists, and other providers, as applicable, that is designed to effectively meet the Enrollee’s needs.
Sample 1

Related to Ohio Medicaid

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