Advantage Program definition
Examples of Advantage Program in a sentence
The Inter-Plan Medicare Advantage Program available to Members under this Agreement is described generally as follows.
In the event you elect to offer a Medicare Advantage plan to your Medicare-eligible Members, when Medicare Advantage Members access health care services outside of Massachusetts, the claim for those services will be processed through the Inter-Plan Medicare Advantage Program and presented to Blue Cross and Blue Shield for payment in accordance with the rules of the Inter-Plan Medicare Advantage Program policies then in effect.
Blue Cross and Blue Shield also participates in the Inter-Plan Medicare Advantage Program, the Inter-Plan Program for Members enrolled in a Medicare Advantage plan.
Upon request of the CMS, this Agreement and any addenda may be amended to exclude any Medicare Advantage Program Plan or State-licensed entity specified by the CMS.
With respect to On-time Advantage Program Rate Reduction Mortgage Loans, the Servicer shall adjust the Mortgage Interest Rate on the related rate reduction date in accordance with the terms of the related Mortgage Note, and shall adjust the Monthly Payment for such Mortgage Loan, accordingly.
PROVIDER shall make available premises, physical facilities, equipment, records and any relevant information the CMS may require which pertains to Covered Services provided to Medicare Advantage Program Members.
For purposes of Dentist's participation in the Medicare Advantage Program, the following capitalized terms shall have the meanings set forth below.
If the parties are unable to so resolve the material adverse effect, either party may elect to terminate Dentist’s participation in the Medicare Advantage Program by giving the other party written notice of such termination within forty-five (45) days after CMS’ instruction to implement such additional required contract terms.
A contract between the Centers for Medicare & Medicaid Services (“CMS”) and a Medicare Advantage Organization for the provision of Medicare benefits pursuant to the Medicare Advantage Program under Title XVIII, Part C of the Social Security Act.
To ensure compliance, Dentist agrees to either (i) accept MA Plan’s Medicare Advantage Program payments as payment in full, or (ii) bill the State Department of Public Welfare (DPW) for the amounts that are the responsibility of the State Medicaid program.