Attributed Member definition

Attributed Member. A Member who has been attributed to either the Traditional Attribution or Expanded Attribution Cohorts identified in Sections 1.2 and 1.3 below. Attribution Years (AYs): Historic years of data used to conduct the prospective attribution. For each Performance Year there will be two and three quarters historic years of data used. Authorized Representative: Authorized representatives of the State are employees of the Agency of Human Services and agents acting on behalf of the Agency of Human Services in furtherance of this Contract.
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Attributed Member means an individual who satisfies the attribution logic set forth in Section 7, below.
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Attributed Member means, for a given Measurement Period, any Enrolled Member who has been Enrolled in a given Service for at least six (6) months.
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Examples of Attributed Member in a sentence

  • To the extent that an Attributed Member has needs that can be addressed by ongoing care coordination, but no longer requires intensive care team support, Contractor will ensure that policies and procedures are in place to establish a long-term care coordination relationship and monitor evolving needs of the Member.

  • For the Traditional Attribution Cohort, children born to an Attributed Member mother after September 30 prior to the Performance Year, will not be attributed to Contractor in the Performance Year.

  • An Attributed Member who was previously determined to be ineligible in any given month may regain eligibility in a future month if eligibility criteria are met.

  • When an Attributed Member is actively enrolled in the Care Model and is actively engaged with VCCI, VCCI should be included in all care team communications and shared care planning activities.

  • In situations where an Attributed Member has exhausted Contractor’s grievance and appeals process and is still dissatisfied, the Member may request a DVHA fair hearing within ninety (90) days from the date of Contractor’s decision.

  • For the Expanded Attribution Cohort, children born to an Attributed Member mother after October 30 prior to the Performance Year will not be attributed to Contractor in the Performance Year.

  • If an Attributed Member in the Traditional Attribution Cohort or Expanded Attribution Cohort becomes ineligible pursuant to section 1.1.2 during an inpatient stay, Contractor will remain financially responsible for the hospital payment until the Member is discharged from the hospital or the Member’s eligibility in Medicaid terminates.

Related to Attributed Member

  • Membership Interest means a Member’s entire interest in the Company including such Member’s right to receive allocations and distributions pursuant to this Agreement and the right to participate in the management of the business and affairs of the Company in accordance with this Agreement, including the right to vote on, consent to, or otherwise participate in any decision or action of or by the Members granted pursuant to this Agreement.

  • Initial Member has the meaning set forth in the introductory paragraph.