Attributed Member definition

Attributed Member means an individual who satisfies the attribution logic set forth in Section 7, below.
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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, 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

  • Effective Date of Disenrollment - up to 11:59 p.m. on the last day, as determined by EOHHS, on which the Contractor is responsible for providing the activities described in this Contract to an Attributed Member, as further defined by EOHHS.

  • Examples of Alternative Formats shall include, but not be limited to, Braille, large font, audio tape, video tape, and information read aloud to an Attributed Member by a member services representative.

  • Effective Date of Enrollment – as of 12:01 a.m. on the first day on which the Contractor is responsible for providing the activities described in this Contract to an Attributed Member and as reflected in the HIPAA 834 Outbound Enrollment File.

  • Primary Care – the provision of coordinated, comprehensive medical services, on both a first contact and a continuous basis, to an Attributed 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.

  • Retroactivity for Attributed Member additions, terminations and/or changes will typically be no more than ninety (90) days unless otherwise required by a specific line of business, employer group or other entity that is covered under the terms of this Attachment or by a provision of law.

  • A Member is an Attributed Member for Provider if that Member meets the applicable attribution criteria herein for the applicable Measurement 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.

  • When such amounts are billed separately from the price of the Claim, they may be billed as a Per Attributed Member Per Month (PaMPM) amount for Value-Based Programs incentives / Shared Savings settlements to Group outside of the Claim system.

  • Nothing herein shall be deemed to prohibit the Contractor from providing non-Marketing information to Attributed Members consistent with this Contract, regarding new services, personnel, Attributed Member education materials, Care Management programs, advantages of being enrolled with the Contractor, and provider sites.

Related to Attributed Member

  • Related member means a person that, with respect to the taxpayer during all or any portion of the taxable year, is either a related entity, a component member as defined in section 1563(b) of the Internal Revenue Code, or a person to or from whom there is attribution of stock ownership in accordance with section 1563(e) of the Internal Revenue Code except, for purposes of determining whether a person is a related member under this division, "twenty per cent" shall be substituted for "5 percent" wherever "5 percent" appears in section 1563(e) of the Internal Revenue Code.

  • Interested Member means any person (other than the Company and any direct or indirect majority-owned subsidiary of the Company) that:

  • Designated member means the spouse, child, grandchild, parent, brother, or sister of a deceased individual who owned an interest in a wholesaler, who is entitled to inherit the deceased individual's ownership interest in the wholesaler under the terms of the deceased individual's will, or who has otherwise been designated in writing by the deceased individual to succeed the deceased individual in the wholesaler's business, or is entitled to inherit such ownership interest under the laws of intestate succession of this state. With respect to an incapacitated individual owning an ownership interest in a wholesaler, the term means the person appointed by a court as the conservator of such individual's property. The term also includes the appointed and qualified personal representative and the testamentary trustee of a deceased individual owning an ownership interest in a wholesaler.

  • Substituted Member means a Person that is admitted as a Member to the Company pursuant to Section 12.01.

  • Co-opted Member means a person who is not a member of the authority but who-

  • Economic Interest means a Person’s right to share in the income, gains, losses, deductions, credits, or similar items of the Company, and to receive Distributions from the Company, but excluding any other rights of a Member, including the right to vote or to participate in management, or, except as may be provided in the Act, any right to information concerning the business and affairs of the Company.

  • Economic Interest Owner means the owner of an Economic Interest who is not a Member.

  • Contributed Property means each property or other asset, in such form as may be permitted by the Delaware Act, but excluding cash, contributed to the Partnership. Once the Carrying Value of a Contributed Property is adjusted pursuant to Section 5.5(d), such property shall no longer constitute a Contributed Property, but shall be deemed an Adjusted Property.

  • Contributed Assets shall have the meaning as set forth in Section 2.2.

  • 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.

  • Distributed Property shall have the meaning specified in Section 14.04(c).

  • Member Interest means an equity interest of a Member in the Company and includes any and all benefits to which such Member is entitled as provided in this Agreement, together with all obligations of such Member pursuant to the terms and provisions of this Agreement.

  • Individual Member means a registered, financial Member of the Club who is at least 18 years of age.

  • taxable person means any person who, independently, carries out in any place any economic activity, whatever the purpose or results of that activity.

  • Additional Member has the meaning set forth in Section 12.02.

  • Council Member means a member of the Council;

  • Disposing Member is defined in Section 4.1.

  • Class B Member means a Member holding one or more Class B Ordinary Shares.

  • Principal Member means the person who signs the application and is responsible for the payment of premiums.

  • Tribal Member means an enrolled member of the Tribe.

  • Additional Members means those Members, if any, admitted to the Company after the Effective Date.

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

  • elected member means a member of the authority board who:

  • Partnership Interest means an ownership interest in the Partnership held by either a Limited Partner or the General Partner and includes any and all benefits to which the holder of such a Partnership Interest may be entitled as provided in this Agreement, together with all obligations of such Person to comply with the terms and provisions of this Agreement.

  • Clearing Member means a registered broker-dealer which is a clearing member under the rules of O.C.C. and a member of a national securities exchange qualified to act as a custodian for an investment company, or any broker-dealer reasonably believed by the Custodian to be such a clearing member.

  • Founding Member means any individual who is either: