Balanced Budget Act definition

Balanced Budget Act. Refers to the Balanced Budget Act (BBA) of 1997; final rule issued June 14, 2002; effective August 13, 2002. The BBA is the comprehensive revision to Federal statutes governing all aspects of Medicaid managed care programs as set forth in section 1932 of the Social Security Act and Title 42 Code of Federal Regulations (CFR) Part 438 et seq.

Balanced Budget Act or “BBA” shall mean a congressional law and set of statutes that amends and modifies Apple Health regulations. The rules can be found in 42 § Part 438, Subparts A through J. “Blind and disabled or “B/D” shall mean Washington Apple Health program serving individuals who are blind and disabled, including those seeking disability determinations.

Balanced Budget Act or “BBA” shall mean a congressional law and set of statutes that amends and modifies Apple Health regulations. The rules can be found in 42 C.F.R. § Part 438, Subparts A through J.

Examples of Balanced Budget Act in a sentence

• The Balanced Budget Act of 1997 allows physicians to “opt out” of Medicare and enter into private contracts with patients who are Medicare beneficiaries.

• PACE is the Program of All-inclusive Care for the Elderly, a community-based model of care that began as a demonstration waiver in San Francisco, was replicated nationally through federal waivers and was authorized as a Medicare program and Medical Assistance state option in the Balanced Budget Act of 1997.

• All payments will be made in accordance with applicable Federal and State rules and regulations, and especially pursuant to the payment timeliness standards set forth in the Balanced Budget Act of 1997.

• The Balanced Budget Act of 1997 allows providers to “opt out” of Medicare and enter into private contracts with patients who are Medicare beneficiaries.

• The Balanced Budget Act of 1997 allows Providers to “opt out” of Medicare and enter into private contracts with patients who are Medicare beneficiaries.

• The County must assist the Department and the external quality review organization under contract with the Department in completing all County reviews in accordance with protocols found as part of the Balanced Budget Act of 1997 (BBA).

• No obligation imposed herein on the Contractor shall relieve the Contractor of any other obligation imposed by law or regulation, including, but not limited to, those imposed by the Managed Care Reform and Patient Rights Act (215 ILCS 134/1 et seq.), the federal Balanced Budget Act of 1997 (Public Law 105-33), and regulations promulgated by the Illinois Department of Financial and Professional Regulation, the Illinois Department of Public Health or CMS.

• The Provider must not charge for any service provided to the recipient at a rate in excess of the rates established by this Agreement with the Provider in accordance with Section 1128B(d)(1), Social Security Act (enacted by Section 4704 of the Balanced Budget Act of 1997).

• No obligation imposed herein on Contractor shall relieve Contractor of any other obligation imposed by law or regulation, including, but not limited to, those imposed by the Managed Care Reform and Patient Rights Act (215 ILCS 134/1 et seq.), the federal Balanced Budget Act of 1997 (Public Law 105-33), and regulations promulgated by the Illinois Department of Financial and Professional Regulation, the Illinois Department of Public Health or Federal CMS.

• The rates were developed from the Fee-For-Service equivalent values to be consistent with the Federal regulations promulgated pursuant to the Balanced Budget Act of 1997.

More Definitions of Balanced Budget Act

Balanced Budget Act. Refers to the Balanced Budget Act (BBA) of 1997; final rule issued June 14, 2002; effective August 13, 2002. The BBA is the comprehensive revision to Federal statutes governing all aspects of Medicaid managed care programs as set forth in section 1932 of the Social Security Act and Title 42 Code of Federal Regulations (C.F.R.) Part 438 et seq. “Behavioral Health Services Administrator (BHSA)” An entity that manages or directs a behavioral health benefits program on behalf of the program's sponsor. The BHSA is responsible for administering the Department’s behavioral health benefits on a statewide basis for Title XIX Medicaid members and Title XXI FAMIS members, to include care coordination, provider management, and reimbursement of such behavioral health services for: 1) the full spectrum of behavioral health services for individuals who are not currently enrolled in one of the Department’s MCO Programs/contracts; and, 2) the subset of community mental health rehabilitation services that are carved out of the Department’s contracts with MCOs. “Behavioral Health and Substance Abuse Treatment Services (BHS)” An array of therapeutic and rehabilitation services provided in inpatient and outpatient psychiatric and community mental health settings to diagnose, prevent, correct, or minimize the adverse effect of a psychiatric or substance abuse disorder. Under this contract, the Department categorizes BHS as traditional and non-traditional services. “Traditional Behavioral Health & Substance Abuse Treatment Services” are defined as inpatient and outpatient behavioral health and substance abuse treatment services, including care coordination services that are covered by the Contractor under the terms of this contract. “Non-Traditional Behavioral Health & Substance Abuse Treatment Services” are defined as the subset of community mental health and rehabilitation services that are covered by the Department or its designee in accordance with the Department’s established criteria and guidelines. “Behavioral Therapy Services” Systematic interventions provided by licensed practitioners within the scope of practice, as defined under state law or regulations, and covered as remedial care under 42 C.F.R. § 440.130(d) to individuals younger than 21 years of age in the individual’s home. Behavioral therapy includes, but is not limited to, applied behavior analysis (ABA). Services are designed to enhance communication skills and decrease maladaptive patterns of behavior which,...