Basic Health Program definition

Basic Health Program or “BHP” means an optional state program established under section 1331 of the PPACA;
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Basic Health Program or BHP means an optional state program established under Section 1331 of the ACA;
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Basic Health Program means a joint federal and state funded program for medical assistance established under Section 1331 of the federal Patient Protection and Affordable Care Act of 2010 and Title 42, Chapter IV, Subchapter 1 of the Code of Federal Regulations, which the state has elected to adopt and implement as the Bridge Program.
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Examples of Basic Health Program in a sentence

  • A State may choose to submit its BHP Blue- print in two parts: The first limited submission to secure interim certifi- cation and the second full submission to secure full certification.(b) State Basic Health Program offi- cials.

  • The lim- ited wraparound coverage provides meaningful benefits beyond coverage of cost sharing under either the eligible individual health insurance, Basic Health Program coverage, or Multi- State Plan coverage.

  • If the Member receives coverage under the Plan through the Marketplace and the Member becomes eligible for coverage under Medicaid, the Children’s Health Insurance Program, or a Basic Health Program, the termination will generally be effective the day before new coverage starts.

  • The analysis includes estimates of CMS’s labor and system costs as both the recipient agency in relation to the aforementioned trusted data sources and recipient and source agency in relation to state-based administering entities; costs incurred by TDSs; and costs to Administering Entities (Medicaid/CHIP agencies, Marketplaces and agencies administering the Basic Health Program) to support the hub services.

  • These programs can help me or my family pay for health coverage, and include public programs, such as Medicaid or the Children’s Health Insurance Program (CHIP), premium tax credits, cost-sharing reductions, and, if one is available in my state, the Basic Health Program.

  • The QRS and QHP Enrollee Survey requirements also do not apply to Basic Health Program (BHP) plans.

  • The ACA provides states with the option of operating a Basic Health Program for individuals between 133% and 200% of the federal poverty level, in lieu of those individuals receiving premium subsidies for purchase of coverage.

  • The morbidity of the population could be impacted by items such as guaranteed availability, an individual mandate to maintain coverage, expansion of Medicaid programs, and the introduction of a Basic Health Program.

  • The benefits under the Basic Health Program must be at least equivalent to the essential health benefits and premiums may not be higher than those in the Exchanges.

  • A Member becomes newly eligible for enrollment in a Medicaid, Children’s Health Insurance Program (CHIP) or Basic Health Program (BHP) plan.


More Definitions of Basic Health Program

Basic Health Program means Section 1331 of the Affordable Care Act.¶
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Basic Health Program means Section 1331 of the Affordable Care Act, which the state calls "OHP Bridge -
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Basic Health Program means the program authorized by section 1331 of ACA.
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Related to Basic Health Program

  • Clinical laboratory means a facility for the microbiological, serological, chemical, hematological, radiobioassay, cytological, immunohematological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of a disease or assessment of a medical condition.

  • MEDICAL PRESCRIPTION DRUGS are prescription drugs that require administration (or the FDA approved recommendation is for administration) by a licensed healthcare provider (other than a pharmacist). These medical prescription drugs include, but are not limited to, medications administered by infusion, injection, or inhalation, as well as nasal, topical or transdermal administered medications. Medical prescription drugs are covered as a medical benefit. MEDICALLY NECESSARY (MEDICAL NECESSITY) means that the healthcare services provided to treat your illness or injury, upon review by BCBSRI are: • appropriate and effective for the diagnosis, treatment, or care of the condition, disease, ailment or injury for which it is prescribed or performed; • appropriate with regard to generally accepted standards of medical practice within the medical community or scientific evidence; • not primarily for the convenience of the member, the member’s family or provider of such member; and • the most appropriate in terms of type, amount, frequency, setting, duration, supplies or level of service, which can safely be provided to the member (i.e. no less expensive professionally acceptable alternative, is available). We will make a determination whether a healthcare service is medically necessary. You have the right to appeal our determination or to take legal action as described in Section