Benchmark coverage definition

Benchmark coverage means payment of part or all of the cost of medically necessary medical, dental, and remedial care, services, and supplies described in subdivision two of this section, and to the extent not included therein, any essential benefits as defined in 42 U.S.C. 18022(b), with the exception of institutional long term care services; such care, services and supplies shall be provided consistent with the managed care program described in section three hundred sixty-four-j of this title.
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Benchmark coverage. ’ means the standard option of
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Benchmark coverage means payment of part or all of the cost of medically necessary medical, dental, and remedial care, services, and supplies that are covered by Standard Coverage, with the exception of institutional long term care services; such care, services and supplies shall be provided consistent with the Medicaid managed care program;
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Examples of Benchmark coverage in a sentence

  • Guidance: Benchmark coverage is substantially equal to the benefits coverage in a benchmark benefit package (FEHBP-equivalent coverage, State employee coverage, and/or the HMO coverage plan that has the largest insured commercial, non-Medicaid enrollment in the state).

  • The State has adopted the following periodicity schedule:  State-developed Medicaid-specific  American Academy of Pediatric Dentistry  Other Nationally recognized periodicity schedule  Other (description attached) 6.2.2-D Benchmark coverage (Section 2103(c)(5), 42 CFR 457.410, and CFR 457.420) 6.2.2.1-D FEHBP – equivalent coverage (Section 2103(c)(5)(C)(i))(If checked, attach copy of the dental supplemental plan benefits description and the applicable CDT codes.

  • Guidance: Benchmark coverage is substantially equal to the benefits coverage in abenchmark benefit package (FEHBP-equivalent coverage, State employee coverage, and/or the HMO coverage plan that has the largest insured commercial, non-Medicaid enrollment in the state).

  • All computations were done using BMDP statistical programs and a VAX 8600 computer (Dixon et al.

  • Benchmark coverage and benchmark equivalent 64coverage provided to the group described in the "Social Security 65Act," section 1902(a)(10)(A)(i)(VIII), 42 U.S.C. 661396a(a)(10)(A)(i)(VIII), shall include dental services.

  • The State has adopted the following periodicity schedule: ⌧ State-developed Medicaid-specific 🞏 American Academy of Pediatric Dentistry 🞏 Other Nationally recognized periodicity schedule 🞏 Other (description attached) 6.2.2-D🞏 Benchmark coverage (Section 2103(c)(5), 42 CFR 457.410, and CFR 457.420) 6.2.2.1-D🞏 FEHBP – equivalent coverage (Section 2103(c)(5)(C)(i))(If checked, attach copy of the dental supplemental plan benefits description and the applicable CDT codes.

  • Section 6044: Benchmark Coverage Benchmark coverage is the concept that a State can enroll certain categories of individuals into a different type of Medicaid plan from what is in place.

  • Guidance: Benchmark coverage is substantially equal to the benefits coverage in a benchmark benefit package (FEHBP-equivalent coverage, State employeecoverage, and/or the HMO coverage plan that has the largest insured commercial, non-Medicaid enrollment in the state).


More Definitions of Benchmark coverage

Benchmark coverage means health benefits coverage that
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Related to Benchmark coverage

  • Lot coverage means the portion or percentage of the area of a lot upon which buildings are erected.

  • Benchmark Replacement means, with respect to any Benchmark Transition Event, the first alternative set forth in the order below that can be determined by the Administrative Agent for the applicable Benchmark Replacement Date:

  • Benchmark Replacement Adjustment means, with respect to any replacement of the then-current Benchmark with an Unadjusted Benchmark Replacement for any applicable Interest Period and Available Tenor for any setting of such Unadjusted Benchmark Replacement:

  • SOFR Benchmark Replacement Date means the Benchmark Replacement Date with respect to the then-current Benchmark;

  • Benchmark Replacement Date means the earliest to occur of the following events with respect to the then-current Benchmark:

  • COBRA Coverage means continuation coverage required under Section 4980B of the Code and Part 6 of Title I of ERISA.

  • Unadjusted Benchmark Replacement means the applicable Benchmark Replacement excluding the related Benchmark Replacement Adjustment.

  • extended reduction (qualifying contributory benefits means a reduction under this scheme for which a person is eligible in accordance with paragraph 88 or 95;

  • Period of Coverage means the Plan Year, with the following exceptions: (a) for Employees who first become eligible to participate, it shall mean the portion of the Plan Year following the date on which participation commences, as described in Section 3.1; and (b) for Employees who terminate participation, it shall mean the portion of the Plan Year prior to the date on which participation terminates, as described in Section 3.2.

  • main phase employment and support allowance means an employment and support allowance where the calculation of the amount payable in respect of the applicant includes a component under section 2(1)(b) or 4(2)(b) of the Welfare Reform Act 2007 except in Part 1 of Schedule 1;

  • converted employment and support allowance means an employment and support allowance which is not income-related and to which a person is entitled as a result of a conversion decision within the meaning of the Employment and Support Allowance (Existing Awards) Regulations 2008;

  • CPP Covered Period shall be limited by, and interpreted in a manner consistent with, 31 C.F.R. § 30.11 (as in effect on the Closing Date). • Provisions (1) and (2) of this letter are intended to, and will be interpreted, administered and construed to, comply with Section 111 of EESA (and, to the maximum extent consistent with the preceding, to permit operation of the Benefit Plans in accordance with their terms before giving effect to this letter).

  • Bid with Lowest Evaluated Cost means the bid quoting lowest cost amongst all those bids evaluated to be substantially responsive;

  • Coverage or “Covering”) shall mean that the developing, making, using, offering for sale, promoting, selling or importing of a given compound, formulation or product would infringe a Valid Claim of an issued patent in the absence of a license under such Valid Claim. The determination of whether a compound, formulation or product is Covered by a particular Valid Claim shall be made on a country-by-country basis.

  • Creditable coverage means, with respect to an individual, coverage of the individual provided under any of the following:

  • Full Replacement Cost as used herein shall mean the actual replacement cost of the Leased Property requiring replacement from time to time including an increased cost of construction endorsement, if available, and the cost of debris removal. In the event either party believes that full replacement cost (the then-replacement cost less such exclusions) has increased or decreased at any time during the Lease Term, it shall have the right to have such full replacement cost re-determined.

  • Working level month (WLM) means an exposure to 1 working level for 170 hours (2,000 working hours per year divided by 12 months per year is approximately equal to 170 hours per month).

  • Benchmark Review means a review of the Services carried out in accordance with paragraphs 2.1 to 2.3 of Schedule 7 (Value for Money) of this Framework Agreement to determine whether those Services represent Good Value;

  • Continuation Coverage means the temporary continuation of PEBB benefits available to enrollees under the Consolidated Omnibus Budget Reconciliation Act (COBRA), 42 U.S.C. Secs. 300bb-1 through 300bb-8, the Uniformed Services Employment and Reemployment Rights Act (USERRA), 38 U.S.C. Secs. 4301 through 4335, or the public employees benefits board's policies.

  • Business Continuity Plan means any plan prepared pursuant to clause H5.6, as may be amended from time to time.

  • Fraud Loss Coverage Termination Date The point in time at which the Fraud Loss Coverage Amount is reduced to zero.

  • The Coverage Period means the Days of the Week and the hours of those Days during which maintenance, operational, and/ or technical support services (if any) must be available.

  • contributory employment and support allowance means an allowance under Part 1 of the Welfare Reform Act 2007 as amended by the provisions of Schedule 3, and Part 1 of Schedule 14, to the Welfare Reform Act 2012 that remove references to an income-related allowance and a contributory allowance under Part 1 of the Welfare Reform Act 2007 as that Part has effect apart from those provisions;

  • Continuous period of creditable coverage means the period during which an individual was covered by creditable coverage, if during the period of the coverage the individual had no breaks in coverage greater than sixty-three (63) days.

  • Replacement Benchmark means a benchmark rate which is:

  • Sound level means the A-weighted Sound Pressure Level;