CHIP Eligible Person definition

CHIP Eligible Person. A child eligible to enroll in the MiSalud Program because he or she is eligible for CHIP. Chronic Condition: An ongoing physical, behavioral, or cognitive disorder, with a duration of at least twelve (12) months with resulting functional limitations, reliance on compensatory mechanisms (medications, special diet, assistive devices, etc.) and service use or need beyond that which is normally considered routine. Whether submitted manually or electronically, a bill for services, a line item of services, or for one Enrollee within a bill.

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CHIP Eligible Person means a person determined to be unable to pay for health care services 20 and for whom payment for the services will not be made through private coverage or by any program 21 funded in whole or in part by the federal government.

CHIP Eligible Person. A child eligible to enroll in the MI Salud Program because he or she is eligible for CHIP. Chronic Condition: An ongoing physical, behavioral, or cognitive disorder, with duration of at least twelve (12) months with resulting functional limitations, reliance on compensatory mechanisms (medications, special diet, assistive devices, etc.) and service use or need beyond that which is normally considered routine. Claim: Whether submitted manually or electronically, a ▇▇▇▇ for Covered Services, a line item of Covered Services, or all Covered Services for one Enrollee within a ▇▇▇▇. Claims Payment: The amount that ASES pays the Contractor for Claims submitted by Providers for Covered Services provided to Enrollees under this Contract.

Examples of CHIP Eligible Person in a sentence

• If an Enrollee who is a Medicaid- or - CHIP Eligible Person or member of the Commonwealth Population loses eligibility for the GHP for a period of two (2) months or less, Enrollment in the Contractor’s Plan shall be reinstated.

• If an Enrollee who is a Medicaid- or CHIP Eligible Person or member of the Commonwealth Population loses eligibility for MiSalud for not more than two (2) months, Enrollment in the MiSalud Plan shall be reinstated.

• The Term of Enrollment shall be a period of twelve (12) consecutive months for all MiSalud Enrollees, except that in cases in which the Puerto Rico Medicaid Program has designated an eligibility redetermination period shorter than twelve months for an Enrollee who is a Medicaid or CHIP Eligible Person or a member of the Commonwealth Population, that same period shall also be considered the Enrollee’s Term of Enrollment.

• If an Enrollee who is a Medicaid- or CHIP Eligible Person or member of the Commonwealth Population loses eligibility for MiSalud for not more than two (2) months, Enrollment in the Contractor's Plan shall be reinstated.

• The Term of Enrollment shall be a period of twelve (12) consecutive months for all MI Salud Enrollees, except that in cases in which the Puerto Rico Medicaid Program has designated an eligibility redetermination period shorter than twelve months for an Enrollee who is a Medicaid or CHIP Eligible Person or a member of the Commonwealth Population, that same period shall also be considered the Enrollee’s Term of Enrollment.

• HOSPITAL shall provide quarterly data and reports on each CHIP Eligible Person for whom 10 services are reimbursed pursuant to this Agreement for the period July 1, 2008, through June 30, 2009-, 11 excluding Medical Services for Indigents patients, as required by COUNTY and the State of California 12 pursuant to Welfare and Institutions Code, Section 16915 et seq., as it exists now or may hereafter be 13 amended.

• If an Enrollee who is a Medicaid- or CHIP Eligible Person or member of the Commonwealth Population loses eligibility for MI Salud for not more than two (2) months, Enrollment in the MI Salud Plan shall be reinstated.

• The Term of Enrollment shall be a period of twelve (12) consecutive months for all MiSalud Enrollees, except that in cases in which the Puerto Rico Medicaid Program has designated an eligibility redetermination period shorter than twelve months for an Enrollee who is a Medicaid or CHIP Eligible Person or a member of the Commonwealth Population, that same period shall also be considered the Enrollee's Term of Enrollment.

More Definitions of CHIP Eligible Person

CHIP Eligible Person. A child eligible to enroll in the MiSalud Program because he or she is eligible for CHIP. Chronic Condition: An ongoing physical, behavioral, or cognitive disorder, with duration of at least twelve (12) months with resulting functional limitations, reliance on compensatory mechanisms (medications, special diet, assistive devices, etc.) and service use or need beyond that which is normally considered routine. Claim: Whether submitted manually or electronically, a ▇▇▇▇ for Covered Services, a line item of Covered Services, or all Covered Services for one Enrollee within a ▇▇▇▇. Claims Payment: The amount that ASES pays the Contractor for Claims submitted by Providers for Covered Services provided to Enrollees under this Contract.