Client Eligibility definition

Client Eligibility means an organization that: (i) is an employer, union, third party administrator, insurer, HMO or other health plan sponsor or other entity that issues or administers one or more Plan(s); (ii) offers prescription drug benefits to Members (including MA-PD or PDP plans and Qualified Retiree Prescription Drug (“QRPD”) Plans as defined in 42 C.F.R. § 423.882); (iii) is responsible for 50% or greater of the aggregate annual costs of all Covered Drugs dispensed for all of such entity’s Members; and (iii) is under a written agreement with Client for the provision of formulary and Rebate Services .
Sample 1

Examples of Client Eligibility in a sentence

  • EFSP Applicability: This article applies to all State Set-Aside Committees, Local Boards and LROs. The statement contained in the Certification Forms – “Practices non-discrimination [those agencies with a religious affiliation must agree not to refuse service to an applicant based on religion, nor engage in religious proselytizing or religious counseling with Federal funds]” and the Client Eligibility sections in the EFSP Manual speak to this Grant Agreement Article.

  • EFSP Applicability: This article applies to all State Set-Aside Committees, Local Boards and LROs. The statement contained in the Certification Forms – “Practices non-discrimination [those agencies with a religious affiliation must agree not to refuse service to an applicant based on religion, nor engage in religious proselytizing or religious counseling with Federal funds] and the Client Eligibility sections in the EFSP Manual speak to this Grant Agreement Article.

  • TREATMENT FOR ADULT (TRA) Target Population Adult Texas residents who meet Client Eligibility for System Agency-funded substance use disorder services as stated in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers (also attached as RFA Exhibit O within the Solicitation, Attachment I).

  • The statement contained in the Certification Forms – “Practices non-discrimination [those agencies with a religious affiliation must agree not to refuse service to an applicant based on religion, nor engage in religious proselytizing or religious counseling with Federal funds]” and the Client Eligibility sections in the EFSP Manual speak to this Grant Agreement Article.

  • Before initiating the alert, the social worker needs to check for the subject individuals in Automated Client Eligibility System (ACES).

  • The Office of Information Systems (OIS) operates the Automated Client Eligibility Determination System (ACEDS), which determines and tracks eligibility, providing integrated automated support for several District of Columbia programs, including Medicaid.

  • TREATMENT FOR FEMALES (TRF) Adult pregnant women and women with Dependent Children (including women whose children are in custody of the State) who meet Client Eligibility for System Agency-funded substance use disorder services as stated in the System Agency Substance Use Disorder (SUD) Utilization Management (UM) Guidelines.

  • TREATMENT FOR ADULTS (TRA) Target Population Adult Texas residents who meet Client Eligibility for HHSC-funded services as stated in the SUD Program Guide, xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health- services-providers/substance-use-disorder-service-providers.

  • Client Eligibility records, including documentation of Homelessness, or At-Risk of Homelessness plus income eligibility and support documentation.

  • Client Eligibility Documentation IHCDA requires all sub­grantees ensure client eligibility during the period in which services are delivered.

Related to Client Eligibility

  • Retirement Eligibility means attainment of age 60 and completion of at least five (5) years of continuous service with the Company.

  • Retirement Eligible means that the Participant has either attained age 55 and completed ten (10) years of Service as an Employee or attained age 60 and completed five (5) years of Service as an Employee.

  • Eligibility Waiting Period means the continuous length of time you must be in Active Employment in an eligible class to reach your Eligibility Date.

  • Level of service has the meaning set forth in Section 2.02(c).

  • Eligibility Service of an employee means the period or periods of service credited to him under the provisions of Article II for purposes of determining his eligibility to participate in the Plan as may be required under Article III or Article VI.

  • Small employer carrier means any carrier that offers health benefit plans covering eligible employees of one or more small employers in this state.

  • Testing service means a national testing service selected by the board.

  • Payment Election means an election pursuant to Section 5.1.

  • Self-service display means the open display or storage of Tobacco Products or Tobacco Paraphernalia in a manner that is physically accessible in any way to the general public without the assistance of the retailer or employee of the retailer and a direct person-to-person transfer between the purchaser and the retailer or employee of the retailer. A vending machine is a form of Self-Service Display.

  • Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

  • Qualifying Service means one year or more of continuous service and residence away from the home country and the country of nationality of a staff member, or the country where the staff member has acquired permanent resident status.

  • Eligibility Requirement means all eligibility requirements and other qualification requirements for a person to act in the applicable Corporate Trust Capacity under any Appointment as set forth in the related Corporate Trust Contract, including any required authorizations or licenses from the Federal National Mortgage Association, the Federal Home Loan Mortgage Corporation, the Government National Mortgage Association, the Federal Housing Administration, the Federal Home Loan Bank or the Department of Veterans Affairs.

  • Vesting Service of an employee means the period or periods of service credited to him under the provisions of Article II for purposes of determining his vested interest in his Employer Contributions Sub-Account, if Employer Contributions are provided for under either Article VI or Article XXII.

  • Continuous enrollment means enrollment in a state- supported postsecondary education institution at the same degree level for consecutive terms, excluding summer term, since the beginning of the period for which continuous enrollment is claimed unless a sequence of continuous enrollment is broken due to extenuating circumstances beyond the student’s control, including serious personal illness or injury, or illness or death of a parent.

  • Eligibility and selection criteria means criteria for determining:

  • Years of Service means the total number of full years in which a Participant has been employed by one or more Employers. For purposes of this definition, a year of employment shall be a 365 day period (or 366 day period in the case of a leap year) that, for the first year of employment, commences on the Employee's date of hiring and that, for any subsequent year, commences on an anniversary of that hiring date. Any partial year of employment shall not be counted.

  • Service disabled veteran business means a business that is at least 51 percent owned by one or more service disabled veterans or, in the case of a corporation, partnership, or limited liability company or other entity, at least 51 percent of the equity ownership interest in the corporation, partnership, or limited liability company or other entity is owned by one or more individuals who are service disabled veterans and both the management and daily business operations are controlled by one or more individuals who are service disabled veterans.

  • Eligibility means the decision as to whether an individual qualifies, under financial and nonfinancial requirements, to receive program benefits.

  • In-Service Date means the date on which the Facility and System Modifications (if applicable) are complete and ready for service, even if the Facility is not placed in service on or by that date.

  • Employer/Client means the procuring agency that signs the contract for the required services and goods with the selected/qualified Bidder/Contractor.

  • Pregnancy disability means a pregnancy-related medical condition or miscarriage.

  • Period of Service means the aggregate of all periods of service commencing with an Employee's first day of employment or reemployment with the Employer or an Affiliated Employer and ending on the first day of a Period of Severance, or for benefit accrual purposes, ending on the severance from service date. The first day of employment or reemployment is the first day the Employee performs an Hour of Service. An Employee who incurs a Period of Severance of twelve (12) months or less will also receive service-spanning credit by treating any such period as a Period of Service for purposes of eligibility and vesting (but not benefit accrual). For purposes of benefit accrual, a Participant's whole year Periods of Service is equal to the sum of all full and partial periods of service, whether or not such service is continuous or contiguous, expressed in the number of whole years represented by such sum. For this purpose, fractional periods of a year will be expressed in terms of days.

  • Investment Election means the Participant’s election to have deferred amounts credited with hypothetical earnings credits (or losses) that track the investment performance of the Investment Options and/or Common Stock in accordance with Article V.

  • Service Date or "SD" means the date service is made available to the End User Customer. This also is referred to as the "Due Date."

  • Service benefit means the credit toward retirement benefits as determined by the

  • Waiver eligibility span means the twelve-month period following either an individual's initial waiver enrollment date or a subsequent eligibility re- determination date.