Determination made by the department definition

Determination made by the department means a written finding, notification or decision of the department, which includes a notice of appeal rights and applies law or contract terms to actual facts to determine a benefit, right, obligation or interest under ch. 40, Stats., including contracts authorized by ch. 40, Stats., of a per- son who is, or claims the status of, a participant, annuitant, benefi- ciary, employer, insured, insurer or deferrer.
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Determination made by the department means a written finding, notification or decision of the department, applying law or contract terms to actual facts to determine a benefit, right, ob- ligation or interest under ch. 40, Stats., including contracts autho- rized by ch. 40, Stats., of a person who is, or claims the status of, a participant, annuitant, beneficiary, employer, insured, insurer or deferrer.
Sample 1

Related to Determination made by the department

  • National examination means the examinations developed and administered by the Federation of State Boards of Physical Therapy and approved by the board for licensure as a physical therapist or physical therapist assistant.

  • Investigating Department means any department / division / office of SCI investigating into the conduct of the Entity and shall include the Vigilance Department, “Central Bureau of Investigation, the State Police or any other authority or entity set up by the Central or State Government having powers to investigate”.

  • Imminent danger to the health and safety of the public means the existence of any condition or practice, or any violation of a permit or other requirement of this chapter in a surface coal mining and reclamation operation, which condition, practice, or violation could reasonably be expected to cause substantial physical harm to persons outside the permit area before such condition, practice, or violation can be abated. A reasonable expectation of death or serious injury before abatement exists if a rational person, subjected to the same conditions or practices giving rise to the peril, would not expose the person's self to the danger during the time necessary for abatement.

  • Medicaid Notification of Termination Requirements Any Contractor accessing payments for services under the Global Commitment to Health Waiver and Medicaid programs who terminates their practice will follow the Department of Vermont Health Access, Managed Care Organization enrollee notification requirements.

  • Department of Health and Human Services means the Department of Health and Human Services

  • Independent review organization means an entity that is accredited to conduct independent external reviews of adverse benefit determinations.

  • the Department means the Department of the Environment;

  • Controller of Examinations means the Controller of Examinations of the University;

  • Head of the Department means the administrative head of the department or the organization;

  • Utilization review organization means a person that conducts utilization review, other than a health carrier performing a review for its own health plans.

  • national department means a department of State within the national sphere of government;

  • Program Executing Agency means the entity or entities responsible for the carrying out of the Program as specified in the Loan Agreement.

  • Applicable Department means the Personnel Department for employees of the City of Cambridge, the Purchasing Department, with the advice and assistance of the appropriate department which receives the services, for Covered Employers who contract or subcontract with the City of Cambridge, the School Department for employees, contractors and subcontractors of the School Department, and the City Manager’s Office for any other Person who is a Beneficiary of assistance other than a contract or subcontract.

  • Department Representative means an individual who represents the Department and presents the Department’s position in a hearing.

  • Institution of higher learning means an educational institution located within this state meeting all of the following requirements:

  • Physical Therapy Compact Commission or "commission" means the national administrative body whose membership consists of all states that have enacted the compact.

  • Fire Department means an organized fire department as that term is defined in section 1 of the fire prevention code, 1941 PA 207, MCL 29.1.

  • Department of Health means the Washington state department of

  • Regulated motor vehicle surface means any of the following, alone or in combination:

  • Compliance Department means the Chief Compliance Officer of Federated and those other individuals designated by him or her as responsible for implementing this Code and the Associated Procedures.

  • Investigative consumer report means a consumer report or portion thereof in which information about a natural person's character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with the person's neighbors, friends, associates, acquaintances, or others who may have knowledge concerning such items of information.

  • Independent educational evaluation means an evaluation conducted by a qualified examiner who is not employed by the public agency responsible for the education of the child in question.

  • Police Department means the Police Department of the City and County of San Francisco.

  • Contracting Department any contracting authority as defined in Regulation 5(2) of the Public Contracts (Works, Services and Supply) (Amendment) Regulations 2000 other than the Department; "Contractor Personnel" all employees, agents, consultants and contractors of the Contractor and/or of any Sub-contractor; "Contractor Software" software which is proprietary to the Contractor, including software which is or will be used by the Contractor for the purposes of providing the Services; "Crown Body" any department, office or agency of the Crown;

  • Regulations of the U.S. Department of Transportation means the regulations in 49 CFR Parts 100-189.

  • Statement of Compliance means the statement forming part of a Tender indicating the Bidders compliance with the Specification.