Dual eligible individuals definition

Dual eligible individuals means individuals eligible for both Medicaid and Medicare.
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Dual eligible individuals means individuals eligible for both Medicaid and Medicare. "Eligible" means an individual who has been deemed eligible for Medicaid in the State ofOklahoma and is eligible for participation in the managed care program but who is not yet enrolled in an MCO or DBM.
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Dual eligible individuals means individuals eligible for both Medicaid and Medicare. "Eligible" means an individual who has been deemed Eligible for the SoonerSelect program butwho is not yet enrolled in a CE or DBM.
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Examples of Dual eligible individuals in a sentence

  • Section 3.01Plan Offer to Dual Eligible Individuals Residing in CMS-approved Service Areas.

  • MA Dual SNP’s Obligations 4 Section 3.01Plan Offer to Dual Eligible Individuals Residing in CMS-approved Service Areas 4 Section 3.02Enrollment.

  • Enrollees who become Dual Eligible Individuals will be disenrolled as of their Medicare eligibility effective date.

  • Dual Eligible Individuals are excluded from SoonerSelect Program enrollment.

  • Dual Eligible Individuals are excluded from SoonerSelect Dental program enrollment.

  • To establish a Federal-State partnership between the Centers for Medicare & Medicaid Services (CMS) and the State of Wisconsin (State/State) to implement the Demonstration to Integrate Care for Dual Eligible Individuals (Demonstration) to better serve individuals eligible for both Medicare and Medicaid (“Medicare-Medicaid Enrollees” or “dual eligibles”).

  • The following Eligibles will be excluded from enrollment in SoonerSelect Dental: • Dual Eligible Individuals; • Individuals enrolled in the Medicare Savings Program, including Qualified Medicare Beneficiaries (QMB), Specified Low Income Medicare Beneficiaries (SLMB), Qualified Disabled Workers (QDW) and Qualified Individuals (QI); • Persons with a nursing facility or ICF-IID level of care, with the exception of Dental Health Plan Enrollees with a pending level of care determination.

  • Dual Eligible Individuals are excluded from SoonerSelect program enrollment.

  • To establish a Federal-State partnership between the Centers for Medicare & Medicaid Services (CMS) and the Commonwealth of Massachusetts (Commonwealth/State/MassHealth) to implement the Demonstration to Integrate Care for Dual Eligible Individuals (Demonstration) to better serve individuals eligible for both Medicare and Medicaid (“Medicare-Medicaid Enrollees” or “dual eligibles”).

  • Dual Eligible Individuals who are eligible for both Medicare and Medicaid.

Related to Dual eligible individuals

  • Eligible Individuals means directors, officers, employees and consultants of the Company or any of its Subsidiaries or Affiliates, and prospective employees and consultants who have accepted offers of employment or consultancy from the Company or its Subsidiaries or Affiliates.

  • Eligible Individual means any person who is an Employee, a Consultant or a Non-Employee Director, as determined by the Administrator.

  • Eligible Person means individuals, corporations, trusts, the estates of deceased individuals, partnerships and unincorporated associations of persons;

  • Eligible Persons or “Households” means one or more natural persons or a family who pays 30 percent of their household income toward their monthly rent and is determined by Grantee to be eligible for rental assistance under this Agreement.

  • Key Individuals means the Service Provider Representatives identified as being key individuals for the provision of the Services as set out in Schedule 5.5.

  • Eligible Employees means each employee of the Company or an Affiliate.

  • Non-Employee Directors means that term as defined in Rule 16b-3 under the 1934 Act.

  • Eligible Participants means persons who, at a particular time, are employees, officers, consultants, or directors of the Company or its subsidiaries;

  • Eligible Directors means, with respect to a Regulated Fund and a Potential Co-Investment Transaction, the members of the Regulated Fund’s Board eligible to vote on that Potential Co-Investment Transaction under Section 57(o) of the Act (treating any registered investment company or series thereof as a BDC for this purpose).

  • qualifying individuals means individuals who have been, or without the assistance might otherwise be—

  • Designated Employees means a person occupying any of the following position in the Company:

  • Non-Employee Director means a Director who either (i) is not a current employee or officer of the Company or an Affiliate, does not receive compensation, either directly or indirectly, from the Company or an Affiliate for services rendered as a consultant or in any capacity other than as a Director (except for an amount as to which disclosure would not be required under Item 404(a) of Regulation S-K promulgated pursuant to the Securities Act (“Regulation S-K”)), does not possess an interest in any other transaction for which disclosure would be required under Item 404(a) of Regulation S-K, and is not engaged in a business relationship for which disclosure would be required pursuant to Item 404(b) of Regulation S-K; or (ii) is otherwise considered a “non-employee director” for purposes of Rule 16b-3.

  • Eligible Participant means an employee, officer, consultant or director of the Company or any Affiliate.

  • Eligible pupil means a pupil who has been expelled from school under the mandatory expulsion provisions in section 1311 or 1311a of the revised school code, MCL 380.1311 and 380.1311a, a pupil who has been suspended or expelled from school under a local policy, a pupil who is referred by a court, a pupil who is pregnant or is a parent, a pupil who was previously a dropout, or a pupil who is determined by the district to be at risk of dropping out.

  • Prospective employee means an assessed individual who is anticipated to be hired upon completion of training.

  • U.S. Participant means a Participant who is a citizen of the United States or a resident of the United States, as defined in section 7701(a)(30)(A) and section 7701(b)(1) of the Code and any other Participant who is subject to tax under the Code with respect to compensatory awards granted pursuant to the Plan;

  • Non-U.S. Participant means any Participant that if it were a Lender would qualify as a Non-U.S. Lender.

  • Covered Employees has the meaning set forth in Section 5.11(a).

  • Ineligible Person shall include an individual or entity who:

  • Key Individual means those individuals identified in the Proponent’s Prequalification Submission as key individuals;

  • Key Employees means each of the following individuals: Xxx Xxxxxxx, Xxxxx Xxxxxxxx, Xxxxx Xxxxxx and Xxxxx Xxxxxxx.

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

  • Service Awards means the amount awarded by the Court and paid to the Class Representatives in recognition of their role in this litigation, as set forth in Section 8 below.