Eligibility Determination definition

Eligibility Determination means an approval or denial of eligibility and a renewal or termination of eligibility as set forth in OAR 410-200-0015;¶

Eligibility Determination means an approval or denial of eligibility and a renewal or termination of eligibility.

Eligibility Determination means a decision by the CDDP or by the Department regarding the eligibility of a person for developmental disabilities services pursuant to OAR 411-320-0080 and is either a decision that a person is eligible or ineligible for developmental disabilities services.

Examples of Eligibility Determination in a sentence

• The following requirement applies to you: Eligibility Determination: How will We determine Your eligibility for benefits?We, and not Your Employer or plan administrator, have the responsibility to fairly, thoroughly, objectively and timely investigate, evaluate and determine Your eligibility or Your beneficiaries for benefits for any claim You or Your beneficiaries make on The Policy.

• Upon request, we will provide you the PUCT’s standardized Critical Care or Chronic Condition Eligibility Determination Form, which must be completed by your physician and returned to us or the TDU.

• The following requirement applies to you: Eligibility Determination: How will We determine Your or Your Dependent’s eligibility for benefits?We, and not Your Employer or plan administrator, have the responsibility to fairly, thoroughly, objectively and timely investigate, evaluate and determine Your or Your Dependent’s eligibility for benefits for any claim You or Your beneficiaries make on The Policy.

• Split Eligibility Determination Functions (1) Background – Some non-Federal entities pay the Federal benefits to the eligible participants but arrange with another entity to perform part or all of the eligibility determination.

• Review of Eligibility Determination To determine compliance with eligibility determination, one of the following must be checked.

More Definitions of Eligibility Determination

Eligibility Determination means a decision by a community developmental disability program or by the Department regarding a person’s eligibility for developmental disability services pursuant to OAR 411-320-0080 and is either a decision that a person is eligible or ineligible for developmental disability services.

Eligibility Determination means the determination of eligibility by an AE for enrollment in a QHP through an Exchange, an IAP or for Certifications of Exemption. This refers to initial determinations or redeterminations based on a change in the individual's status, and appeals;

Eligibility Determination means the process by which a person who has not yet submitted a completed license application may request that the board determine whether one or more of the person’s convictions are disqualifying offenses that would prevent the individual from receiving a license or certification.

Eligibility Determination means the process of deciding if a prospective client meets the requirements necessary to receive authorized services under Oregon Project Independence.

Eligibility Determination means the process of deciding if a prospective individual meets the requirements necessary to receive authorized services under OPI.

Eligibility Determination means a determination that an applicant or enrollee is eligible for an IAP, for enrollment in a QHP, or for any enrollment periods, in accordance with Sections 6472, 6474, and 6476 of Article 5 of this chapter.

Eligibility Determination means the initial process conducted by the early learning coalition to determine if a child meets minimum requirements to participate in the School Readiness program.