ET3 Model Beneficiary definition

ET3 Model Beneficiary means an individual who is (1) entitled to benefits under Medicare Part A and enrolled under Medicare Part B; (2) is suffering from a complaint for which a 9-1-1 call is placed and Participant is dispatched; and (3) is located in the Model Region when the Participant arrives on the scene of the 9-1-1 emergency response.
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ET3 Model Beneficiary means an individual who is (1) entitled to benefits under Medicare Part A and enrolled under Medicare Part B; (2) is suffering from a complaint for which a 9-1-1 call is placed and SAFD is dispatched; and (3) is located in the Model Region when SAFD arrives on the scene of the 9-1-1 emergency response.
Sample 1

Examples of ET3 Model Beneficiary in a sentence

  • The Participant may receive payment for Transport to an Alternative Destination furnished to an ET3 Model Beneficiary as set forth in this Article VII and Appendix D of this Agreement.

  • LimitationsThe Participant must not take any action to limit the ability of an ET3 Partner or Downstream Practitioner to make decisions in the best interest of an ET3 Model Beneficiary, including the selection of care or services furnished to an ET3 ModelBeneficiary under the Model, or to offer an ET3 Model Beneficiary an Available Intervention that differs from the Available Intervention identified by the Participant’s Triage Decision.

  • Develop a method to ensure that an Alternative Destination has the real-time capacity to furnish the required level and type of care for an ET3 Model Beneficiary’s illness or injury prior to transporting the ET3 Model Beneficiary to the Alternative Destination.

  • Payment to Alternative Destination Partners or their Billing Parties for Covered Services furnished after Transport to an Alternative DestinationCMS shall pay for Covered Services furnished to an ET3 Model Beneficiary by an Alternative Destination Partner or their Downstream Practitioner following Transport to an Alternative Destination at the applicable Medicare FFS rates, pursuant to Medicare FFS rules and billing guidelines, including the applicable rules regarding debt collection.

  • A plan to identify whether a Patient is an ET3 Model Beneficiary prior to offering an ET3 Model Intervention (“ Eligibility Plan”).

  • The Participant must ensure that Covered Services furnished to an ET3 Model Beneficiary following Transport to an Alternative Destination or as part of a Treatment in Place intervention are furnished by a Medicare-Enrolled ET3 Partner or a Downstream Practitioner.

  • If the Participant, a Qualified Health Care Partner, or a Downstream Practitioner offers an ET3 Model Beneficiary an Available Intervention during an Encounter in which a Telehealth Service was initiated as part of a Telehealth Treatment in Place Intervention, but could not be completed due to an interruption in connectivity, the Telehealth Service initiated during the failed Telehealth Treatment in Place Intervention is not substantially completed.

  • CMS waives the transportation requirement in the definitions of Advanced Life Support, Level 1 (ALS1) and Basic Life Support (BLS) in 42 C.F.R. §414.605 to allow payment to the Participant that is equivalent to the BLS-E or ALS1-E rate for the initiation and facilitation of an In-Person Treatment in Place Intervention furnished in accordance with this Agreement without requiring the Participant to transport the ET3 Model Beneficiary from the scene of a 9-1-1 emergency response.

  • The Participant may receive payment for only one Available Intervention per Encounter with an ET3 Model Beneficiary.

  • The Participant must ensure that any notice furnished to an ET3 Model Beneficiary for purposes of complying with this Article 11.1 is provided in such a way that it addresses the needs of the ET3 Model Beneficiary and their families and/or caregivers with limited English proficiency or low or limited health literacy.

Related to ET3 Model Beneficiary

  • Death Benefit means the insurance amount payable under the Certificate at death of the Insured, subject to all Certificate provisions dealing with changes in the amount of insurance and reductions or termination for age or retirement. It does not include any amount that is only payable in the event of Accidental Death.

  • Beneficiary means the person, persons, trust or trusts that have been designated by a Participant in his or her most recent written beneficiary designation filed with the Committee to receive the benefits specified under the Plan upon such Participant’s death or to which Awards or other rights are transferred if and to the extent permitted under Section 10(b) hereof. If, upon a Participant’s death, there is no designated Beneficiary or surviving designated Beneficiary, then the term Beneficiary means the person, persons, trust or trusts entitled by will or the laws of descent and distribution to receive such benefits.

  • Surviving Spouse means the widow or widower, as the case may be, of a Deceased Participant or a Deceased Beneficiary (as applicable).

  • Societal benefits charge means a charge imposed by an electric