FHPlus Enrollee definition

FHPlus Enrollee means a FHPlus Eligible Person who either personally or through an authorized representative, has enrolled in the Contractor’s FHPlus product.
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FHPlus Enrollee means a FHPlus Eligible Person who either personally or through an authorized representative, has enrolled in the Contractor's FHPlus product.
Sample 1Sample 2Sample 3

Examples of FHPlus Enrollee in a sentence

  • Contact lenses shall not be covered solely because the FHPlus Enrollee selects contact lenses in lieu of receiving eyeglasses.

  • It is the responsibility of the Designated Third Party Contractor or such other organization designated by the SDOH to mail to each FHPIus Enrollee or Prospective FHPlus Enrollee who calls, a copy of the SDOH approved letter explaining the Enrollee’s right to receive such services, and an SDOH approved list of Family Planning Providers from which the Enrollee may access family planning services.

  • It is the responsibility of the Designated Third Party Contractor or such other organization designated by the SDOH to mail to each FHPlus Enrollee or Prospective FHPlus Enrollee who calls, a copy of the SDOH approved letter explaining the Enrollee's right to receive such services, and an SDOH approved list of Family Planning Providers from which the Enrollee may access family planning services.

  • The Planning Submission will be in a form acceptable to the LHIN and may be required to incorporate (i) prudent multi-year financial forecasts; (ii) plans for the achievement of Performance Targets; and (iii) realistic risk management strategies.

  • It is the responsibility of the Designated Third Party Contractor or such other organization designated by the SDOH to mail to each FHPlus Enrollee or Prospective FHPlus Enrollee who calls, a copy of the SDOH approved letter explaining the Enrollee’s right to receive such services, and an SDOH approved list of Family Planning Providers from which the Enrollee may access family planning services.

  • It is the responsibility of the Designated Third Party Contractor to mail to each FHPlus Enrollee or Prospective FHPlus Enrollee who calls, a copy of the SDOH approved letter explaining the Enrollee's right to receive such services, and an SDOH approved list of Family Planning Providers and Pharmacies in the Designated Third Party Contractor's network.

  • In the FHPlus program, a FHPlus Enrollee disenrolled at the request of the Contractor, may choose another MCO offering a FHPlus product.

  • If the FHPlus Enrollee does not choose, or there is not another MCO offering FHPlus in the LDSS jurisdiction, the case will be closed.

Related to FHPlus Enrollee

  • Enrollee means any person entitled to health care services from a carrier.

  • Newborn means a baby less than nine days old.

  • Potential Enrollee means a Medical Assistance Recipient who may voluntarily elect to enroll in a given managed care program, but is not yet an Enrollee of an MCO.

  • Managed care plan means a health benefit plan that either requires a covered person to use, or

  • Health plan or "health benefit plan" means any policy,

  • Managed care entity means either a managed care organization licensed by the department of insurance (e.g., HMO or PHP) or a primary care case management program (i.e., MediPASS).

  • Medicaid means that government-sponsored entitlement program under Title XIX, P.L. 89-97 of the Social Security Act, which provides federal grants to states for medical assistance based on specific eligibility criteria, as set forth on Section 1396, et seq. of Title 42 of the United States Code.

  • Late enrollee means an eligible employee or dependent who

  • Open enrollment means, with respect to individual health insurance coverage, the period of time

  • Adolescent means a Medicaid patient 17 years or younger.

  • Health care worker means a person other than a health care professional who provides medical, dental, or other health-related care or treatment under the direction of a health care professional with the authority to direct that individual's activities, including medical technicians, medical assistants, dental assistants, orderlies, aides, and individuals acting in similar capacities.