Major Population Group definition

Major Population Group means any population that represents at least 10% of the Medicaid, CHIP, and/or CHIP Perinatal Program population in the Service Area served by the MCO.

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Major Population Group means any population, which represents at least 10% of the Medicaid, CHIP, and/or CHIP Perinatal Program population in any of the counties in the Service Area served by the HMO.

Major Population Group means a racial or ethnic group for whom English is not the primary language and whose members comprise at least ten percent (10%) of the health maintenance organization’s enrollees.

Examples of Major Population Group in a sentence

• Revision 1.3 September 1, 2006 Article 2 is amended to modify and add the following definitions to include the CHIP Perinatal Program- Appeal, CHIP Perinatal Program, CHIP Perinatal HMO, CHIP Perinate, CHIP Perinate Newborn, Covered Services, Complaint, Delivery Supplemental Payment, Eligibles, Experience Rebate, HHSC Administrative Services Contractor, Major Population Group, Member, Optional Service Area, and Service Management.

• HHSC will provide the MCO with reasonable notice when the enrolled population reaches the 10% threshold for a Major Population Group in the MCO's Service Area.

• HHSC will provide the MCO with reasonable notice when the enrolled population reaches the 10% threshold for a Major Population Group in the MCO’s Service Area.

More Definitions of Major Population Group

Major Population Group means any population which represents at least 10% of the Medicaid population in any of the counties in the service area served by the Contractor.

Major Population Group is modified The definition of "Medically Necessary" is revised to address the review criteria applicable to children in Medicaid, consistent with 42 USC § 1396(r)(5) and ▇▇▇▇▇▇▇ N requirements. The HMOs are already contractually obligated to comply with these requirments, so the change is for clarification only. Definition of "Outpatient Hospital Services" is modifed to remove language that is included in UMCM. Definition of "Post-stabilization Care Services" is modified. Definition of "Texas Health Network" is deleted. Definition of "Uniform Managed Care Manual" is modified. Section 4.08 is modified to prohibit Medicaid payments to entities located outside the U.S. in conformance with the Affordable Care Act.

Major Population Group means any population, which represents at least 10% of the Medicaid, CHIP, and/or CHIP Perinatal Program population in any of the counties in the Service Area served by the HMO. Material Subcontractor or Major Subcontractor means any entity that contracts with the HMO for all or part of the HMO Administrative Services, where the value of the subcontracted HMO Administrative Service(s) exceeds $100,000, or is reasonably expected to exceed $100,000, per State Fiscal Year. Providers in the HMO’s Provider Network are not Material Subcontractors.

Major Population Group means any population, which represents at least 10% of the Member population in the Service Area

Major Population Group means any population that represents at least 10% of the Medicaid population in the SA served by the MCO. Managed Care Organization (MCO) has the same meaning as the definition under Texas Government Code Section 533.001(4) and is a Party to this Contract.