Medicaid Administrative Claiming definition

Medicaid Administrative Claiming or “MAC” means the source of funding for reimbursements provided in this agreement shared between the contractor and the FFP.
Sample 1Sample 2
Medicaid Administrative Claiming or “MAC” means the program within title XIX of the Social Security Act (the Act) authorizing federal grants to states for a proportion of expenditures for medical assistance under the approved Medicaid state plan, and for expenditures necessary for administration of the state plan. This joint federal-state financing of expenditures is described in section 1903(a) of the Act, which sets forth the rates of federal financing for different types of expenditures. In order for Medicaid administrative expenditures to be claimed for federal matching funds an allocation methodology must appears in the state’s approved Public Assistance Cost Allocation Plan (42 CFR § 433.34) and be described in detail in a MAC CAP.
Sample 1
Medicaid Administrative Claiming or “MAC” means the program that provides Texas school districts, including public charter schools, the ability to obtain reimbursement for costs related to administrative activities that support the Medicaid program.
Sample 1

Examples of Medicaid Administrative Claiming in a sentence

  • These facts are consistent with the idea that de- centralized beneficiary monitoring leads to lower levels of vigilance and hence worse performance.

  • Notwithstanding the provisions of any law or regulation to the contrary, each local school district that participates in the Medicaid Administrative Claiming (MAC) initiative shall receive a percentage of the federal revenue realized for current year claims.

  • Medicaid Administrative Claiming monitoring services are currently under evaluation by the Division of Social Services.

  • These services are Administrative costs charged to these funding sources Medicaid Administrative ClaimingThe goal of Medicaid Administrative Claiming (MAC) - Adults and children (MAC) is to identify and enroll eligible clients into Medicaid, and to refer, coordinate and monitor services covered under the North Carolina Medicaid State Plan (State Plan).

  • The purpose of the Medicaid Administrative Claiming (MAC) program is to promote the availability of additional reimbursements for work associated with the provision of Medicaid-covered health services.

  • Included in amounts appropriated above in Strategy D.1.4, ECI Respite & Quality Assurance, is $550,000 in Federal Funds for Medicaid Administrative Claiming (MAC) per fiscal year for eligible Medicaid-related state office expenditures.

  • A time study, which incorporates the CMS-approved Medicaid Administrative Claiming (MAC) methodology for direct service employees, shall be used to determine the percentage of time EPSDT service providers spend on EPSDT direct services and general and administrative (G and A time).This time study will assure there is no duplicate claiming.

  • Included in each ECI provider’s contract is a maximum amount to be reimbursed by HHSC, and an amount to be collected by the provider from Medicaid billings for Targeted Case Management (TCM), Specialized Skills Training (SST) services, and Medicaid Administrative Claiming (MAC) costs.

  • Funding for retained position and the timeframe for ending MFP grant fundingThis position will be funded by Medicaid Administrative Claiming Funds (Federal Match + State Match) effective July 1, 2018.

  • No Wrong Door System and Medicaid Administrative Claiming Reimbursement Guidance.

Related to Medicaid Administrative Claiming

  • Administrative Claim means a Claim for costs and expenses of administration of the Estates under sections 503(b), 507(a)(2), 507(b), or 1114(e)(2) of the Bankruptcy Code, including: (a) the actual and necessary costs and expenses incurred on or after the Petition Date of preserving the Estates and operating the businesses of the Debtors; (b) Allowed Professional Fee Claims in the Chapter 11 Cases; and (c) all fees and charges assessed against the Estates under chapter 123 of title 28 of the United States Code, 28 U.S.C. §§ 1911-1930.

  • Professional Fee Claim means a Claim by a professional seeking an award by the Bankruptcy Court of compensation for services rendered or reimbursement of expenses incurred through and including the Confirmation Date under sections 330, 331, 503(b)(2), 503(b)(3), 503(b)(4), or 503(b)(5) of the Bankruptcy Code.

  • Licensed health care professional means a person who possesses a professional medical license that is valid in Oregon. Examples include, but are not limited to, a registered nurse (RN), nurse practitioner (NP), licensed practical nurse (LPN), medical doctor (MD), osteopathic physician (DO), respiratory therapist (RT), physical therapist (PT), physician assistant (PA), or occupational therapist (OT).