Medicaid Client definition

Medicaid Client means a person who is eligible to receive Medicaid covered services.
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Examples of Medicaid Client in a sentence

  • The number can be used to determine:• Program eligibility dates.• Retroactive eligibility (when applicable).• Eligible services (when applicable).• Medicaid managed care eligibility.• An eligibility website address for clients and non-pharmacy providers.• A non-managed care pharmacy claims assistance contact number.• The Medicaid Client Transfer Line at 1-800-252-8263.Client TPR and other insurance information can also be verified using the benefit card.

  • In most cases, this information is automatically provided by your computer software.(101-A1)Cardholder ID NumberThe Cardholder ID Number is the eight position alpha numeric Medicaid Client Number (CIN) or the thirteen digit Access Number without the six digit ISO # prefix.

  • The Contractor is required to notify the Case Manager within one working day when a Medicaid Client takes social leave.

  • Whenever possible, the Contractor shall notify the Case Manager in advance when a Medicaid Client takes social leave.

  • If third-party payment is not available, and the returning Medicaid Client continues to meet the admission criteria under chapter 388-71 and/or 388-106 WAC, then the Medicaid Client may return to the first available and appropriate bed.

  • These files contain member information such as Medicaid eligibility segments, PPS Identifier, Medicaid Client Identification Number, first and last name, and numerator information from administrative data.

  • If Subcontractor requires Medicaid Client information access, the Contractor shall specifically identify as such in its request to DHHS.

  • Liberalized Policy – Medicaid Client is Lender For coverage groups subject to liberalized resource policy, a bona fide, non-negotiable promissory note or agreement can be excluded as a resource if it produces at least a 6% net annual return of the principal balance.

  • The individual’s name.2. The individual’s Medicaid Client Identification Number (CIN).3.

  • The decline in TCM billings and the decline in MAC collections since fiscal year 2011 are detailed in the charts below: $180$160Targeted Case Management Average Monthly Billing per Medicaid Client $156.44Oct.

Related to Medicaid Client

  • Medicaid program means the Kansas program of medical

  • 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.

  • Medicaid Certification means a certification by a state agency or other entity responsible for certifying Medicaid providers and suppliers that a health care provider or supplier is in compliance with all the conditions of participation set forth in the Medicaid Regulations.

  • Medicaid Regulations means, collectively, (i) all federal statutes (whether set forth in Title XIX of the Social Security Act or elsewhere) affecting the medical assistance program established by Title XIX of the Social Security Act and any statutes succeeding thereto; (ii) all applicable provisions of all federal rules, regulations, manuals and orders of all Governmental Authorities promulgated pursuant to or in connection with the statutes described in clause (i) above and all federal administrative, reimbursement and other guidelines of all Governmental Authorities having the force of law promulgated pursuant to or in connection with the statutes described in clause (i) above; (iii) all state statutes and plans for medical assistance enacted in connection with the statutes and provisions described in clauses (i) and (ii) above; and (iv) all applicable provisions of all rules, regulations, manuals and orders of all Governmental Authorities promulgated pursuant to or in connection with the statutes described in clause (iii) above and all state administrative, reimbursement and other guidelines of all Governmental Authorities having the force of law promulgated pursuant to or in connection with the statutes described in clause (ii) above, in each case as may be amended, supplemented or otherwise modified from time to time.

  • Medicaid Provider Agreement means an agreement entered into between a state agency or other such entity administering the Medicaid program and a health care provider or supplier under which the health care provider or supplier agrees to provide services for Medicaid patients in accordance with the terms of the agreement and Medicaid Regulations.

  • Medicare Provider Agreement means an agreement entered into between CMS or other such entity administering the Medicare program on behalf of CMS, and a health care provider or supplier under which the health care provider or supplier agrees to provide services for Medicare patients in accordance with the terms of the agreement and Medicare Regulations.

  • 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.

  • Medicare means the “Health Insurance for the Aged Act,” Title XVIII of the Social Security Amendments of 1965, as then constituted or later amended.

  • Centers for Medicare and Medicaid Services or “CMS” means the federal office under the Secretary of the United States Department of Health and Human Services, responsible for the Medicare and Medicaid programs.

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

  • child care element of working tax credit means the element of working tax credit prescribed under section 12 of the Tax Credits Act 2002 (child care element).

  • TRICARE means, collectively, a program of medical benefits covering former and active members of the uniformed services and certain of their dependents, financed and administered by the United States Departments of Defense, Health and Human Services and Transportation, and all laws applicable to such programs.

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

  • Child Caregiver means an individual providing basic childcare service needs for Your minor children under the age of 18 while You are on the Trip without the minor children. The arrangement of being the Child Caregiver while You are on the Trip must be made 30 or more days prior to the Scheduled Departure Date.

  • Child abuse means any of the following acts committed in an educational setting by an employee or volunteer against a child:

  • Acute care hospital means a Hospital that provides Acute Care Services. Adjudicate means to deny or pay a Clean Claim. Administrative Services see MCO Administrative Services. Administrative Services Contractor see HHSC Administrative Services Contractor.

  • Managed care organization means an entity that (1) is under contract with the department to provide services to Medicaid recipients and (2) meets the definition of “health maintenance organization” as defined in Iowa Code section 514B.1.

  • HIPAA means the Health Insurance Portability and Accountability Act of 1996, as amended.

  • Residential child care facility means a twenty-four-hour residential facility where children live together with or are supervised by adults who are not their parents or relatives;

  • Coordinated care organization means an organization meeting criteria adopted by the

  • Respiratory care practitioner means an individual who practices respiratory care.

  • 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.

  • Health data means data related to the state of physical or mental health of the data principal and includes records regarding the past, present or future state of the health of such data principal, data collected in the course of registration for, or provision of health services, data associating the data principal to the provision of specific health services.

  • Child Care Program means a person or business that offers child care.

  • Child care facility or “facility” means a child care center, a preschool, or a registered child development home.

  • Licensed health care provider means a physician, physician assistant, chiropractor, advanced registered nurse practitioner, nurse, physical therapist, or athletic trainer licensed by a board.