Medicaid Covered Services definition

Medicaid Covered Services means the array of federally required and Washington State legislatively appropriated medical and social services available to Medicaid clients.
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Medicaid Covered Services means those Covered Services for which a Medicaid Member is eligible under the applicable Anthem managed care organization contract with the California Department of Health Care Services (“Department”) or with MRMIB.
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Medicaid Covered Services means those Covered Services for which a Medicaid Member is eligible.
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Examples of Medicaid Covered Services in a sentence

  • Pursuant to 42 C.F.R. § 438.602(b), the Contractor shall ensure that all such providers providing Medicaid Covered Services are enrolled with MassHealth as Medicaid providers consistent with the provider disclosure, screening, and enrollment requirements of 42 C.F.R. 455, subparts B and E.

  • Member Advocates are also responsible for helping or referring Members to community resources available to meet Member needs that are not available from the HMO as Medicaid Covered Services.

  • The Contractor will deliver and coordinate all components of Medicare and Medicaid Covered Services for Enrollees.

  • Medicaid Covered Services Rules 7201-7508.7 (Medicaid services) and 7601-7608 (long-term care services).

  • The ICDS Plan will deliver and coordinate all components of Medicare and Medicaid Covered Services for Beneficiaries.

  • Examples of these issues include needed specialized Medicaid Covered Services, community services and whether the child’s current primary and specialty care providers are enrolled in the Contractor’s Network.

  • The ICDS Plan must provide Medicare and Medicaid Covered Services as documented in state and federal law, federal regulation (including, but not limited to, 42 C.F.R §§ 422, 423, and 438), OAC 5160-58-03, and this Contract, and shall be sufficient to achieve the purposes for which such Covered Services are furnished.

  • Costs of transportation incurred, other than ambulance services covered pursuant to the Vermont Medicaid Covered Services Rules, that are neces- sary and reasonable for the care of resi- dents are allowable.

  • Care Management emphasizes prevention, continuity, and coordination, that support linkages across the full continuum of Medicare and Medicaid Covered Services based on individual Enrollee strength-based needs and preferences.

  • Dental services for Medicaid eligible individuals are covered pursuant to the Medicaid Covered Services Rules.


More Definitions of Medicaid Covered Services

Medicaid Covered Services. Services as defined in the Virginia State Plan for Medical Assistance or State regulations.
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Medicaid Covered Services means, for purposes of this Attachment, only those Covered Services provided under Plan's Medicaid Program(s).
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Medicaid Covered Services means those mental health and substance abuse services and benefits described in the Member Handbook and to which Medicaid Members are entitled under the terms of DelawareCare.
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Medicaid Covered Services means those services or supplies which are eligible for benefits under the Medicaid program LL. Medicare Physician Fee Schedule means the RBRVS-based allowed fees that are the basis for Medicare reimbursement.
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Medicaid Covered Services. Services as defined in the Virginia State Plan for Medical Assistance or State regulations. “Medicaid Non-Covered Services” Services not covered by the Department and, therefore, not included in covered services as defined in the Virginia State Plan for Medical Assistance or State regulations.
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Related to Medicaid Covered Services

  • Covered Services means all or a part of those medical and health services set forth in rule 441—86.14(514I).

  • Non-Covered Services means those vision care services which are not Covered Services under Plan Contract(s).

  • 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.

  • Covered service means a health care service provided to a

  • 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.

  • 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).

  • 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;

  • Intensive Care Unit means an identified section, ward or wing of a hospital which is under the constant supervision of a dedicated medical practitioner(s), and which is specially equipped for the continuous monitoring and treatment of patients who are in a critical condition, or require life support facilities and where the level of care and supervision is considerably more sophisticated and intensive than in the ordinary and other wards.

  • Medical care facility as used in this title, means any institution, place, building or agency, whether

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

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

  • 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.

  • 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.

  • Dependent care assistance program or "DCAP" means a benefit plan whereby school employees may pay for certain employment related dependent care with pretax dollars as provided in the salary reduction plan under chapter 41.05 RCW pursuant to 26 U.S.C. Sec. 129 or other sections of the Internal Revenue Code.

  • Emergency Medical Technician (EMT means: an individual licensed with cognitive knowledge and a scope of practice that corresponds to that level in the National EMS Education Standards and National EMS Scope of Practice Model.

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

  • Medically Necessary Leave of Absence means any change in enrollment at the post-secondary school that begins while the child is suffering from a serious illness or injury, is medically necessary, and causes the child to lose student status for purposes of coverage under the Plan.

  • 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.

  • Primary care physician means a physician qualified to be an attending physician according to ORS 656.005(12)(b)(A) and who is a general practitioner, family practitioner, or internal medicine practitioner.

  • Health care facilities means buildings, structures, or equipment suitable and intended for, or incidental or ancillary to, use in providing health services, including, but not limited to, hospitals; hospital long-term care units; infirmaries; sanatoria; nursing homes; medical care facilities; outpatient clinics; ambulatory care facilities; surgical and diagnostic facilities; hospices; clinical laboratories; shared service facilities; laundries; meeting rooms; classrooms and other educational facilities; students', nurses', interns', or physicians' residences; administration buildings; facilities for use as or by health maintenance organizations; facilities for ambulance operations, advanced mobile emergency care services, and limited advanced mobile emergency care services; research facilities; facilities for the care of dependent children; maintenance, storage, and utility facilities; parking lots and structures; garages; office facilities not less than 80% of the net leasable space of which is intended for lease to or other use by direct providers of health care; facilities for the temporary lodging of outpatients or families of patients; residential facilities for use by the aged or disabled; and all necessary, useful, or related equipment, furnishings, and appurtenances and all lands necessary or convenient as sites for the health care facilities described in this subdivision.

  • PREVENTIVE CARE SERVICES means covered healthcare services performed to prevent the occurrence of disease as defined by the Affordable Care Act (ACA). See Preventive Care and Early Detection Services in Section 3. PRIMARY CARE PROVIDER (PCP) means, for the purpose of this plan, professional providers that are family practitioners, internists, and pediatricians. For the purpose of this plan, gynecologists, obstetricians, nurse practitioners, and physician assistants may be credentialed as PCPs. To find a PCP or check that your provider is a PCP, please use the “Find a Doctor” tool on our website or call Customer Service.

  • Health care facility or "facility" means hospices licensed

  • Direct care worker means a paid individual who provides direct, personal care services to persons with disabilities or the elderly requiring long-term care (see also the definition of long-term care worker, which includes direct care workers).

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

  • Health Care Operations shall have the meaning given to such term under the HIPAA 2 Privacy Rule in 45 CFR § 164.501.