Medicaid eligible definition

Medicaid eligible. An individual eligible to receive services under the Medicaid Program but not necessarily enrolled in the Medicaid Program. Medicaid Management Information System (MMIS): Computerized system used for the processing, collecting, analysis and reporting of Information needed to support Medicaid and SCHIP functions. The MMIS consists of all required subsystems as specified in the State Medicaid Manual.

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Medicaid eligible means an individual has been determined eligible and has been issued an effective date of health care which covers the time period in question by the CDJFS under Chapter 5101:1-39 of the Administrative Code.

Medicaid eligible. Means an individual who has been determined to be entitled to Medicaid for service dates rendered This includes persons entitled to Medicaid who are on a spend-down who have met their deductible for a given month and persons who are retro-eligible for Medicaid.

Examples of Medicaid eligible in a sentence

• Individuals who were assessed to need Targeted Case Management or Mental Health Rehabilitative Services but did not become Medicaid eligible until after they were placed on the waiting list may not remain on a waiting list for longer than 60 calendar days.

• The Contractor, through members of its outreach staff and provider network, is encouraged to identify uninsured patients who may be Medicaid eligible and to make appropriate referrals to the appropriate contacts such as navigators, DHS and Healthsource RI to assist in determining eligibility for Medicaid programs.

• Downstream entity: any party that enters into a written arrangement, acceptable to ODM, with a first tier or related entity or below the level of a first tier or related entity to provide administrative services for Ohio Medicaid eligible individuals.

• ODM will conduct an annual analysis of Medicaid eligible individuals to identify whether there are prevalent common primary languages other than English in the MCP service areas.

• First tier entity: any party that enters into a written arrangement, acceptable to ODM, with the MCP to provide administrative services for Ohio Medicaid eligible individuals.

More Definitions of Medicaid eligible

Medicaid eligible. An individual who has been determined to be eligible for Medicaid and who has been issued a Medicaid card.

Medicaid eligible. Means an individual who has been determined to be entitled to Medicaid for service dates rendered This includes persons entitled to Medicaid who are on a spend-down who have met their deductible for a given month and persons who are retro-eligible for Medicaid. Medically Necessary or Medical Necessity: Medical necessity and recommendation for BHT services is determined by a physician or other licensed practitioner working within their scope of practice under state law. The child must demonstrate substantial functional impairment in social communication, patterns of behavior, and social interaction as evidenced by meeting criteria A and B (listed below); and require BHT services to address the elements identified in the Medicaid PROVIDER Manual 18.4 Medical Necessity Criteria.

Medicaid eligible means an individual has been determined eligible by the CDJFS under Chapter 5160:1-3 of the Administrative Code and has been issued an effective date of health care coverage for the time period in question.

Medicaid eligible means a person who is eligible for medical assistance from the department;

Medicaid eligible means an individual eligible to receive services under the Medicaid Program, whether or not actually enrolled in the Medicaid Program.

Medicaid eligible means a person who is

Medicaid eligible. An individual eligible to receive services under the Medicaid Program but not necessarily enrolled in the Medicaid Program. Medicaid Care Management Organizations Act: O.C.G.A. 33-21-1, et seq MEDICAID CARE MANAGEMENT ORGANIZATIONS ACT. A ▇▇▇▇ passed by the Georgia General Assembly, signed into law by the Governor, and effective July 1, 2008 which speaks to several administrative requirements for the administrators of the Medicaid Managed Care plan, Georgia Families, to comply. Some of the requirements include dental provider networks; emergency room claims payment requirements, eligibility verification, and others. Medicaid Management Information System (MMIS): Computerized system used for the processing, collecting, analysis and reporting of Information needed to support Medicaid and SCHIP functions. The MMIS consists of all required subsystems as specified in the State Medicaid Manuals.