Medicaid Enrollment definition

Medicaid Enrollment. Status: This Operator ☐ is ☐ is not an enrolled Medicaid provider with the Department of Human Services (DHS). If the Operator has an approved Medicaid Provider Enrollment Agreement, privately-paying residents who become eligible for Medicaid services may not be asked to leave solely on the basis of Medicaid eligibility. The Operator shall reimburse the resident and/or the resident’s representative within 30 calendar days after the Operator receives payment from the DHS for any private payment received after the resident becomes eligible for Medicaid services. Living Accommodations. You are invited to bring your own bed, linens and furniture for furnishing your personal bedroom as you choose. The Operator is required to provide basic accommodations, unless you choose to provide your own, which include: ● Bed (mattress and box springs) ● Bedding (linens, including fitted and flat sheets and a pillow case) ● Mattress pad ● Pillow ● Blankets (as needed for your comfort) ● Private dresser ● Sufficient separate closet space ● Personal care items (soap, shampoo, toilet paper, towels, washcloths) You or your representative agree to ● Provide such personal clothing, toiletries, and effects as are needed or desired by the resident. ● Be responsible for hospital, physician, medications and other medical/health care charges as needed by the resident , including transportation to and from the hospital, other: _ _
Sample 1
Medicaid Enrollment. Status: This Operator ☐ is ☐ is not an enrolled Medicaid provider with the Department of Human Services (DHS). If the Operator has an approved Medicaid Provider Enrollment Agreement, privately-paying residents who become eligible for Medicaid services may not be asked to leave solely on the basis of Medicaid eligibility. The Operator shall reimburse the resident and/or the resident’s representative within 30 calendar days after the Operator receives payment from the DHS for any private payment received after the resident becomes eligible for Medicaid services. Living Accommodations. You are invited to bring your own bed, linens and furniture for furnishing your personal bedroom as you choose. The Operator is required to provide basic accommodations, unless you choose to provide your own, which include: ● Bed (mattress and box springs) ● Bedding (linens, including fitted and flat sheets and a pillow case) ● Mattress pad ● Pillow ● Blankets (as needed for your comfort) ● Private dresser ● Sufficient separate closet space ● Personal care items (soap, shampoo, toilet paper, towels, washcloths) You or your representative agree to ● Provide such personal clothing, toiletries, and effects as are needed or desired by the resident. ● Be responsible for hospital, physician, medications and other medical/health care charges as needed by the resident , including transportation to and from the hospital, other: . ● To provide such durable equipment or appliances or special care or treatment as are required by the resident, per physician order, including but not limited to wheelchair, walker, cane, crutches special bed, heating pad, physical therapy, other: . ● Authorize the Operator to spend no more than $ per month in expenditures on behalf of the resident. ● Other: You are asked to complete an up to date list of your personal possessions that will be kept in the home. The completed copy of the list will be kept in your resident record and updated as needed.
Sample 1

Examples of Medicaid Enrollment in a sentence

  • NEW YORK STATE DEPARTMENT OF HEALTH Bureau of Medicaid Enrollment and Exchange Integration Authorization for Verification of Resources (Legal Spouse) This form authorizes Medicaid to request records from financial institutions for the spouse of an individual applying for Medicaid.

  • NEW YORK STATE DEPARTMENT OF HEALTH Bureau of Medicaid Enrollment and Exchange Integration Submission of Application on Behalf of Applicant COMPLETE THIS FORM IF SOMEONE OTHER THAN THE APPLICANT SIGNED THE MEDICAID APPLICATION If you are signing a Medicaid application on behalf of an applicant who is age 18 or older, complete Sections A through C and submit this form along with proof of authorization (if applicable).

  • The following policies apply to all occupants, staff, and visitors: Medicaid Enrollment Status.

  • Sign, without modification, a Medicaid Enrollment Application and Agreement for Nonbilling Individual Pro- viders form (HCA 13-002).

  • The medicaid agency and each provider signing a Medicaid Enrollment Application and Agreement for Nonbilling Individual Providers form (HCA 13-002) will hold each other harmless from a legal action based on the negligent actions or omissions of either party under the terms of this agreement.

  • Outcome: Uninsured children insured as a direct result of Medicaid Enrollment Program.

  • Medicaid Enrollment in Comprehensive Managed Care represents an unduplicated count of Medicaid beneficiaries enrolled in a managed care plan that provides comprehensive benefits (acute, primary care, specialty, and any other), as well as PACE programs.

  • Medicaid Enrollment and Administration Expenditures for Comparable State Medicaid Programs Puerto Rico is committed to meeting all the Congressional requirements that have been added as part of Public Law 116-94.

  • Mandatory Changes and Trended Medicaid Enrollment due to ACA provisions.

  • Primary Care Physicians (PCPs) who want to receive Bonus Payments and ACHN Participation Rates in conjunction with the state’s ACHN Program must sign two agreements beyond their Medicaid Enrollment.

Related to Medicaid Enrollment

  • Medicaid program means the medical assistance

  • Open enrollment means a period of time as defined in rule

  • Medicaid means the medical assistance programs administered by state agencies and approved by CMS pursuant to the terms of Title XIX of the Social Security Act, codified at 42 U.S.C. 1396 et seq.

  • Provider Enrollment means an agreement between the Department and a Medicaid provider to provide room and board and deliver care and services to a Medicaid eligible individual in an adult foster home for compensation.

  • Enrollment means the number of students who are enrolled in a school operated by the district on October 1. A student shall be counted as one whether the student is enrolled as a full-time or part-time student. Students enrolled in prekindergarten programs shall not be counted.

  • Disenrollment means either voluntary or involuntary termination of a participant from the Independent Choices Program.

  • Declining enrollment means a decrease in the District's total enrollment or enrollment in a particular program or curricular / instructional offering which in the sole judgment of the board of education may adversely affect the District's current or future funding and/or the necessity of maintaining certain current or future class sections or curricular / instructional offerings.

  • 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.

  • 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.

  • Medicare Advantage plan means a plan of coverage for health benefits under Medicare Part C as defined in 42 U.S.C. 1395w-28(b)(1), and includes:

  • 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.

  • Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

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

  • Medicare Advantage The Medicare managed care options that are authorized under Title XVIII as specified at Part C and 42 C.F.R. § 422.

  • 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.

  • 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.

  • Medicare benefit means the Medicare benefit payable within the meaning of Part II of the Health Insurance Act 1973 with respect to a professional service.

  • HMO means health maintenance organization.

  • Health care service means that service offered or provided

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

  • Newborn means a baby less than nine days old.

  • Enrollee means any person entitled to health care services from a carrier.

  • 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.

  • 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 plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under: