MEDICAID MANAGEMENT INFORMATION SYSTEM definition

MEDICAID MANAGEMENT INFORMATION SYSTEM or "MMIS" means the Medical Assistance Information and Payment System of the SDOH.
MEDICAID MANAGEMENT INFORMATION SYSTEM or “MMIS” The medical assistance and payment information system of the Virginia Department of Medical Assistance Services.
MEDICAID MANAGEMENT INFORMATION SYSTEM or “MMIS”: An integrated group of procedures and computer processing operations (subsystems) developed to meet principal objectives. For Title XIX purposes, “systems mechanization” and “mechanized claims processing and information retrieval systems” are identified in section 1903(a)(3) of the Social Security Act and defined in regulation at 42 C.F.R. 433.111. The objectives of this system and its enhancements include the Title XIX program control and administrative costs; service to recipients, providers and inquiries; operations of claims control and computer capabilities; and management reporting for planning and control.

Examples of MEDICAID MANAGEMENT INFORMATION SYSTEM in a sentence

  • Beginning with the 2010-2011 fiscal year, the Department shall establish a separate line item in Budget Code 14445 for all expenditures in DMA associated with managed care activities pertaining to the utilization of Medicaid expenditures through CCNC." MEDICAID MANAGEMENT INFORMATION SYSTEM (MMIS) FUNDS/IMPLEMENTATION OF MMISSECTION 10.16.

  • MEDICAID MANAGEMENT INFORMATION SYSTEM MAINTENANCE AND PROJECTS Beginning with the FY 2013-14 Long Bill (SB 13-230), this line item, formerly known as “Information Technology Contracts” was renamed “Medicaid Management Information Systems Maintenance and Projects.” The Medicaid Management Information Systems (MMIS) is a system of software and hardware used to process Medicaid claims and manage information about Medicaid beneficiaries and services.

  • THIS SECTION SHALL CONTINUE TO APPLY TO SERVICES RECEIVED UNDER THE CONTRACT UNDER THE VERMONT MEDICAID MANAGEMENT INFORMATION SYSTEM (MMIS) AND THE ADVANCED INFORMATION MANAGEMENT SYSTEM (AIM).

  • Table 2: Comparison of Cost-Sharing Payment Methodologies STATE AGENCY DID NOT PROGRAM ITS MEDICAID MANAGEMENT INFORMATION SYSTEM TO PERFORM REQUIRED CALCULATION The State agency did not program its MMIS to calculate Medicaid cost-sharing payments for professional medical services in accordance with the required cost-sharing payment methodology in the State’s CMS-approved Medicaid State plan.

  • PROV 0007777 VERMONT MEDICAID MANAGEMENT INFORMATION SYSTEM RA NUM 000333666000LTC AND PROFESSIONAL PAGE NUM: 1R/A DATE: 06/16/2004 ******************ATTENTION ALL PROVIDERS********************** IN OUR EFFORTS TO ASSIST THE PROVIDER COMMUNITY IN CLAIMS SUBMISSION, WE NOW CAN ACCEPT CLAIMS ELECTRONICALLY VIA TAPE MODEM OR DISKETTE ELECTRONIC CLAIMS SUBMISSION (ECS) ALLOWS A 7-10 DAY TURN-AROUND TIME FROM THE DATE OF TRANSMITTAL TO RECEIPT OF PAYMENT.

  • THE SYSTEM SHALL INCLUDE AUTOMATIC, PREPAYMENT REVIEW OF MEDICAID CLAIMS THROUGH THE USE OF NATIONALLY RECOGNIZED CORRECT CODING METHODS IN THE MEDICAID MANAGEMENT INFORMATION SYSTEM, IN ACCORDANCE WITH 42 U.S.C. SEC.

  • HHS COMPETITIVE GRANTS PROCESS REVISIONSSECTION 12A.1. 75FUNDS FOR STATEWIDE HEALTH INFORMATION EXCHANGESECTION 12A.2. 77REPEAL PLANS TO IMPLEMENT SYSTEM MODIFICATIONS TO ENABLE CONTRACT ENTITIES TO PERFORM MEDICAID CLAIM ADJUDICATION IN THE REPLACEMENT MEDICAID MANAGEMENT INFORMATION SYSTEMSECTION 12A.4. 77FUNDS FOR REPLACEMENT MEDICAID MANAGEMENT INFORMATION SYSTEM SECTION 12A.5. 77FUNDS FOR NORTH CAROLINA FAMILIES ACCESSING SERVICES THROUGH TECHNOLOGY (NC FAST)SECTION 12A.6. 78SUBPART XII-B.

  • MEDICAID MANAGEMENT INFORMATION SYSTEM —— CENTRAL 83 13 PORTAL —— REVIEW.

  • HHS COMPETITIVE GRANTS PROCESS REVISIONSSECTION 12A.1. 71FUNDS FOR STATEWIDE HEALTH INFORMATION EXCHANGESECTION 12A.2. 72REPEAL PLANS TO IMPLEMENT SYSTEM MODIFICATIONS TO ENABLE CONTRACT ENTITIES TO PERFORM MEDICAID CLAIM ADJUDICATION IN THE REPLACEMENT MEDICAID MANAGEMENT INFORMATION SYSTEMSECTION 12A.4. 73FUNDS FOR REPLACEMENT MEDICAID MANAGEMENT INFORMATION SYSTEM SECTION 12A.5 73FUNDS FOR NORTH CAROLINA FAMILIES ACCESSING SERVICES THROUGH TECHNOLOGY (NC FAST)SECTION 12A.6. 73SUBPART XII-B.

  • MEDICAID MANAGEMENT INFORMATION SYSTEM MAINTENANCE AND PROJECTSBeginning with the FY 2013-14 Long Bill (SB 13-230), this line item, formerly known as “Information Technology Contracts” was renamed “Medicaid Management Information Systems Maintenance and Projects.”The Medicaid Management Information Systems (MMIS) is a system of software and hardware used to process Medicaid claims and manage information about Medicaid beneficiaries and services.


More Definitions of MEDICAID MANAGEMENT INFORMATION SYSTEM

MEDICAID MANAGEMENT INFORMATION SYSTEM means a statewide system that houses Medicaid data necessary for the business operations of Medicaid administration including, but not limited to, eligible member information, enrolled provider information, procedure and diagnosis codes, prior authorizations, claims data, and reimbursement rules (also referred to as MMIS).¶
MEDICAID MANAGEMENT INFORMATION SYSTEM or “MMIS” means an integrated group of procedures and computer processing operations (subsystems) developed at the general design level to meet principal objectives, and it is associated with ProviderOne.

Related to MEDICAID MANAGEMENT INFORMATION SYSTEM

  • Contractor information system means an information system belonging to, or operated by or for, the Contractor.

  • Safety Management System means a systematic approach to managing safety, including the necessary organisational structures, accountabilities, policies and procedures;

  • Customer information systems means any methods used to access, collect, store, use, transmit, protect, or dispose of customer in- formation.

  • Information system means a discrete set of information resources organized for the collection, processing, maintenance, use, sharing, dissemination, or disposition of information (44 U.S.C. 3502).

  • Covered contractor information system means an information system that is owned or operated by a contractor that processes, stores, or transmits Federal contract information.

  • Environmental Management System means an environmental management system or plan of management to address all environmental risks and to ensure compliance with all Environmental Laws and licences;

  • Geographic information system or “GIS” means a system designed to capture, store, manipulate, analyze, manage, and present spatial or geographical data.

  • Information Systems means all computer hardware, databases and data storage systems, computer, data, database and communications networks (other than the Internet), architecture interfaces and firewalls (whether for data, voice, video or other media access, transmission or reception) and other apparatus used to create, store, transmit, exchange or receive information in any form.

  • Management Information means the information specified in the Monitoring Schedule.

  • Database Management System (DBMS) A system of manual procedures and computer programs used to create, store and update the data required to provide Selective Routing and/or Automatic Location Identification for 911 systems. Day: A calendar day unless otherwise specified. Dedicated Transport: UNE transmission path between one of CenturyLink’s Wire Centers or switches and another of CenturyLink’s Wire Centers or switches within the same LATA and State that are dedicated to a particular customer or carrier. Default: A Party’s violation of any material term or condition of the Agreement, or refusal or failure in any material respect to properly perform its obligations under this Agreement, including the failure to make any undisputed payment when due. A Party shall also be deemed in Default upon such Party’s insolvency or the initiation of bankruptcy or receivership proceedings by or against the Party or the failure to obtain or maintain any certification(s) or authorization(s) from the Commission which are necessary or appropriate for a Party to exchange traffic or order any service, facility or arrangement under this Agreement, or notice from the Party that it has ceased doing business in this State or receipt of publicly available information that signifies the Party is no longer doing business in this State.

  • Database Management System (“DBMS”) is a computer process used to store, sort, manipulate and update the data required to provide Selective Routing and ALI.

  • Coordinated licensure information system means an integrated process for collecting, storing, and sharing information on nurse licensure and enforcement activities related to nurse licensure laws that is administered by a nonprofit organization composed of and controlled by licensing boards.

  • Patient Information means information (however recorded) which—

  • Flood Protection System means those physical structural works for which funds have been authorized, appropriated, and expended and which have been constructed specifically to modify flooding in order to reduce the extent of the area within a community subject to a "special flood hazard" and the extent of the depths of associated flooding. Such a system typically includes hurricane tidal barriers, dams, reservoirs, levees or dikes. These specialized flood modifying works are those constructed in conformance with sound engineering standards.

  • Stormwater management system means any equipment, plants,

  • Quality Management System means a set of interrelated or interacting elements that organisations use to direct and control how quality policies are implemented and quality objectives are achieved;

  • New Jersey Stormwater Best Management Practices (BMP) Manual or “BMP Manual” means the manual maintained by the Department providing, in part, design specifications, removal rates, calculation methods, and soil testing procedures approved by the Department as being capable of contributing to the achievement of the stormwater management standards specified in this chapter. The BMP Manual is periodically amended by the Department as necessary to provide design specifications on additional best management practices and new information on already included practices reflecting the best available current information regarding the particular practice and the Department’s determination as to the ability of that best management practice to contribute to compliance with the standards contained in this chapter. Alternative stormwater management measures, removal rates, or calculation methods may be utilized, subject to any limitations specified in this chapter, provided the design engineer demonstrates to the municipality, in accordance with Section IV.F. of this ordinance and N.J.A.C. 7:8-5.2(g), that the proposed measure and its design will contribute to achievement of the design and performance standards established by this chapter.

  • Floodplain Management Regulations means this ordinance and other zoning ordinances, subdivision regulations, building codes, health regulations, special purpose ordinances, and other applications of police power. This term describes federal, state or local regulations, in any combination thereof, which provide standards for preventing and reducing flood loss and damage.

  • Disaster Management Act means the Disaster Management Act, 2002 (Act No.57 of 2002)

  • Transportation System means the facilities at any time in place to receive Shipper’s Gas at the Entry Point(s), process, handle, transport and redeliver the Gas at the Exit Point(s), in accordance with the Transportation Agreement, as detailed in Transportation System Description.

  • Electronic and Information Resources Accessibility Standards means the accessibility standards for electronic and information resources contained in 1 Texas Administrative Code Chapter 213.

  • Service Management System (SMS) means an off-line system used to access, create, modify, or update information in a Database.

  • Fire protection system means any device or system designed and installed to:

  • energy management system means a set of interrelated or interacting elements of a plan which sets an energy efficiency objective and a strategy to achieve that objective;

  • Public transportation system means all facilities, conveyances and instrumentalities, whether publicly or privately owned, that are used in or for publicly available services for the transportation of persons or cargo.

  • Health care information means any information, whether oral or recorded in any form or medium that identi- fies or can readily be associated with the identity of, and relates to the health care of, a patient or client.