Medicaid Member definition

Medicaid Member means any person enrolled in the Department Medicaid Program and eligible to receive prescription drug benefits under a fee for service arrangement.

Medicaid Member means an individual enrolled in a taxable health plan who is a

Medicaid Member means an individual enrolled in a taxable health plan who is a Medicaid beneficiary on whose behalf the department directly pays the health plan a capitated payment.

Examples of Medicaid Member in a sentence

• It also includes Medicaid Member practices that result in unnecessary cost to the Medicaid program.

• All other types of potential Fraud and all types of potential Medicaid Member Waste or Abuse related to the Medicaid program shall be reported to the Utah OIG and to the Department.

• Contractor shall follow the EOHHS policy and procedures document titled, "EOHHS Medicaid Managed Care Organization (MCO) Requirements for Medicaid Member Demographic Changes." Contractor shall have a process for performing outreach calls and an approach for determining a member’s most recent address and accurate address and telephone number.

• This report begins to develop this picture with data from and about coaches in Reading First—a federal project to improve reading outcomes for K-3 students in 5,200 low-per- forming elementary schools across the nation.

• Information regarding access to Medicaid Translation Services is included in the Medicaid Member Guide distributed to all Utah Medicaid participants.

More Definitions of Medicaid Member

Medicaid Member. Any individual enrolled in the Virginia Medicaid program. “Medical Loss Ratio (MLR) Reporting Year” As defined in 42 CFR § 438.8, a period of twelve (12) months consistent with the rating period selected by the Department.

Medicaid Member means a person who has been determined to be an eligible Medicaid beneficiary.

Medicaid Member means a Medicaid beneficiary enrolled in a managed care plan.

Medicaid Member means a Covered Person enrolled under any contract HMO may have with DMAS during the term of this Attachment. Medicaid Members include Covered Persons enrolled through Virginia’s Medallion II program, Family Access to Medical Insurance Security (FAMIS) plan, or FAMIS MOMS program or their successor programs as well as Covered Persons enrolled under any new programs for which HMO may contract with DMAS such as the Virginia Acute and Long-Term Care program.

Medicaid Member means a Member under a state Medicaid program that has contracted with an HMO Subsidiary to administer Covered Services under such Medicaid program.

Medicaid Member means a person who has been determined to be eligible for Medicaid benefits.

Medicaid Member. Any individual enrolled in the Virginia Medicaid program.