Medicaid Number definition

Medicaid Number. Medicare Number: NPI (Required): Malpractice/Professional Liability Insurance Company Name: (Attach Insurance Face sheet) Policy Number: Expiration Date: Facility Address City State ZIP Types of Privileges: 🞏 Consulting 🞏 Medical Associates 🞏 Active 🞏 Courtesy 🞏 Privs w/o Membership 🞏 Allied Health 🞏 Honorary 🞏 No Privileges 🞏 Clinical 🞏 Provisional/Temp 🞏 I authorize USA to consult with hospital administrators, members of medical staffs, malpractice carriers and other persons to obtain and verify my credentials and qualifications as a provider. I release USA and its employees and agents from any and all liability for their acts performed in good faith and without malice in obtaining and verifying such information and in evaluating my application.
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Medicaid Number.Β Medicare Number: NPI (Required): Malpractice/Professional Liability Insurance Company Name: (Attach Insurance Face sheet) Policy Number: Expiration Date: Facility Address City State ZIP Phone: ( ) Type of Privileges:
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Medicaid Number.Β Address: Phone: Designated Representative: Phone: Relationship: CONSUMER INFORMATION SHEET SeniorCare HHA, INC.
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Examples of Medicaid Number in a sentence

  • In most cases, this information is automatically provided by your computer software.(101-A1)Cardholder ID NumberThe Cardholder ID Number is the eight position alpha numeric Medicaid Number or the thirteen digit Access Number without the six digit ISO # prefix.

  • VOICE PROMPTACTION/INPUT TO BEGINDial 1-800-997-1111NEW YORK STATE MEDICAIDNoneIF ENTERING ALPHA/NUMERIC IDENTIFIER, ENTER NUMBER 1IF ENTERING NUMERIC IDENTIFIER, ENTER NUMBER 2Enter 1, If using converted Medicaid Number.

  • VeriFone Verification Using the Access Number or Medicaid Number (Rev.

  • ATM-STYLE FUNCTION KEYStarts a verification transaction through entry of the access number or Medicaid Number (CIN).

  • For example, the Pending Medicaid Number for Kanawha County is 80-0000000.20.

  • For auditing and federal reimbursement reasons, the MA ID number or the Pending Medicaid Number must be used for any medical information requested.

  • If you do not have a social security number, mark the box - β€œI Ido not have a Social Security Number”.PENALTIES FOR MISREPRESENTATION: I certify that all of the above information is true and correct and that the Food Stamp, TANF, SSI, or Medicaid Number of the enrolled participant is correct, or that all income is reported.

  • File is rejected if the license number is invalid, outdated, missing or wrong.4. Provider Medicaid Number.

  • The MN Status and Medicaid Number Validation Status fields in the SK-SAI substantive response file work together to communicate the status of the corresponding processes at TMHP.

  • Revised 07/2009 (originally in 2005 Consumer-Directed Employer Manual) DMAS-486Virginia Department of Medical Assistance Services Consumer-Directed Attendant Documentation Form (Personal/Respite/Companion Care)Consumer’s Name: Consumer Medicaid Number: Attendant’s Name: In the activity list in the left column, circle the service(s) that the attendant provides.


More Definitions of Medicaid Number

Medicaid Number.Β Medicare Number: NPI (Required): Malpractice/Professional Liability Insurance Company Name: (Attach Insurance Face sheet) Policy Number: Expiration Date: Facility Address City State ZIP Types of Privileges: 🞏 Consulting 🞏 Medical Associates 🞏 Active 🞏 Courtesy 🞏 Privs w/o Membership 🞏 Allied Health 🞏 Honorary 🞏 No Privileges 🞏 Clinical 🞏 Provisional/Temp 🞏 I authorize USA to consult with hospital administrators, members of medical staffs, malpractice carriers and other persons to obtain and verify my credentials and qualifications as a provider. I release USA and its employees and agents from any and all liability for their acts performed in good faith and without malice in obtaining and verifying such information and in evaluating my application. Applicant’s Signature: Date: Supervising Physician’s Signature: Date: Attn: Network Development, 0000 Xxx Xxxxx Xxxx, Xxxxx 000, Xxxxxx, Xxxxx 00000 Or by email: xxxxxxxxxxxxxxxxxxxxx@xxxxxx.xxx
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Medicaid Number.Β Address: City: State: Zip Code: County: Self Guardian: Legal Guardian: 1. 3. 2. 4. (Proof of Guardianship required if age 18+) Phone Number: (primary) Email: Primary Qualifying Diagnosis: Age at Diagnosis: Other Diagnoses: Allergies: Emergency Contacts: 🞎 African American or Black οΏ½οΏ½ Hispanic or Latino 🞎 Pacific Islander or Asian 🞎 American Indian or Alaska Native 🞎 White (non-Hispanic) 🞎 Multi-Racial 🞎 Other: 🞎 Intellectual/Developmental 🞎 Autism 🞎 Currently Residing in a Family Unit 🞎 Desire to continue in Family Home Name Birthdate Relationship to Applicant Employed? Disability (if applicable) 🞎 FT 🞎 PT 🞎 FT 🞎 PT 🞎 FT 🞎 PT 🞎 FT 🞎 PT οΏ½οΏ½ FT 🞎 PT 🞎 FT 🞎 PT Post Office Box 1040 ● Springfield, Georgia 31329 ● 000-000-0000 ● XX@xxxxxxxxx.xxx RESPONSIBLE PARTY INITIAL: Name of school applicant attends: Grade: 🞎 Self-Contained 🞎 Inclusion 🞎 General Education 🞎 Other
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Related to Medicaid Number

  • 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.

  • 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.

  • Medicaid Certification means certification by CMS or a state agency or entity under contract with CMS that health care operations are in compliance with all the conditions of participation set forth in the Medicaid Regulations.

  • Medicaid program means the Kansas program of medical

  • Medicare Levy Surcharge means an extra charge payable by high income earners beyond the standard Medicare Levy if they do not have qualifying private hospital insurance coverage. This charge is assessed as part of an individual or family’s annual tax return.

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

  • Medicare cost report means CMS-2552-10, the cost report for electronic filing of

  • 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.

  • Medicare Regulations means, collectively, (a) all Federal statues (whether set forth in Title XVIII of the Social Security Act or elsewhere) affecting the health insurance program for the aged and disabled established by Title XVIII of the Social Security Act and any statues succeeding thereto and (b) all applicable provisions of all rules, regulations, manuals and orders and administrative, reimbursement and other guidelines having the force of law of all Governmental Authorities (including CMS, the OIG, HHS or any person succeeding to the functions of any of the foregoing) promulgated pursuant to or in connection with any of the foregoing having the force of law, as each may be amended, supplemented or otherwise modified from time to time.

  • Uniform Network Code means the uniform network code as defined in Standard Special Condition A11(6) of National Grid’s transporters licence, as such code may be amended from time to time in accordance with the terms thereof.

  • TRICARE means, collectively, a program of medical benefits covering former and active members of the uniformed services and certain of their dependents, financed and administered by the United States Departments of Defense, Health and Human Services and Transportation, and all laws applicable to such programs.

  • Abortion-inducing drug means a drug, medicine, mixture, or preparation, when it is prescribed or administered with the intent to terminate the pregnancy of a woman known to be pregnant.

  • 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;

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

  • 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.

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

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

  • Health care system means any public or private entity whose function or purpose is the management of, processing of, enrollment of individuals for or payment for, in full or in part, health care services or health care data or health care information for its participants;

  • 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).

  • 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.

  • Adult foster care facility means an adult foster care facility licensed under the adult foster care facility licensing act, 1979 PA 218, MCL 400.701 to 400.737.

  • Health care organization ’ means any person or en-

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

  • Nursing home-type patients means a patient who has been in hospital more than 35 days, no longer requires acute hospital care, cannot live independently at home or be looked after at home, and either cannot be placed in a nursing home or a nursing home place is not available.

  • Child abuse means any conduct that falls under the purview and reporting requirements of N.J.S.A. 9:6-8.8 et seq. and is directed toward or against a child or student, regardless of the age of the child or student.

  • Health care facility or "facility" means hospices licensed