Medicaid participant definition

Medicaid participant means an adult participant who receives assistance under Title XIX of the Social Security Act, the grant to states for medical assistance programs-medicaid.
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Medicaid participant means an adult participant who receives assistance under Title XIX of the
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Medicaid participant means a Person that has entered into a Medicaid Provider Agreement as identified on the Summary of Master Terms.
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Examples of Medicaid participant in a sentence

  • One CCR is calculated for each hospital participating in the Florida Medicaid program (including out-of-state providers with signed Medicaid participant agreements).

  • The following family members may not be reimbursed: the spouse of a Medicaid participant; a parent of a minor Medicaid participant; a step-parent of a minor Medicaid participant; a foster parent of a minor Medicaid participant; and, any other legally responsible guardian of a Medicaid participant.

  • The nonrefundable fee for a Mississippi Medicaid participant shall be$15.00.

  • A family member of an adult participant may not be paid for greater than 40-hours per week of services for any Medicaid participant at the service site unless otherwise approved by the DDA.

  • The provider may not bill the Medicaid participant for services not reimbursed by Medicaid solely because the authorization was not requested or obtained in a timely manner.

  • Medicaid participant enrollment into HC is required in the majority of counties statewide.

  • The non-Medicaid spouse can retain assets up to an asset threshold determined by the state within certain statutoryparameters.12 Prior to enactment of the ACA, spousal impoverishment rules applied only in situations where the Medicaid participant was receiving LTSS in an institution.

  • To represent emotion mixtures, an annotation scheme with the possibility to choose two verbal labels per segment was used by 2 expert annotators.

  • I have been informed that as a Medicaid participant, I have certain rights to file a grievance or appeal.

  • Crisis stabilization – Emergency Room This service array represents a relatively standard distribution of service utilization and costs for a Medicaid participant population with greater needs than non-disabled current Medi-Cal recipients, but lesser needs than the current Medi-Cal disabled population.

Related to Medicaid participant

  • Medicaid program means the medical assistance

  • FTR Participant means any Market Participant that provides or is required to provide Collateral in order to participate in PJM’s FTR auctions.

  • Participant has the meaning specified in Section 10.06(d).

  • Eligible Employee means full-time and part-time employees in the bargaining unit who have completed four hundred and fifty (450) hours of service and who are not prohibited from contributing to the Plan by legislation or the Plan rules because of their age or because they are in receipt of a pension from the Plan.

  • Participating employee means an employee whose election to participate in a Plan has been approved by the employer.

  • Disabled Participant with respect to a loan if it has no right to exercise any voting or other control rights with respect to such loan (other than the right to approve amendments to the material economic terms of such loan).

  • Non-Participating Orthotic Provider means an Orthotic Provider who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Active Participant means, with respect to any day or date, a Participant who is in Service on such day or date; provided, that a Participant shall cease to be an Active Participant (i) immediately upon a determination by the Committee that the Participant has ceased to be an Employee or Independent Contractor, or (ii) at the end of the Plan Year that the Committee determines the Participant no longer meets the eligibility requirements of the Plan.

  • Designated Participant means a key Employee of the Company or any other Participating Company who is designated by the Committee in writing to participate in the Program.

  • Qualified Participant means a Participant who has attained age 55 and who has completed at least 10 years of participation in the Plan.

  • Eligible Employees means each employee of the Company or an Affiliate.

  • Study Participant means a person recruited to participate in the Study.

  • Program participant means an individual certified by the secretary as a program participant under Iowa Code section 9E.3.

  • 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.

  • Medicare eligible expenses means expenses of the kinds covered by Medicare Parts A and B, to the extent recognized as reasonable and medically necessary by Medicare.

  • Current Participant means a person who participated in the Plan during the Class Period and had an Active Account on May 11, 2018.

  • Inactive Participant means each Participant (other than a Retired Participant, Deceased Participant or Disabled Participant) who is not in active service as an Outside Director and is not actively employed by a Participating Company.

  • 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.

  • 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.

  • Former Participant means a person who has been a Participant, but who has ceased to be a Participant for any reason.

  • Participating Orthotic Provider means an Orthotic Provider who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Retired Participant means a person who has been a Participant, but who has become entitled to retirement benefits under the Plan.

  • Other Participant means a cooperative project participant other than the United States.

  • Eligible employer means any municipality with a municipal

  • Plan Participant means a person who is eligible to receive, and is receiving, a pension benefit from the Plan.

  • Eligible Executive means an employee of the Company selected as being eligible to participate in this Plan under Section C.1.a.