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 a Person that has entered into a Medicaid Provider Agreement as identified on the Summary of Master Terms.
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Medicaid participant means an adult participant who receives assistance under Title XIX of the
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Examples of Medicaid participant in a sentence

  • 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.

  • See the Participant Financial Responsibility section for more information;• To not bill a Medicaid participant unless the item or service is non-covered or excluded by Medicaid, and the provider complies with the Participant Financial Responsibility section.

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

  • Additionally, a service is only billable for one Medicaid participant at a time.

  • To maintain the confidentiality of all records or other information relating to each participant’s status as a Medicaid participant and services the participant receives from the Provider.

  • A medical decision made by a competent medical professional that the Medicaid participant no longer needs nursing home care because the participant's condition has improved, or the discharge is not medically contraindicated.

  • The EPSDT obligation is broad, requiring West Virginia as a Medicaid participant to provide comprehensive health care services, including in-home and community-based mental health treatment.

  • We manage accounts for both pooled investment funds and segregated client accounts (collectively referred to as “Accounts” or individually as an “Account”).

  • Services are not available for other household participants living with the Medicaid participant.

  • Fain has been enrolled as a Medicaid participant for most of his adult life.

Related to Medicaid participant

  • Covered Participant means a Participant who is a “covered employee” as defined in Section 162(m)(3) of the Code, and the regulations promulgated thereunder, and any individual the Committee determines should be treated as such a covered employee.

  • 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).

  • 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 such employees or officers of the Company or a related entity of the Company as the Board may designate from time to time as eligible to participate in the Plan;

  • Qualified Participant means an individual who is a participant of Tier 2 and who meets 1 of the following requirements:

  • 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.

  • Major Participant means each Equity Member and each member of the Proposer’s organization: (a) with primary responsibility for design; (b) with primary responsibility for construction; or (c) with a proposed subcontract with a value greater than or equal to 5% of the contract price or $20 million, whichever is greater.

  • Employee Participant means an Employee who holds an outstanding Award under the terms of the Plan.

  • 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.

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

  • 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 an employer that:

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

  • Key participant means a sole proprietor, a partner in partnership, or a person with executive managerial control in a corporation. A person with executive managerial control includes persons such as a chief executive officer, chief operating officer and chief financial officer. This definition does not include non-executive managers such as farm, field, or shift managers.

  • Tipped employee means any employee engaged in an occupation in which s/he customarily and regularly receives more than $30 per month in tips. Tips include amounts designated as a tip by credit card customers on their charge slips. Nothing in this rule prevents an employer from requiring employees to share or allocate such tips or gratuities on a pre-established basis among other employees who customarily and regularly receive tips. Employer-required sharing of tips with employees who do not customarily and regularly receive tips, such as management or food preparers, or deduction of credit card processing fees from tipped employees, shall nullify allowable tip credits towards the minimum wage.

  • Eligible Executive means any employee of the Company or an Affiliate of the Company who (i) is designated by the Committee as an “Eligible Executive” who is eligible to participate in the Plan; (ii) has executed and returned a Participation Agreement to the Company; (iii) is not covered under any other severance plan, policy, program or arrangement sponsored or maintained by the Company or any of its Affiliates; and (iv) is not a party to an employment or severance agreement with the Company or any of its Affiliates pursuant to which such employee is eligible for severance payments or benefits. The Committee shall have the sole discretion to determine whether an employee is an Eligible Executive. Eligible Executives shall be limited to a select group of management or highly compensated employees within the meaning of Sections 201, 301 and 401 of ERISA.

  • Service employee, means any person engaged in the performance of this contract other than any person employed in a bona fide executive, administrative, or professional capacity, as these terms are defined in Part 541 of Title 29, Code of Federal Regulations, as revised. It includes all such persons regardless of any contractual relationship that may be alleged to exist between a Contractor or subcontractor and such persons.

  • State employee means state employee as defined in § 51.1-124.3, employee as defined in