Medicaid Pending definition

Medicaid Pending means an amount that will be billed to Medicaid for services rendered to patients that are expected to qualify for such state Medicaid program, but which patients are at the time in question in the process of completing the necessary paperwork and have not yet been officially accepted by such state as eligible Medicaid patients.
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Medicaid Pending. A process in which individuals who apply for the Statewide Medicaid Managed Long-Term Care Program for HCBS and who meet medical eligibility choose to receive services before being determined financially eligible for Medicaid by DCF.
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Medicaid Pending means that an application for Medicaid payment on behalf of a patient has not yet been approved by Medicaid.
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Examples of Medicaid Pending in a sentence

  • INSTRUCTIONS: This report must include all enrollees currently enrolled in the Managed Care Plan, including all Medicaid Pending and SIXT enrollees, and the facility in which they are currently residing, if applicable.

  • INSTRUCTIONS: This report must include all enrollees currently enrolled in the Managed Care Plan, including all Medicaid Pending and SIXT enrollees, and the facility in which they are residing at the end of the reporting month, if applicable.

  • Due to small range of item difficulty and large range of person ability, misfit cannot be precisely located on the items.

  • For residents with Medicaid or Medicaid Pending Status, Facility will send invoice to Colorado Palliative & Hospice Care of Colorado Springs and Colorado Palliative & Hospice Care of Colorado Springs will bill Medicaid.

  • For residents with Medicaid or Medicaid Pending Status, Facility will send invoice to Colorado Palliative & Hospice Care and Colorado Palliative & Hospice Care will bill Medicaid.

  • General Administration Other (specify): 5180-5079-0-0Bad Debt - Resident102,3565180-5079-1-0Bad Debt - Resident - Recovery-5180-5080-0-0Bad Debt - Resident Prior Period-5180-5081-0-0Bad Debt - Medicaid Pending Denial52,5265180-5081-1-0Bad Debt - Medicaid Pending - Recovery-5180-5082-0-0Bad Debt - Medicaid Denial Prior Period-5180-5083-0-0Bad Debt - Medicaid MCO13,653PG3-14.5168,535 D.

  • The process for individuals who are Medicaid Pending is currently on hold and a policy for that process will be issued at a later date.

  • Cancellations do not include withdrawals once an individual is referred as Medicaid Pending and has received services.

  • An applicant is adjunctively income eligible for WIC if documentation shows that the individual or an immediate household member is certified as fully eligible to receive benefits from: - Supplemental Nutrition Assistance Program (SNAP/Food Stamps)- Temporary Assistance for Needy Families (TANF) program- Medicaid (Pending adjunctive eligibility)o DC Medicaid Programs exist which apply higher income eligibility guidelines than allowed by WIC.

  • Printed Name Printed Name Signature Signature Date Date Type of Service: ❑ Respite beginning on and ending on ❑ Resident ❑ Resident will be Private Pay ❑ Resident has Medicaid ❑ Resident is Medicaid Pending *Facility will send invoice to Colorado Palliative & Hospice Care at end of stay and bill patient if applicable.


More Definitions of Medicaid Pending

Medicaid Pending means accounts which are still pending approval of coverage from Medicaid.
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Medicaid Pending means accounts which are still pending approval of coverage from Medicaid. “Medical Executive Committee” means the Eligible Recipient committee responsible for conveying accurately the views of the medical staff on all issues, including those issues relating to quality and safety. “Metropolitan Region” means, collectively, a substantially populated urban core and its surrounding towns, cities, territories, and other areas generally considered to share infrastructure, industry, or housing with such urban core. For illustrative purposes only, Southfield, Michigan and Dearborn, Michigan shall be considered to be within the same Metropolitan Region (i.e., the Detroit Metropolitan Region). “Middle” means those Dependent Services that are referred to as “Middle” in Exhibit 2-A. “Military Leave” has the meaning given in Exhibit 13, Section 1.1. “National Employee” has the meaning given in Exhibit 4-A, Section 8.1(i).
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Related to Medicaid Pending

  • Medicaid program means the Kansas program of medical

  • 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.

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

  • Centers for Medicare and Medicaid Services or “CMS” means the federal office under the Secretary of the United States Department of Health and Human Services, responsible for the Medicare and Medicaid programs.

  • Health care facility or "facility" means hospices licensed

  • 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.

  • HMO means any health maintenance organization, managed care organization, any Person doing business as a health maintenance organization or managed care organization, or any Person required to qualify or be licensed as a health maintenance organization or managed care organization under applicable federal or state law (including, without limitation, HMO Regulations).