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

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

  • 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.

  • 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.

  • The contractor will submit 834 enrollment transactions for the Medicaid Pending individuals to the Medicaid fiscal agent one week prior to the monthly submission date.

  • Individuals will be offered the option to receive services under the Medicaid Pending initiative.

  • The Contractor may only seek reimbursement from the individual for documented services, claims, co-payments and deductibles paid on behalf of the Medicaid Pending individual for services rendered to the individual.

  • Printed Name Signature Date Printed Name Signature Date ❑ 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.

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

  • Cancellation refers to the process of voiding a referral to a Contractor prior to the effective enrollment date or the first date of services for a Medicaid Pending referral.

  • For months of service during which the enrollee was designated Medicaid Pending, the 12 months will begin on the first day of the month following the month in which the enrollee’s Medicaid eligibility was determined.


More Definitions of Medicaid Pending

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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Medicaid Pending means accounts which are still pending approval of coverage from Medicaid.
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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.

  • 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.

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