Medicaid Product definition

Medicaid Product refers to those programs and health benefit arrangements offered by Health Plan or other Company pursuant to contract(s) with one or more state Medicaid agency(ies), or any successors thereto, to provide specified services and goods to covered beneficiaries under state Medicaid-funded program(s) and to meet certain performance standards while doing so (each a “State Contract”). The Medicaid Product does not apply to any Coverage Agreements that are specifically covered by another Product Attachment to the Agreement.
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Medicaid Product means a plan that provides and/or arranges coverage of Medicare and Medicaid services for Dual Eligible Beneficiaries contracted through CMS- approved D-SNP and a companion Medicaid plan offered by SDOH, including but not limited to Medicaid Advantage and Medicaid Advantage Plus.
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Medicaid Product refers collectively to those programs and health benefit arrangements offered by Health Plan or another Company (each such program or arrangement a “Medicaid Product Type”) that is administered, sponsored or regulated by the federal government (or any agency, department or division thereof), on its own or jointly with a State that administers or regulates such program or plan, and which for the purposes of Subcontractor may include one or more of the following: Managed Medical Assistance (“Medicaid”); a Child Welfare Specialty Plan (“Child Welfare Plan”); a Serious Mental Illness Specialty Plan (“SMI Plan”); the Children’s Medical Services Managed Care Plan (“CMS Plan”); Long Term Care (“Long Term Care”); HIV/AIDS Program (“HIV/AIDS Program”) and/or other Medicaid Product Types. The Medicaid Product includes those Coverage Agreements entered into, issued or agreed to by a Payor under which a Company furnishes administrative services or other services in support of the Medicaid Product or a Medicaid Product Type. The Medicaid Product does not apply to any Coverage Agreements that are specifically covered by another Product Attachment to the Agreement. This Attachment applies only to the provision of health care services, supplies or accommodations (including Covered Services) to Covered Persons enrolled in the Medicaid Product (including one or more Medicaid Product Types).
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Examples of Medicaid Product in a sentence

  • Except as modified or supplemented by this Attachment, the compensation hereunder for the provision of services with respect to the Medicaid Product is subject to all of the other provisions in the Agreement (including any documents incorporated therein) that affect or relate to compensation for the services.

  • Subcontractor must be eligible for participation in the Florida Medicaid program; however, Subcontractor is not required to participate in the Florida Medicaid Product as a provider.

  • This Attachment addresses the participation of Subcontractor in the Florida Medicaid Product (the “Medicaid Product”).

  • The Medicaid Product does not apply to any Coverage Agreements that are specifically covered by another Product Attachment to the Agreement.

  • In the event of a conflict between the provisions of the Agreement and the provisions of this Attachment, this Attachment will govern with respect to the services, supplies or accommodations (including Covered Services) rendered to Health Plan with respect to the Medicaid Product or Covered Persons enrolled in the Medicaid Product.

  • This Attachment applies only to the provision of health care services, supplies or accommodations (including Covered Services) to Covered Persons enrolled in the Medicaid Product (including one or more Medicaid Product Types).

  • The Medicaid Product includes those Coverage Agreements entered into, issued or agreed to by a Payor under which a Company furnishes administrative services or other services in support of the Medicaid Product or a Medicaid Product Type.

  • The Medicaid Product includes those programs and health benefit arrangements offered by Health Plan pursuant to a contract (the “State Contract”) with the State of Florida Agency for Health Care Administration (“AHCA”), or any successor thereto, to provide specified services and goods to covered beneficiaries, and to meet certain performance standards while doing so.

  • SUBCONTRACTOR PRODUCT ATTACHMENT SCHEDULE A STATE CONTRACT REQUIREMENTS This Schedule sets forth the special provisions that are specific to the Florida Medicaid Product under the State Contract.

  • This Attachment addresses the participation of Subcontractor in the following Product: Medicaid Product (which is sometimes referred to in this Attachment as this “Product”).


More Definitions of Medicaid Product

Medicaid Product refers to those programs and health benefit arrangements offered by Carolina Complete or other Company pursuant to a State Contract. The Medicaid Product does not apply to any Coverage Agreements that are specifically covered by another Product Attachment to the Agreement.
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Related to Medicaid Product

  • Medicaid program means the Kansas program of medical

  • Medicaid means that means-tested entitlement program under Title XIX of the Social Security Act, which provides federal grants to states for medical assistance based on specific eligibility criteria, as set forth at Section 1396, et seq. of Title 42 of the United States Code, as amended, and any statute succeeding thereto.

  • 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.

  • Marijuana product means marijuana as defined in 50-32-101 and marijuana-infused products

  • Pre-Licensed Therapist means an individual who has obtained a Master’s Degree in Social Work or Marriage and Family Therapy and is registered with the BBS as an Associate CSW or MFT Intern acquiring hours for licensing. An individual’s registration is subject to regulations adopted by the BBS.

  • medicinal product means any substance or combination of substances presented for treating or preventing disease in human beings or animals and any substance or combination of substances which may be administered to human beings or animals with a view to making a medical diagnosis or to restoring, correcting or modifying physiological functions in humans or in animals;

  • Licensed mental health professional or "LMHP" means a physician, licensed clinical psychologist, licensed professional counselor, licensed clinical social worker, licensed substance abuse treatment practitioner, licensed marriage and family therapist, certified psychiatric clinical nurse specialist, licensed behavior analyst, or licensed psychiatric/mental health nurse practitioner.

  • 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.

  • Marijuana products means concentrated marijuana products and marijuana products that are comprised of marijuana and other ingredients and are intended for use or consumption, such as, but not limited to, edible products, ointments, and tinctures.

  • Tobacco product means any substance containing tobacco leaf, including but not limited to, cigarettes, cigars, pipe tobacco, hookah tobacco, snuff, chewing tobacco, dipping tobacco, bidis, blunts, clove cigarettes, or any other preparation of tobacco; and any product or formulation of matter containing biologically active amounts of nicotine that is manufactured, sold, offered for sale, or otherwise distributed with the expectation that the product or matter will be introduced into the human body by inhalation; but does not include any cessation product specifically approved by the U.S. Food and Drug Administration for use in treating nicotine or tobacco dependence.

  • Patients means both Public Patients and the Private Patients (referred by private doctors/private hospitals);

  • FDA means the United States Food and Drug Administration or any successor agency thereto.

  • Product means any deliverable under the Contract, which may include commodities, services, technology or software.

  • Licensed health care practitioner means a physician, as defined in Section 1861(r)(1) of the Social Security Act, a registered professional nurse, licensed social worker or other individual who meets requirements prescribed by the Secretary of the Treasury.

  • Therapeutic interchange means an authorized exchange of therapeutic alternate drug products in accordance with a previously established and approved written protocol.

  • Licensed Product means any method, process, composition, product, service, or component part thereof that would, but for the granting of the rights set forth in this Agreement, infringe a Valid Claim contained in the Licensed Patents.

  • Diagnostic Product means an assemblage of reagents, including but not limited to reagents packaged in the form of a kit, useful in performing a Licensed Service.

  • Tobacco products means cigars, cigarettes, cheroots, stogies, periques, granulated, plug cut, crimp cut, ready rubbed, and other smoking tobacco, snuff, snuff flour, moist snuff, cavendish, ping and twist tobacco, fine-cut and other chewing tobaccos, shorts, refuse scraps, clippings, cuttings and sweepings of tobacco, and other kinds and forms of tobacco, prepared in such manner as to be suitable for chewing or smoking in a pipe or otherwise, or both for chewing and smoking.

  • Agricultural product means the products listed in Annex I to the Treaty, except fishery and aquaculture products listed in Annex I to Regulation (EU) No 1379/2013 of the European Parliament and of the Council of 11 December 2013;