Medicaid rate definition

Medicaid rate means the terms, conditions and amounts a health
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Medicaid rate means the terms, conditions and amounts a health care provider would be paid for health care services rendered pursuant to a contract or provider agreement with the secretary of health and environment.
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Medicaid rate means the amount payable by a state Medicaid program to an institutional pharmacy providing the particular product or service to a resident of the particular Kindred Facility at issue who is eligible to have the cost of such product or service reimbursed under such state Medicaid program. The Medicaid Rate includes all factors used to determine the amount payable under such Medicaid program, including dispensing fees, distinction by rural or urban location, and any federal upper limit or maximum allowable charge limitations.
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Examples of Medicaid rate in a sentence

  • Unless otherwise negotiated, the MCO must reimburse providers of family planning services at the Medicaid rate.

  • The Contractor shall reimburse out-of-network providers at one-hundred percent (100%) of the Medicaid rate unless other payment arrangements are made.

  • Before a Contractor may request supplemental payments for items not covered in the Medicaid rate, the Contractor must have a supplemental payment policy that has been given to all applicants for admittance and current residents.

  • The Finance Office will, at your request, tell you the current Medicaid rate.

  • The MCOP is not prohibited from contracting with an IMD to provide mental health services to members’ ages 21 through 64, but Medicaid will not compensate the MCOP for the provision of such services beyond 15 days per calendar month either through direct payment or considering any associated costs in Medicaid rate setting.

  • At no time will OHA pay higher than the Medicaid rate for adult residential treatment services.

  • The current Medicaid rate, net of the Safety Net Assessment Fee, for the Employer is listed below.

  • If Contractor does not have a published fee schedule for a Covered Service, the price on the sub- capitated service may not exceed one hundred ten percent (110%) of the Department’s Medicaid rate.

  • Since numerous historical examples exist of Washington's Government Representatives announcing scheduled Medicaid rate changes and then failing to implement such changes as specifically announced, the parties agree that any wages and/or benefit change agreement negotiated through the foregoing re-opener provision shall not be effective until Employer actually receives the rate change as specifically promised by the official and authoritative representative of Washington's Government.

  • Since numerous historical examples exist of Washington’s Government Representatives announcing scheduled Medicaid rate changes and then failing to implement such changes as specifically announced, the parties agree that any wages and/or benefit change agreement negotiated through the foregoing re-opener provision shall not be effective until Employer actually receives the rate change as specifically promised by the official and authoritative representative of Washington’s Government.


More Definitions of Medicaid rate

Medicaid rate. ’ means the terms, conditions and amounts a health care provider would be paid for health care services rendered pursuant to a contract or provider agreement with the Kansas health policy authority.
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Medicaid rate means the amount a health care
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Medicaid rate means the terms, conditions and amounts a health care provider would be paid for health care services rendered pursuant to a contract or provider
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Medicaid rate means the terms, conditions, and amounts a health care provider would be paid for a health care service rendered under a contract or provider agreement with the Department of Human Services.
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Related to Medicaid rate

  • 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.

  • 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.

  • Medicaid program means the Kansas program of medical

  • Medicaid Certification means certification by CMS or a state agency or entity under contract with CMS that health care operations are in compliance with all the conditions of participation set forth in the Medicaid Regulations.

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