Medicaid Rebates definition

Medicaid Rebates means all state and federal Medicaid rebates and reimbursements related to the Products.
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Medicaid Rebates means rebates to which Seller or its subsidiaries are subject on sales of Products made under federal or state Medicaid program pricing programs and rebate pricing programs and that are actually paid to third parties based on contractual agreements or legal requirements with Medicaid benefit providers after the final dispensing of the product by a pharmacy to a benefit plan participant.
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Medicaid Rebates means rebates to which Seller or its subsidiaries are subject on sales of Products made under federal or state Medicaid program pricing programs and rebate pricing programs and that are actually paid to third parties based on contractual agreements or legal requirements with Medicaid benefit providers after the final dispensing of the product by a pharmacy to a benefit plan participant. “Nasdaq” means the Nasdaq Capital Market.
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Examples of Medicaid Rebates in a sentence

  • Medicaid Rebates: Our products are subject to state government-managed Medicaid programs, whereby rebates are issued to participating state governments.

  • HHS Office of Inspector General, “ Medicaid Rebates for Brand-name Drugs Exceeded Part D Rebates by a Substantial Margin,” April 2015.

  • Site 1 Site 2Site 3Site 4Low Quality Medium Quality High Quality Figure 12.

  • States' Collection of Medicaid Rebates for Physician-Administered Drugs.

  • Medicaid Rebates for Brand-Name Drugs Exceeded Part D Rebates by a Substantial Margin (April 2015), https://oig.hhs.gov/oei/reports/oei-03-13- 00650.pdf.

  • Office of Inspector General, HHS, States’ Collection of Offset and Supplemental Medicaid Rebates (HHS OIG, December 2014), https://oig.hhs.gov/oei/reports/oei-03-12-00520.pdf.

  • Medicaid Rebates for Brand-Name Drugs Exceeded Part D Rebates by a Substantial Margin,” April 2015, at http://oig.hhs.gov/oei/reports/oei-03-13-00650.pdf; and Government Accountability Office, “Comparison of DOD, Medicaid, and Part D Retail Reimbursement Prices,” June 2014, at http://www.gao.gov/assets/670/664521.pdf.

  • Office of the Inspector General, U.S. Department of Health and Human Services, Medicaid Rebates for Brand- name Drugs Exceeded Part D Rebates by a Substantial Margin, OEI-03-13-00650 (HHS OIG, April 2015), https://oig.hhs.gov/oei/reports/oei-03-13-00650.pdf.

  • TaylorFROM: Associate Chief Counsel (Income Tax & Accounting) CC:ITASUBJECT: Exclusion of Medicaid Rebates from Gross IncomeThis Field Service Advice responds to your request of June 22, 2000.

  • Pursuant to the Medicaid Rebates Program, the Debtors entered into a national rebate agreement with the Secretary of Health and Human Services in exchange for Medicaid coverage of the Products.


More Definitions of Medicaid Rebates

Medicaid Rebates means all state and federal Medicaid rebates and reimbursements related to Doral. “NDC Number” shall mean the national drug code number associated with Doral.
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Medicaid Rebates means all state and federal Medicaid rebates and reimbursements related to Migranal and DHE.
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Medicaid Rebates has the meaning set forth in Section 6.16(b).
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Medicaid Rebates shall have the meaning set forth in Section 2.3(a)(ii).
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Medicaid Rebates means all liabilities and obligations arising from all rebates to state Medicaid and other state and governmental programs (collectively, the "Medicaid Groups") relating the PRENATE Products, excluding PRENATE Products having Purchaser's NDC number. Medicaid Rebates shall be deemed to have occurred in the calendar quarter in which the pharmacy or other applicable entity is reimbursed by Medicaid or other applicable entity. Seller shall continue to pay Medicaid Rebates directly to the entities entitled to such payments. Purchaser shall reimburse Seller for a portion of Medicaid Rebates occurring in the first quarter of 2002 (the "Rebate Credit Amount") as follows. The Rebate Credit Amount shall mean an amount equal to the product of (i) the Medicaid Rebates occurring in the [***], and (ii) a fraction, the numerator of which is the number of days that elapsed in the [***] after the Closing Date and the denominator of which is the number of days in the [***]. Purchaser shall reimburse Seller for any Medicaid Rebates arising after the [***] which were paid by Seller. Purchaser shall pay to Seller the Rebate Credit Amount and such other reimbursement as required hereunder within thirty (30) days of receipt of an invoice and adequate supporting documentation from Seller regarding the same.
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Medicaid Rebates means all state and federal Medicaid rebates and reimbursements related to Doral.
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Related to Medicaid Rebates

  • Medicaid means the medical assistance programs administered by state agencies and approved by CMS pursuant to the terms of Title XIX of the Social Security Act, codified at 42 U.S.C. 1396 et seq.

  • 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 medical assistance

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

  • 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.

  • Medicare Levy Surcharge means an extra charge payable by high income earners beyond the standard Medicare Levy if they do not have qualifying private hospital insurance coverage. This charge is assessed as part of an individual or family’s annual tax return.

  • Medicare cost report means CMS-2552-10, the cost report for electronic filing of

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

  • Medicare Advantage The Medicare managed care options that are authorized under Title XVIII as specified at Part C and 42 C.F.R. § 422.

  • Medicaid Provider Agreement means an agreement entered into between a state agency or other entity administering the Medicaid program and a health care operation under which the health care operation agrees to provide services for Medicaid patients in accordance with the terms of the agreement and Medicaid Regulations.

  • Medicare benefit means the Medicare benefit payable within the meaning of Part II of the Health Insurance Act 1973 with respect to a professional service.

  • Medicare Regulations means, collectively, all Federal statutes (whether set forth in Title XVIII of the Social Security Act or elsewhere) affecting the health insurance program for the aged and disabled established by Title XVIII of the Social Security Act and any statutes succeeding thereto, together with all applicable provisions of all rules, regulations, manuals and orders and administrative, reimbursement and other guidelines having the force of law of all Governmental Authorities (including Health and Human Services (“HHS”), CMS, the Office of the Inspector General for HHS, or any Person succeeding to the functions of any of the foregoing) promulgated pursuant to or in connection with any of the foregoing having the force of law, as each may be amended, supplemented or otherwise modified from time to time.

  • Health care worker means a person other than a health care professional who provides medical, dental, or other health-related care or treatment under the direction of a health care professional with the authority to direct that individual's activities, including medical technicians, medical assistants, dental assistants, orderlies, aides, and individuals acting in similar capacities.

  • Medicare Provider Agreement means an agreement entered into between CMS (or other such entity administering the Medicare program on behalf of the CMS) and a health care provider or supplier, under which such health care provider or supplier agrees to provide services for Medicare patients in accordance with the terms of the agreement and Medicare Regulations.

  • 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.

  • Medicare Advantage plan means a plan of coverage for health benefits under Medicare Part C as defined in 42 U.S.C. 1395w-28(b)(1), and includes:

  • Acute care hospital means a Hospital that provides Acute Care Services. Adjudicate means to deny or pay a Clean Claim. Administrative Services see MCO Administrative Services. Administrative Services Contractor see HHSC Administrative Services Contractor.

  • Medicare eligible expenses means expenses of the kinds covered by Medicare Parts A and B, to the extent recognized as reasonable and medically necessary by Medicare.

  • Rebates means rebates, price reductions, administrative fees and related adjustments charged by federal, state and local governmental programs and their participants, and by health plans, insurance companies, mail service pharmacies and health care providers based upon the utilization and sales of the Products, and service, administrative and inventory management fees due to wholesalers, distributors and group purchasing organizations based on sales of the Products.

  • Health care coverage means any plan providing hospital, medical or surgical care coverage for

  • Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

  • Health care facility or "facility" means hospices licensed

  • Health care system means any public or private entity whose function or purpose is the management of, processing of, enrollment of individuals for or payment for, in full or in part, health care services or health care data or health care information for its participants;

  • Health Care Operations shall have the meaning given to such term under the HIPAA 2 Privacy Rule in 45 CFR § 164.501.

  • Health care facilities means buildings, structures, or equipment suitable and intended for, or incidental or ancillary to, use in providing health services, including, but not limited to, hospitals; hospital long-term care units; infirmaries; sanatoria; nursing homes; medical care facilities; outpatient clinics; ambulatory care facilities; surgical and diagnostic facilities; hospices; clinical laboratories; shared service facilities; laundries; meeting rooms; classrooms and other educational facilities; students', nurses', interns', or physicians' residences; administration buildings; facilities for use as or by health maintenance organizations; facilities for ambulance operations, advanced mobile emergency care services, and limited advanced mobile emergency care services; research facilities; facilities for the care of dependent children; maintenance, storage, and utility facilities; parking lots and structures; garages; office facilities not less than 80% of the net leasable space of which is intended for lease to or other use by direct providers of health care; facilities for the temporary lodging of outpatients or families of patients; residential facilities for use by the aged or disabled; and all necessary, useful, or related equipment, furnishings, and appurtenances and all lands necessary or convenient as sites for the health care facilities described in this subdivision.

  • Routine patient care costs means Covered Medical Expenses which are typically provided absent a clinical trial and not otherwise excluded under the Policy. Routine patient care costs do not include: