Medicaid Supplemental Payment Programs definition

Medicaid Supplemental Payment Programs means any Medicaid programs in any state under which a Loan Party is eligible to receive certain incentive payments, settlements or funding pursuant to the specific terms and conditions under such Medicaid programs, including (a) any state Medicaid programs that allow the payment of disproportionate share hospital (“DSH”) payments to qualifying hospitals that serve specific number of Medicaid-covered and uninsured individuals in order to cover such hospitals uncompensated care costs and expenses, (b) any state Medicaid programs that provide for supplemental payments to support hospitals which operate approved medical residency training programs, (c) any state Medicaid programs that waive any requirement that an individual receiving long-term care must live in an institution, nursing home or hospital to be covered by Medicaid, (d) any state Medicaid programs that allow participating hospitals to draw down federal matching funds, (e) any state Medicaid programs that support the funding under the delivery system reform incentive plan (“DSRIP”) initiatives, which programs provide specific milestones and metrics required to be met by the healthcare providers receiving such funding and (f) any other programs initiated and implemented by any state Governmental Authority to provide or allow for similar incentive payments, settlements or funding as established from time to time, in each case, acceptable to the Administrative Agent and the Requisite Lenders in their Permitted Discretion (it being understood and agreed that such acceptance shall not be unreasonably withheld, conditioned or delayed).
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Medicaid Supplemental Payment Programs means any Medicaid programs in any state under which a Loan Party is eligible to receive certain incentive payments, settlements or funding pursuant to the specific terms and conditions under such Medicaid programs, including (a) any state Medicaid programs that allow the payment of disproportionate share hospital (“DSH”) payments to qualifying hospitals that serve specific number of Medicaid-covered and uninsured individuals in order to cover such hospitals uncompensated care costs and expenses, (b) any state Medicaid programs that provide for supplemental payments to support hospitals which operate approved medical residency training programs, (c) any state Medicaid programs that waive any requirement that an individual receiving long-term care must live in an institution, nursing home or hospital to be covered by Medicaid, (d) any state Medicaid programs that allow participating hospitals to draw down federal matching funds, (e) any state Medicaid programs that support the AMENDED AND RESTATED CREDIT AGREEMENT XXXXX HEALTHCARE CORPORATION funding under the delivery system reform incentive plan (“DSRIP”) initiatives, which programs provide specific milestones and metrics required to be met by the healthcare providers receiving such funding and (f) any other programs initiated and implemented by any state Governmental Authority to provide or allow for similar incentive payments, settlements or funding as established from time to time, in each case, acceptable to the Administrative Agent and the Requisite Lenders in their Permitted Discretion (it being understood and agreed that such acceptance shall not be unreasonably withheld, conditioned or delayed).
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Examples of Medicaid Supplemental Payment Programs in a sentence

  • Our Same Facility basis results reflected on the tables below also exclude from net revenues and other operating expenses, provider tax assessments incurred in each period as discussed below Sources of Revenue-Various State Medicaid Supplemental Payment Programs.

  • Changes to Medicaid Supplemental Payment Programs May Adversely Affect The Debtors’ Revenues, Results of Operations and Cash Flows.

Related to Medicaid Supplemental Payment 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:

  • 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.

  • Medicaid program means the medical assistance

  • 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.

  • Supplemental Payment means any payments or transfers of things of value made to the District or to any person or persons in any form if such payment or transfer of thing of value being provided is in recognition of, anticipation of, or consideration for the Agreement and that is not authorized pursuant to Sections 313.027(f)(1) or (2) of the TEXAS TAX CODE, and specifically includes any payments required pursuant to Article VI of this Agreement.

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

  • Hospital purchaser/provider agreement (HPPA agreement) means a negotiated agreement entered between the fund and the hospital for the cost of hospital treatment.

  • Premium payment plan means a benefit plan whereby state and

  • 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.

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • 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.

  • Medicare supplement policy means a group or individual policy of [accident and sickness] insurance or a subscriber contract [of hospital and medical service associations or health maintenance organizations], other than a policy issued pursuant to a contract under Section 1876 of the federal Social Security Act (42 U.S.C. Section 1395 et. seq.) or an issued policy under a demonstration project specified in 42 U.S.C. § 1395ss(g)(1), which is advertised, marketed or designed primarily as a supplement to reimbursements under Medicare for the hospital, medical or surgical expenses of persons eligible for Medicare. “Medicare supplement policy” does not include Medicare Advantage plans established under Medicare Part C, Outpatient Prescription Drug plans established under Medicare Part D, or any Health Care Prepayment Plan (HCPP) that provides benefits pursuant to an agreement under §1833(a)(1)(A) of the Social Security Act.

  • Payment Plan means the schedule of payment prescribed in Schedule C;

  • Automatic Investment Plan means a program in which regular periodic purchases (or withdrawals) are made automatically in (or from) investment accounts in accordance with a predetermined schedule and allocation. An Automatic Investment Plan includes a dividend reinvestment plan.

  • Participating Retail Health Clinic means a Retail Health Clinic which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

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

  • Health care facility or "facility" means hospices licensed

  • Additional gap medical benefits means the benefits (if any) payable in respect of medical expenses that are more than the schedule fee and which otherwise meet the requirements of the fund’s no or known gap policy, provided always that the medical expenses relate to a professional service that:

  • Non-Participating Retail Health Clinic means a Retail Health Clinic which does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Medicaid Certification means a certification by a state agency or other entity responsible for certifying Medicaid providers and suppliers that a health care provider or supplier is in compliance with all the conditions of participation set forth in the Medicaid Regulations.

  • Country Supplement means a supplement to this Prospectus specifying certain information pertaining to the offer of Shares of the Company or a Fund or Class in a particular jurisdiction or jurisdictions.

  • Collaborative pharmacy practice agreement means a written and signed

  • Participating Prescription Drug Provider means an independent retail Pharmacy, chain of retail Pharmacies, mail-order Pharmacy or specialty drug Pharmacy which has entered into an agreement to provide pharmaceutical services to participants in the benefit program. A retail Participating Pharmacy may or may not be a select Participating Pharmacy as that term is used in the Vaccinations Obtained Through Participating Pharmacies section.

  • Seller 401(k) Plan has the meaning set forth in Section 5.5(e).

  • Retirement system means a retirement plan or system that is established by or pursuant to title 38.