Medical Programs definition

Medical Programs means programs administered by the Department under the Public Aid Code, the Children’s Health Insurance Program Act (215 ILCS 106/1 et seq.) and the Covering All Kids Health Insurance Act (215 ILCS 170/1 et seq.).
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Medical Programs means programs administered by the Department under the Illinois Public Aid Code (305 ILCS 5/5 et seq.), the Children’s Health Insurance Program Act (215 ILCS 106/1 et seq.) and the Covering All Kids Health Insurance Act (215 ILCS 170/1 et seq.).
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Examples of Medical Programs in a sentence

  • Local Government operates an emergency ambulance service (Provider) thatis enrolled in the Medical Programs (as defined below) and provides Covered Ambulance Services (as defined below) to individuals eligible for benefits underthe Medical Programs (as defined below); however, the costs of providing the referenced services is not covered by the fee schedulepursuant to which the Department and its agents pay forsuch services.

  • ANAHEIM agrees to offer prepaid and/or insured health plans recommended by the Joint Committee on Medical Programs and approved by the City Council.

Related to Medical Programs

  • Medical provider means a medical service provider, a hospital, a medical clinic, or a vendor of medical services.

  • Medical professional means a person licensed to practice

  • MEDICAL PRESCRIPTION DRUGS are prescription drugs that require administration (or the FDA approved recommendation is for administration) by a licensed healthcare provider (other than a pharmacist). These medical prescription drugs include, but are not limited to, medications administered by infusion, injection, or inhalation, as well as nasal, topical or transdermal administered medications. Medical prescription drugs are covered as a medical benefit. MEDICALLY NECESSARY (MEDICAL NECESSITY) means that the healthcare services provided to treat your illness or injury, upon review by BCBSRI are: • appropriate and effective for the diagnosis, treatment, or care of the condition, disease, ailment or injury for which it is prescribed or performed; • appropriate with regard to generally accepted standards of medical practice within the medical community or scientific evidence; • not primarily for the convenience of the member, the member’s family or provider of such member; and • the most appropriate in terms of type, amount, frequency, setting, duration, supplies or level of service, which can safely be provided to the member (i.e. no less expensive professionally acceptable alternative, is available). We will make a determination whether a healthcare service is medically necessary. You have the right to appeal our determination or to take legal action as described in Section