MMC Enrollee definition

MMC Enrollee means an MMC Eligible Person who either personally or through an authorized representative, has enrolled in, or has been auto-assigned to, the Contractor’s MMC product.
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MMC Enrollee means an MMC Eligible Person who either personally or through an authorized representative, has enrolled in, or has been auto-assigned to, the Contractor's MMC product.
Sample 1Sample 2
MMC Enrollee means an MMC Eligible Person who either personally or through an authorized representative, has enrolled in, or has been auto-assigned to, the
Sample 1

Examples of MMC Enrollee in a sentence

  • The cost of such coverage shall be determined by SDOH.b) Under NYS stop-loss coverage, if the hospital inpatient expenses incurred by the Contractor for an individual MMC Enrollee during any calendar year reaches $100,000, the Contractor shall be compensated for eighty percent (80%) of the cost of hospital inpatient services in excess of this amount up to a maximum of $250,000.

  • For MMC Enrollees, the Contractor, NYSoH and the LDSS are responsible for notifying the MMC Enrollee of the expected Effective Date of Enrollment.

  • Within ten (10) days of a request of an MMC Enrollee or a former MMC Enrollee, currently receiving public assistance or who is applying for public assistance, the MMC Enrollee’s or former MMC Enrollee’s PCP or specialist provider, as appropriate, shall provide medical documentation concerning the MMC Enrollee or former MMC Enrollee’s health or mental health status to the LDSS or to the LDSS’ designee.

  • The Upper Denkyira East Municipality is one of the seventeen (17) Districts in the Central Region of Ghana.

  • In addition the Contractor is responsible for coverage of HIV testing provided to an MMC Enrollee during an STD related visit at a public health clinic, directly operated by a LPHA; such services will be covered by the Contractor.

  • The existing ACB staff services were maintained and temporary employees recruited to support the delivery of program components.

  • MMC Enrollee co-payment requirements pursuant to Section 367 of the Social Services Law are applicable to prescription and over-the-counter drugs only.

  • Provider visits to make health, mental health and substance abuse assessments for the purpose of making recommendations regarding a recipient’s ability to perform work when requested by a LDSS: within ten (10) days of request by an MMC Enrollee, in accordance with Section 10.7 of this Agreement.

Related to MMC Enrollee

  • Enrollee means any person entitled to health care services from a carrier.

  • Potential Enrollee means a Medical Assistance Recipient who may voluntarily elect to enroll in a given managed care program, but is not yet an Enrollee of an MCO.

  • Newborn means a baby less than nine days old.

  • HMO means any health maintenance organization, managed care organization, any Person doing business as a health maintenance organization or managed care organization, or any Person required to qualify or be licensed as a health maintenance organization or managed care organization under applicable federal or state law (including, without limitation, HMO Regulations).

  • Managed care plan means a health benefit plan that either requires a covered person to use, or

  • Health plan or "health benefit plan" means any policy,

  • child care element of working tax credit means the element of working tax credit prescribed under section 12 of the Tax Credits Act 2002 (child care element).

  • Late enrollee means an eligible employee or dependent who

  • 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.

  • Adolescent means a Medicaid patient 17 years or younger.

  • MHSA means the law that provides funding for expanded community Mental Health 22 Services. It is also known as “Proposition 63.”

  • HIV means human immunodeficiency virus.

  • MCO means an organization having a certificate of authority or certificate of registration from the 11 Washington State Office of Insurance Commissioner that contracts with HCA under a comprehensive 12 risk contract to provide prepaid health care services to eligible HCA Enrollees under HCA managed 13 care programs.

  • Health practitioner means a registered health practitioner registered or licensed as a health practitioner under an appropriate law of the State of Tasmania.

  • Transplant hospital means a hospital that furnishes organ transplants and other medical and surgical specialty services required for the care of transplant patients.

  • CMS means the Centers for Medicare and Medicaid Services.

  • Behavioral health provider means a person licensed under 34 chapter 18.57, 18.57A, 18.71, 18.71A, 18.83, 18.205, 18.225, or 18.79

  • AHCCCS means the Arizona Health Care Cost Containment System.

  • Hospice patient s family" means a hospice patient's immediate family members, including a spouse, brother, sister, child, or parent, and any other relative or individual who has significant personal ties to the patient and who is designated as a member of the patient's family by mutual agreement of the patient, the relative or individual, and the patient's interdisciplinary team.

  • 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.

  • Licensed clinical social worker means an individual who meets the licensed clinical social worker requirements established in KRS 335.100.