MSN Enrollee definition

MSN Enrollee or “Enrollee” means a person, enrolled in the MSN Program, meeting the 12 eligibility criteria set by ADMINISTRATOR in order to meet its obligations under W&I 17000.
Sample 1Sample 2Sample 3

Examples of MSN Enrollee in a sentence

  • If CONTRACTOR has a MSN Enrollee, who is Medically Stable as defined under 30 EMTALA, that requires Special Permit Medical Services, CONTRACTOR shall contact the CCU to 31 request the transfer of said MSN Enrollee to, at the discretion of ADMINISTRATOR, a Contracting 32 Hospital or other facility capable of providing said services.

Related to MSN Enrollee

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

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

  • Late enrollee means an eligible employee or dependent who

  • Family child care provider means a person who: (a) Provides

  • Primary Care Provider (PCP) means a health care professional who is contracted with BCBSAZ as a PCP and generally specializes in or focuses on the following practice areas: internal medicine, family practice, general practice, pediatrics or any other classification of provider approved as a PCP by BCBSAZ. Your benefit plan does not require you to have a PCP or to have a PCP authorize specialist referrals.

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

  • Newborn means a baby less than nine days old.

  • Radiologist assistant means an individual who has met the requirements of the Board for licensure

  • Open enrollment means a period of time as defined in rule

  • Child care provider means a provider who receives compensation for providing child care services on a regular basis, including an ‘eligible child care provider’ (as defined in section 658P of the Child Care and Development Block Grant Act of 1990 (42 U.S.C. 9858n)).

  • Managed Care Organization (MCO) means a contracted health delivery system providing capitated or prepaid health services, also known as a Prepaid Health Plan (PHP). An MCO is responsible for providing, arranging, and making reimbursement arrangements for covered services as governed by state and federal law. An MCO may be a Chemical Dependency Organization (CDO), Dental Care Organization (DCO), Mental Health Organization (MHO), or Physician Care Organization (PCO).

  • Pharmacy benefits management means the administration or management of prescription drug

  • 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).

  • CMS means the Centers for Medicare and Medicaid Services.

  • Audiologist means an individual who is licensed by a state to practice audiology.

  • Managed care organization means an entity that (1) is under contract with the department to provide services to Medicaid recipients and (2) meets the definition of “health maintenance organization” as defined in Iowa Code section 514B.1.

  • Radiologist means a medical practitioner who specialises in the provision of radiological services within the meaning of the Health Insurance Act 1973.

  • 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

  • Non-Participating Certified Clinical Nurse Specialist means a Certified Clinical Nurse Specialist who 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.

  • 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.

  • Pharmacy benefits manager means a person that performs pharmacy benefits management.