Noncovered service definition

Noncovered service means a service, item or supply for which MA reimbursement is not available, including a service for which prior authorization has been denied, a service listed as non−covered in ch. DHS 107, or a service considered by consul- tants to the department to be medically unnecessary, unreasonable or inappropriate.
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Noncovered service means a dental care service that is not
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Noncovered service means a specific healthcare service within a service category that the department will not pay for. Noncovered services are identified in WAC 388- 501-0070 and in specific health-care program rules.
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Examples of Noncovered service in a sentence

  • Non-covered service The State policy indicates that the service is not payable by the Medicaid or CHIP programs and/or the beneficiary is not in the coverage category for that service.

  • August 2010- DP2- Non-covered service: The Hospital Report (New Born Child or Children) Form (FNNNA) form has been updated to include the date of death.

  • Discussion ensued regarding the type of mount and background that will be used for the signs.

  • Healthcare service categories are included or excluded depending on the client's benefits package.(c) "Covered service" means a specific healthcare ser- vice within a service category that the department will pay for when all healthcare program requirements have been met.(d) "Noncovered service" means a specific healthcare service within a service category that the department will not pay for.

  • Non-covered service performed after the member withdraws from covered public service or retires does not qualify for purchase under this section.

  • Medicare uses another code for reporting of, and payment for, these services.N = Noncovered service.

  • Non-covered service errors, where the entire payment is in error, cause the greatest dollar impact, at 79.6% of all Medicaid managed care projected improper payments.

  • Carriers will complete the RVUs and payment amounts for these codes.N = Non-covered service.

  • However, the format and output quality of the DoD seal must be comparable to that of printed letterhead stationery.

  • Non-covered service performed during regular business hours has a half-hour minimum.Replacement items, at the discretion of Orbility or its representative, may be replaced with either new or refurbished parts.

Related to Noncovered service

  • Covered service means a health care service provided to a

  • Covered Services means all or a part of those medical and health services set forth in rule 441—86.14(514I).

  • Shared Service means any service, other than a Utility Service or a For Profit Affiliate Service, provided on a Cost Recovery Basis by a Utility to an Affiliate or by an Affiliate to a Utility.

  • Grandfathered Service means service which is no longer available for new customers and is limited to the current customer at their current locations with certain provisioning limitations, including but not limited to upgrade denials, feature adds/changes and responsible/billing party.

  • Covered service member means a member of the Armed Forces, including a member of the National Guard or Reserves, who is undergoing medical treatment, recuperation, or therapy, is otherwise in outpatient status, or is otherwise on the temporary disability retired list, for a serious injury or illness.

  • Non-Covered Services means those vision care services which are not Covered Services under Plan Contract(s).

  • Testing service means a national testing service selected by the board.

  • Service Switching Point (SSP) is a telephone central office switch equipped with a Signaling System 7 (SS7) interface.

  • Planned Service Interruption means a Service Interruption that has been scheduled to occur in accordance with schedule 5;

  • Level of service has the meaning set forth in Section 2.02(c).

  • Generation Service means the sale of electricity, including ancillary services such as the provision of reserves, to a Customer by a Competitive Supplier.

  • Unplanned Service Interruption means any Service Interruption where events or circumstances prevent the timely communication of prior warning or notice to the Trader or any affected Customer;

  • Covered Building Service Employee means any person performing building service work for a Covered Building Service Employer, either directly or through a contract or subcontract.

  • Covered Employer means the City of Cambridge or a Beneficiary of Assistance.

  • CMU Service means the Central Moneymarkets Unit Service, operated by the Hong Kong Monetary Authority;

  • Hosted Service means the provision of and access to the Vocera Care Transition Software and related services either at your site and/or via secure electronic access over the Internet provided to you by Vocera and/or its designee. Defined terms used in this XXXX, but not defined herein, are defined in the Supplemental Terms and Conditions in Attachment 3.

  • Person-Centered Service Plan means the details of the supports, desired outcomes, activities, and resources required for an individual to achieve and maintain personal goals, health, and safety, as described in OAR 411-004-0030.

  • scheduled service means the City Representative has notified the Contractor to perform services ten (10) working days prior to commencement of work by Contractor.

  • Distribution Service means the delivery of electricity to Customers by the Distribution Company.

  • Covered position means a position in which the employee must be a member of the retirement

  • Related Employer means the Employer and (a) any corporation that is a member of a controlled group of corporations as defined in Code Section 414(b) that includes the Employer and (b) any trade or business that is under common control as defined in Code Section 414(c) that includes the Employer.

  • Son or daughter of a covered service member means a covered service member’s biological, adopted, or foster child, stepchild, legal ward, or a child for whom the covered service member stood in loco parentis, and who is of any age.

  • Enrollee point-of-service cost-sharing means amounts paid to

  • Period of Service means the aggregate of all periods of service commencing with an Employee's first day of employment or reemployment with the Employer or an Affiliated Employer and ending on the first day of a Period of Severance, or for benefit accrual purposes, ending on the severance from service date. The first day of employment or reemployment is the first day the Employee performs an Hour of Service. An Employee who incurs a Period of Severance of twelve (12) months or less will also receive service-spanning credit by treating any such period as a Period of Service for purposes of eligibility and vesting (but not benefit accrual). For purposes of benefit accrual, a Participant's whole year Periods of Service is equal to the sum of all full and partial periods of service, whether or not such service is continuous or contiguous, expressed in the number of whole years represented by such sum. For this purpose, fractional periods of a year will be expressed in terms of days.

  • Company Service means the Company's email, Internet, security management services provided to End Users for the purposes of conducting Company's internal business.

  • Basic generation service or "BGS" means electric generation