Other enrollee definition

Other enrollee means an individual enrolled in a health plan, as defined in subdivision (k), who is not a Medi-Cal beneficiary or an AHCSP enrollee.
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Other enrollee means an individual enrolled in a health plan who is not a Medi-Cal enrollee.
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Other enrollee means an individual enrolled in a health plan, as defined in subdivision (e), who is not a Medi-Cal beneficiary.
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Examples of Other enrollee in a sentence

  • Other enrollee protections include our formulary requirements, formulary transparency, reassignment formulary coverage notices, and the expedited exception, coverage determination, and appeal processes.

Related to Other enrollee

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

  • School employer means a board of school directors, the

  • Professional employer organization means any person that enters into a written agreement with a

  • Ombudsman means the Company Ombudsman of AllianceBernstein, or any of his/her staff members.

  • Ombudsperson means the Ombudsperson of British Columbia;

  • Physical therapist assistant means an individual who is licensed/certified by a state and who assists the physical therapist in selected components of physical therapy.

  • School employee means (1) a teacher, substitute teacher, school administrator, school superintendent, guidance counselor, psychologist, social worker, nurse, physician, school paraprofessional or coach employed by a local or regional board of education or working in a public elementary, middle or high school; or (2) any other individual who, in the performance of his or her duties, has regular contact with students and who provides services to or on behalf of students enrolled in a public elementary, middle or high school, pursuant to a contract with the local or regional board of education.

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

  • Health care corporation means a health care corporation incorporated under the nonprofit health care corporation reform act, 1980 PA 350, MCL 550.1101 to 550.1704.

  • School psychologist means a person who practices school psychology as defined in § 54.1-3600.

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

  • Health care organization ’ means any person or en-

  • Religious organization means a church, ecclesiastical corporation, or group, not organized for pecuniary profit, that gathers for mutual support and edification in piety or worship of a supreme deity.

  • college of further education means a college of further education within the meaning of Part 1 of the Further and Higher Education (Scotland) Act 1992;

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

  • School service means a website, mobile application, or online service that (i) is designed and marketed solely for use in elementary or secondary schools; (ii) is used at the direction of teachers or other employees at elementary or secondary schools; and (iii) collects and maintains, uses, or shares student personal information. "School service" does not include a website, mobile application, or online service that is designed and marketed for use by individuals or entities generally, even if it is also marketed for use in elementary or secondary schools.

  • School counselor means an educator who provides full-time counseling and guidance services and holds the relevant certificate from SBEC.

  • Midwife means a midwife in good standing with the College of Midwives of Ontario;

  • School nurse means a registered professional nurse with Maine Department of Education certification for school nursing.

  • Late enrollee means an eligible employee or dependent who