Retroactive eligibility definition

Retroactive eligibility means the period of time consisting of the three months preceding the month in which an application for Medicaid is filed, during which the person may be eligible for Medicaid coverage as determined by the department.
View Source
Retroactive eligibility means that if payment for past medical expenses is requested, and eligibility exists, retroactive medical assistance may be approved.[ The Department of Social Services, Office of Community Operations, will determine the eligibility.]
View Source
Retroactive eligibility. Members who have an eligibility period that is only retroactive.  PACE: Members who are enrolled in the Program of All-Inclusive Care for the Elderly (PACE) benefit.
View Source

Examples of Retroactive eligibility in a sentence

  • Retroactive eligibility is provided in accordance to STC 50 Table F.

  • Retroactive eligibility is calculated independently for each of the three (3) months for which retroactive eligibility may be granted and during which services may be retroactively covered.

  • Retroactive eligibility includes all bargaining unit members who retired from SUSD or who remain in paid SUSD status (in any SUSD position) as of July 1, 2024.

  • Retroactive eligibility is by month, beginning on the first of the month up to a maximum of three (3) months.

  • Retroactive eligibility will be extended three (3) months prior to the date of application to the LIHP population but not earlier than the effective date of this contract.

  • Retroactive eligibility is provided in accordance to STC 61 Table F.

  • Retroactive eligibility determinations shall account for any Medicaid Member's termination, change, or addition of coverage.

  • Retroactive eligibility will not be extended prior to the date of application to the LIHP population.

  • Retroactive eligibility claims returned on prepayment RETROACTIVE ELIGIBILITY (CONT’D.) BENEFICIARY COPAYMENTS OVERVIEW review DHHS Form 017 or DHHS Form 017CI without any processing must be completely resubmitted with required corrections.

  • Retroactive eligibility as provided for under the approved Medicaid state plan does not apply to demonstration eligibles.


More Definitions of Retroactive eligibility

Retroactive eligibility means that if payment for past medical expenses is requested, and eligibility exists, retroactive medical assistance may be approved.
View Source

Related to Retroactive eligibility

  • Retirement Eligibility means attainment of age 60 and completion of at least five (5) years of continuous service with the Company.

  • Maximum Eligibility Number means initially zero and shall be increased upon each exercise of the Series C Warrant held by the Holder by such aggregate number of shares of Common Stock equal to 100% of the number of shares of Common Stock issued upon any such exercise of such Series C Warrant (as adjusted for stock splits, stock distributions, recapitalizations and similar events).

  • Excess Elective Deferrals means the amount of Elective Deferrals (as defined below) for a calendar year that the Participant designates to the Plan pursuant to the following procedure. The Participant’s designation: shall be submitted to the Administrator in writing no later than March 1; shall specify the Participant’s Excess Elective Deferrals for the preceding calendar year; and shall be accompanied by the Participant’s written statement that if the Excess Elective Deferrals is not distributed, it will, when added to amounts deferred under other plans or arrangements described in Section 401(k), 408(k) or 403(b) of the Code, exceed the limit imposed on the Participant by Section 402(g) of the Code for the year in which the deferral occurred. Excess Elective Deferrals shall mean those Elective Deferrals that are includible in a Participant's gross income under Section 402(g) of the Code to the extent such Participant's Elective Deferrals for a taxable year exceed the dollar limitation under such Code section.

  • Eligibility Service of an employee means the period or periods of service credited to him under the provisions of Article II for purposes of determining his eligibility to participate in the Plan as may be required under Article III or Article VI.

  • Retirement Eligible means that the Participant has either attained age 55 and completed ten (10) years of Service as an Employee or attained age 60 and completed five (5) years of Service as an Employee.