State Medicaid agencies definition

State Medicaid agencies refers to the agencies or their contractors within the fifty States and the District of Columbia that are responsible for administering medical assistance benefits under Title XIX of the Social Security Act.
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Examples of State Medicaid agencies in a sentence

  • This Section of PPACA amends the Social Security Act to provide that State Medicaid agencies must exclude or terminate from participation any individual or entity excluded from participating in any Federal healthcare program, such that, if an individual or entity is excluded or terminated by Medicare or by Medicaid in any state, that individual or entity must be excluded from all other states’ Medicaid programs.

  • The Federal Data Services Hub (Hub) was designed to be the centralized platform for the secure electronic interface that connects all State Medicaid agencies, State-based Exchanges and the Federal data sources (TDS or trusted data source).

  • State Medicaid agencies may set specific policies for Covered Entities that dispense 340B- purchased drugs to Medicaid patients (340B policies).

  • Covered Entities choose whether to dispense 340B-purchased drugs to Medicaid patients, which affects how they interact with State Medicaid agencies.

  • Because of that, Covered Entities can xxxx State Medicaid agencies at the standard reimbursement rates that those agencies have established for all retail pharmacies.

  • Disclosure by providers and State Medicaid agencies must be in accordance with 42 CFR 1002.

  • State Medicaid agencies (in California, Medi-Cal) must disregard all funds in an ABLE account in determining the resource eligibility of Medicaid/Medi-Cal applicants and beneficiaries who are subject to a resource test, and the earnings on the account should be excluded from income of Medicaid/Medi-Cal recipients.

  • CSD will cooperate with the Contractor to help develop a list of specified functions, formatting requirements, or reports required to ensure that the Raintree Software meets the reporting requirements of the licensing agencies and Washington State Medicaid agencies.

  • Because of that, Covered Entities can bill State Medicaid agencies at the standard reimbursement rates that those agencies have established for all retail pharmacies.

  • The standard per claim rate for routine COBA claims information transfers does not apply to State Medicaid agencies or to their fiscal agents.

Related to State Medicaid agencies

  • Health Agency means the California Department of Health Services, or the local health officer with respect to a small water system.

  • 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.

  • State agencies means all departments,

  • Centers for Medicare and Medicaid Services or “CMS” means the federal office under the Secretary of the United States Department of Health and Human Services, responsible for the Medicare and Medicaid programs.

  • State educational agency means any state educational licensing authority, agency, department, board or commission that provides an approval, certification, exemption or other authorization necessary for a postsecondary institution (whether its main campus, branch campus, additional location, satellite or other facility thereof) to provide postsecondary education in that state including any distance education.

  • Medicaid program means the medical assistance

  • Medicaid Regulations means, collectively, (i) all federal statutes (whether set forth in Title XIX of the Social Security Act or elsewhere) affecting the medical assistance program established by Title XIX of the Social Security Act and any statutes succeeding thereto; (ii) all applicable provisions of all federal rules, regulations, manuals and orders of all Governmental Authorities promulgated pursuant to or in connection with the statutes described in clause (i) above and all federal administrative, reimbursement and other guidelines of all Governmental Authorities having the force of law promulgated pursuant to or in connection with the statutes described in clause (i) above; (iii) all state statutes and plans for medical assistance enacted in connection with the statutes and provisions described in clauses (i) and (ii) above; and (iv) all applicable provisions of all rules, regulations, manuals and orders of all Governmental Authorities promulgated pursuant to or in connection with the statutes described in clause (iii) above and all state administrative, reimbursement and other guidelines of all Governmental Authorities having the force of law promulgated pursuant to or in connection with the statutes described in clause (ii) above, in each case as may be amended, supplemented or otherwise modified from time to time.

  • State health plan means the employee and retiree insurance program provided for in Article 5, Chapter 11, Title 1.

  • CPSC means the U.S. Consumer Product Safety Commission.

  • Home Health Care Agency means an agency or organization which provides a program of home health care and which:

  • State educational institution means an institution enumerated in Article 12, Section 11 of the constitution of New Mexico;

  • State Contracting Agency means the department for which this contract is to be performed and for which the Commissioner or Authorized Designee acted in signing this contract.

  • Medicaid Provider Agreement means an agreement entered into between a state agency or other entity administering the Medicaid program and a health care operation under which the health care operation agrees to provide services for Medicaid patients in accordance with the terms of the agreement and Medicaid Regulations.

  • State purchased health care or "health care" means medical

  • TRICARE means, collectively, a program of medical benefits covering former and active members of the uniformed services and certain of their dependents, financed and administered by the United States Departments of Defense, Health and Human Services and Transportation, and all laws applicable to such programs.

  • Home health agency means a person certified by medicare whose business is to provide to individuals in their places of residence other than in a hospital, nursing home, or county medical care facility 1 or more of the following services: nursing services, therapeutic services, social work services, homemaker services, home health aide services, or other related services.

  • State education agency means the department.

  • Health care system means any public or private entity whose function or purpose is the management of, processing of, enrollment of individuals for or payment for, in full or in part, health care services or health care data or health care information for its participants;

  • State archives means the Division of Archives and Records Service created in Section 63A-12-101.

  • County agency means the county social service board.

  • Health carrier or "carrier" means a disability insurer

  • Managed health care system means: (a) Any health care

  • State agency means any of the principal departments in the Executive Branch of the State Government, and any division, board, bureau, office, commission or other instrumentality within or created by such department, the Legislature of the State and any office, board, bureau or commission within or created by the Legislative Branch, and any independent State authority, commission, instrumentality or agency.

  • State Fair Hearing means the process set forth in subpart E of part 431 of CFR Title 42. State Fiscal Year (SFY) means 12 calendar months commencing on July 1 and ending on June 30 following or the 12-month period for which the State budgets funds.

  • State Grid Code means the Grid Code specified by the CERC under Clause (h) of Sub-section (1) of Section 79 of the Electricity Act, as amended from time to time, and/or the State Grid Code as specified by the concerned State Commission, referred under Clause (h) of Sub- section (1) of Section 86 of the Electricity Xxx 0000, as applicable;

  • the Agency means the Environment Agency;