Vermont Medicaid definition

Vermont Medicaid means the medical assistance provided under the State Plan approved under Title XIX of the Social Security Act, and the terms and conditions of the Global Commitment to Health Waiver, as approved by CMS.
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Vermont Medicaid means the program of medical assistance benefits under Title XIX of the Act, as modified by Vermont’s demonstration waiver under Section 1115 of the Act, operated by Vermont’s Agency for Human Services to provide health coverage to eligible Vermont residents. This term excludes assistance for Vermont residents who receive pharmacy benefits but no other medical benefits under Vermont’s demonstration waiver or Title XIX of the Act.
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Examples of Vermont Medicaid in a sentence

  • AHS shall review variable definitions used by DVHA and any relevant reporting by DVHA’s contractors relative to beneficiary access to services to ensure that providers enrolled in the Vermont Medicaid Program offers an appropriate range of covered services adequate for the anticipated number of enrollees for a given service area; and that it the network of providers that is sufficient in number, mix and geographic distribution to meet the needs of the enrollees in the service area.

  • All Other Services – All services not specified in the Vermont Medicaid Access Plan shall meet the usual and customary standards for the community.

  • DVHA has no statutory authority to force a non-enrolled provider to accept its payment for emergency services renderer to an enrolled Vermont Medicaid member, but will maintain and follow a thorough process to encourage non-enrolled providers to accept its payment.

  • Identified payment approaches include: • Vermont Medicaid Next Generation (VMNG) Accountable Care Organization (ACO) Program • Blueprint Patient-Centered Medical Home (PCMH) • Blueprint Community Health Team (CHT) • Blueprint Women’s Health Initiative (WHI) • Dental Incentive • Children’s Integrated Services (CIS) • Integrating Family Services (IFS) DVHA will not make pass-through payments, as defined in 42 CFR 438.6(a), to providers.

  • Additionally, a Vermont Medicaid enrolled physician or a nurse practitioner must sign a physician authorization form, establishing that the IEP services are medically necessary.

  • DVHA shall ensure that travel distance and wait times to services do not exceed the limits described in the Vermont Medicaid Access Plan: xxxx://xxxx.xxxxxxx.xxx/global-commitment-to- health/1final-access-to-care-plan-oct-2016.pdf Network adequacy standards for LTSS provider types must be developed consistent with 42 CFR 438.68.

  • Global Payment Program (“Program”): A program whereby OneCare is issued a Global Payment Program Monthly Payment for Covered Services, as defined in the Vermont Medicaid Next Generation Program Agreement, as reimbursement for Covered Services provided to Global Payment Program Members at Global Payment Participating Entities.

  • The HCEUs shall work with DVHA to ensure that Vermont Medicaid providers accept and serve all individuals eligible for, and enrolled in, the Global Commitment to Health Medicaid Demonstration.

Related to Vermont Medicaid

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • Medicaid means that government-sponsored entitlement program under Title XIX, P.L. 89-97 of the Social Security Act, which provides federal grants to states for medical assistance based on specific eligibility criteria, as set forth on Section 1396, et seq. of Title 42 of the United States Code.

  • Home health care services means medical and nonmedical services, provided to ill, disabled or infirm persons in their residences. Such services may include homemaker services, assistance with activities of daily living and respite care services.

  • Health care services means services for the diagnosis, prevention, treatment, cure, or relief of a health condition, illness, injury, or disease.

  • CMS means the Centers for Medicare and Medicaid Services.

  • 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.

  • Indian Health Care Provider means a health care program operated by the Indian Health Service (IHS) or by an Indian Tribe, Tribal Organization, or Urban Indian Organization (otherwise known as an I/T/U) as those terms are defined in § 4 of the Indian Health Care Improvement Act (25 USC § 1603). Indian Health Care Provider includes a 638 Facility and provision of Indian Health Service Contract Health Services (IHS CHS).

  • Home Health Care means the continual care and treatment of an individual if:

  • Child care means continuous care and supervision of five or more qualifying children that is:

  • Adult foster care means room and board, supervision, and special services to an adult who has a

  • Health care means any of the following intended for use in the diagnosis, treatment, mitigation, or prevention of a human ailment or impairment:

  • School health services means health services provided by a qualified school nurse or other qualified person that are designed to enable a child with a disability to receive FAPE as described in the child’s IEP.

  • Health services means, but shall not be limited to, examination, diagnosis, evaluation, treatment, pharmaceuticals, aftercare, habilitation or rehabilitation and mental health therapy of any kind, as well as payment or reimbursement for any such services.

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

  • Pharmacy care means medications prescribed by a licensed physician and any health-related services considered medically necessary to determine the need or effectiveness of the medications.

  • Health care service means that service offered or provided by health care facilities and health care providers relating to the prevention, cure, or treatment of illness, injury, or disease.

  • Foster care services means the provision of a full range of casework, treatment and community

  • Health care practitioner means an individual licensed

  • Family and Medical Leave means a leave of absence for the birth, adoption or foster care of a child, or for the care of your child, spouse or parent or for your own serious health condition as those terms are defined by the Federal Family and Medical Leave Act of 1993 (FMLA) and any amendments, or by applicable state law.

  • Emergency medical care provider means an individual who has been trained to provide emergency and nonemergency medical care at the first responder, EMT-basic, EMT-intermediate, EMT-paramedic, paramedic specialist or other certification levels recognized by the department before 1984 and who has been issued a certificate by the department.

  • Basic health care services means in and out-of-area emergency services, inpatient hospital and

  • Health care provider or "provider" means: