Eligibility system definition

Eligibility system means a computer program determining benefit levels or amounts for individuals or families. Eligibility systems may also generate paper or electronic applications, forms, and notices related to the benefit determination or an action taken on the case of an individual or family.
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Eligibility system means the following
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Eligibility system means the following 1-21 information technology and data processing systems used in the 1-22 delivery of health and human services benefit programs:
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Examples of Eligibility system in a sentence

  • The State Eligibility system sends a daily file listing individuals with potential Medicaid and SCHIP eligibility.

  • There are various modules including a data warehouse with SUR support, Core MMIS (Provider, Claims, Member, Managed Care, Prior auth, TPL, etc.), Pre-Admission Screening and Resident Review (PASRR), and Electronic Visit Verification (EVV) system and an Eligibility system.

  • The State Eligibility system also sends a monthly file listing recipients with potential Medicaid and SCHIP eligibility.

  • On the MN-ITS Eligibility system, information indicating cases where the health plan has responsibility for nursing facility services immediately follows the prepaid health plan information.

  • Nursing facilities can use the MN-ITS Eligibility system and the Nursing Home Prepaid Health Plan Report by LTC provider to identify admissions that are covered under MCO benefits, and the MCO responsible for the benefit.

  • HealthWave 21 Process: Daily and monthly files are received from the State Eligibility system.

  • These changes provide clearer direction on prospective budgeting and are more compatible with the Integrated Eligibility system.

  • This MDM implementation is built using the Informatica Multi-Domain MDM platform, and is used to prevent data from being duplicated at the point of entry within the Integrated Eligibility system.

  • Phase II (10/10 – 04/12)This period will allow for the team to test the intervention, develop tools and protocols, and document results to determine whether a peer model will be effective with this population.

  • These changes align with federal policy and are more compatible with the Integrated Eligibility system.


More Definitions of Eligibility system

Eligibility system means the following information technology and data processing systems used in the delivery of health and human services benefit programs: (A) the Texas Integrated Eligibility Redesign System (TIERS);
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Related to Eligibility system

  • 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.

  • Eligibility Requirement means all eligibility requirements and other qualification requirements for a person to act in the applicable Corporate Trust Capacity under any Appointment as set forth in the related Corporate Trust Contract, including any required authorizations or licenses from the Federal National Mortgage Association, the Federal Home Loan Mortgage Corporation, the Government National Mortgage Association, the Federal Housing Administration, the Federal Home Loan Bank or the Department of Veterans Affairs.

  • Eligibility Requirements means, with respect to any Person, that such Person (i) has total assets (in name or under management) in excess of $600,000,000 and (except with respect to a pension advisory firm or similar fiduciary) capital/statutory surplus or shareholder’s equity of $250,000,000 and (ii) is regularly engaged in the business of making or owning commercial real estate loans or operating commercial mortgage properties.

  • Eligibility means the decision as to whether an individual qualifies, under financial and nonfinancial requirements, to receive program benefits.

  • Eligibility and selection criteria means criteria for determining:

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

  • Retirement system means a retirement plan or system that is established by or pursuant to title 38.

  • Qualifying Educational Program means a program at a post-secondary school level of not less than three consecutive weeks duration that requires each student taking the program to spend not less than 10 hours per week on courses or work in that program.

  • Eligibility Waiting Period means the continuous length of time you must be in Active Employment in an eligible class to reach your Eligibility Date.

  • Eligibility Criteria means the legal criteria as specified in the Clause 5 of this E- Auction Process Information Document;

  • Year of Eligibility Service means where an Employer designates a one or two 12-consecutive-month eligibility waiting period, an Employee must complete at least 1,000 Hours of Employment during each 12-consecutive-month period (measured from his date of Employment and then as of the first day of each Plan Year commencing after such date of Employment); provided, however, if an Employee is credited with 1,000 Hours of Employment in both the initial eligibility computation period and the first Plan Year which commences prior to the first anniversary of the Employee's employment commencement date, the Employee will be credited, for eligibility purposes, with two Years of Eligibility Service. Where an Employer designates an eligibility waiting period of less than 12 months, an Employee must, for purposes of eligibility, complete a required number of hours (measured from his date of Employment and each anniversary thereafter) which is arrived at by multiplying the number of months in the eligibility waiting period requirement by 83 1/3; provided, however, if an Employee completes at least 1,000 Hours of Employment within the 12 month period commencing on his Employment commencement date or during any Plan Year commencing after such Employment commencement date, such Employee will be treated as satisfying the eligibility service requirements.

  • Number of Students Who Began Program means the number of students who began the program who are scheduled to complete the program within the reporting calendar year.

  • Qualifying Service means one year or more of continuous service and residence away from the home country and the country of nationality of a staff member, or the country where the staff member has acquired permanent resident status.

  • Basic health plan model plan means a health plan as required in RCW 70.47.060(2)(e).

  • Eligible program means a program of education or training which:

  • Eligibility Computation Period means a 12-consecutive month period beginning with your first day of employment. Any succeeding Eligibility Computation Period will then switch to the Plan Year, beginning with the Plan Year that includes your first anniversary of employment. You will generally earn an hour of service for each hour you are paid for the performance of duties for the Company (however, numerous exceptions and special rules apply).

  • Eligible list means an official record kept in the Commissioner's office as a public record which contains the names of those persons who have successfully completed examinations, listed and ranked in order of their final ratings from the highest to the lowest rank.

  • Eligibility Conditions means the eligibility conditions specified in the Act and the Rules including all the eligibility conditions listed in Clause [5] of the Tender Document.

  • Eligibility Date means the date you become eligible for insurance under this plan. The Eligibility Requirements are shown in the Schedule of Benefits.

  • Health benefits plan means a benefits plan which pays or

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

  • Elder abuse (OAA) means abuse, neglect, or exploitation of an older individual (elder) including the willful:

  • Minimum Annual Resource Requirement means, for Delivery Years through May 31, 2017, the minimum amount of capacity that PJM will seek to procure from Annual Resources for the PJM Region and for each Locational Deliverability Area for which the Office of the Interconnection is required under Tariff, Attachment DD, section 5.10(a) to establish a separate VRR Curve for such Delivery Year. For the PJM Region, the Minimum Annual Resource Requirement shall be equal to the RTO Reliability Requirement minus [the Sub-Annual Resource Reliability Target for the RTO in Unforced Capacity]. For an LDA, the Minimum Annual Resource Requirement shall be equal to the LDA Reliability Requirement minus [the LDA CETL] minus [the Sub-Annual Resource Reliability Target for such LDA in Unforced Capacity]. The LDA CETL may be adjusted pro rata for the amount of load served under the FRR Alternative.

  • Long-term inpatient care means inpatient services for

  • aerodrome control service means air traffic control service for aerodrome traffic;

  • Retirement Plans means the retirement income, supplemental executive retirement, excess benefits and retiree medical, life and similar benefit plans providing retirement perquisites, benefits and service credit for benefits at least as great in the aggregate as are payable thereunder prior to a Change in Control;