COVERED POPULATION Sample Clauses

COVERED POPULATION. The eligible population consists of those BadgerCare Plus eligible children and adolescents who meet the following criteria: A. RESIDENCY The child/adolescent and the parents, guardian or primary caregiver of the eligible children and adolescents will live in Milwaukee County unless the eligible child is legally the responsibility of the County. B. AGE Eligible children and adolescents will be from birth through 18 years of age, and 19 and 20 year olds who are aging out of ▇▇▇▇▇▇ care.

COVERED POPULATION. Provider shall provide services to the enrollment populations identified in and in accordance with the State Contract, as amended from time to time.

COVERED POPULATION. 6 A. RESIDENCY 6 B. AGE 6

COVERED POPULATION. The CY 2008 CFC capitation rates have been developed using historical experience for the population eligible for managed care enrollment based on age, gender, and program assignment. The program assignments shown in Table 1 were included in the development of the CY 2008 CFC capitation rates. Milliman makes no representations or warranties regarding the contents of this letter to third parties . Likewise, third parties are instructed that they are to place no reliance upon this letter prepared for ODJFS by Milliman that would result in the creation of any duty or liability under any theory of law by Milliman or its employees to third parties. Other parties receiving this letter must rely upon their own experts in drawing conclusions about the information presented. PREG Healthy Start Pregnant Women PREGE Healthy Start Pregnant Women Expansion PREGEX Healthy Start Expedited Pregnant Women RPREGEX Healthy Start Expedited Pregnant Women RMF HSC Healthy Start Children HSCE Healthy Start Expansion <= 150% RHSC Healthy Start Children RMF CHIP1 Healthy Start CHIP 1 <=150% CHIP2 Healthy Start CHIP 2 ▇▇▇-▇▇▇% RCHIP1 Healthy Start CHIP 1 <=150% RMF RCHIP2 Healthy Start CHIP 2 ▇▇▇-▇▇▇% RMF RCHSUP Healthy Family Child Support Extended RMF CHSUP Healthy Family Child Support Extended OWFFAM Ohio Works First Families — Cash ROWFFAM Ohio Works First Families — Cash RMF LIFAM Low Income Families RLIFAM Low Income Families RMF HYFAM Healthy Families (Expansion 7/00 Reduced 1/06) TRANS Transitional LIIND Low Income Individuals RLIIND Low Income Individuals RMF Milliman extracted the eligible population information from historical data. The eligible population includes the Healthy Start and Healthy Families populations. If a member was ineligible during a month, all claims and eligibility for the month were excluded from the actuarial models.

COVERED POPULATION. The CY 2008 ABD capitation rates have been developed using historical experience from the FFS population. The historical experience was developed for the population eligible for managed care enrollment based on age and program assignment. The program assignments shown in Table 1 were included in the development of the capitation rates. Milliman makes no representations or warranties regarding the contents of this letter to third parties. Likewise, third parties are instructed that they are to place no reliance upon this letter prepared for ODJFS by Milliman that would result in the creation of any duty or liability under any theory of law by Milliman or its employees to third parties. Other parties receiving this letter must rely upon their own experts in drawing conclusions about the information presented AGED Aged RAGED Aged as defined on RMF BLIND Blind RBLIND Blind as defined on RMF DISABLED Disabled RDISABLED Disabled as defined on RMF RESMED Residential State Supplement & Medicaid Milliman extracted the eligible population information from historical data. The eligible population includes the adult ABD population excluding: retro-active periods, back-dated periods, institutionalized, waiver, spend-down, Medicare dual-eligibles, and long-term nursing facility recipients. Adults are defined based on age greater than or equal to 21 during the base experience period. Long-term nursing facility was defined as stays lasting past the last day of the month following the admission to the nursing facility. If a member was ineligible during a month, all claims and eligibility for the month were excluded from the actuarial models.

COVERED POPULATION. 1. RESIDENCY The child/adolescent is a legal resident of Milwaukee County. 2. AGE Eligible children and adolescents will be from birth through 18 years of age (or 20 for members who are aging out of ▇▇▇▇▇▇ care).

COVERED POPULATION active, retired and former employees, as well as survivors of former employees or retirees, of Covered Entities.

COVERED POPULATION. The eligible population will consist of those BadgerCare Plus – Standard Plan eligible children who meet the following criteria: A. RESIDENCY----The parents, guardian, or primary caregivers of eligible children will live in Dane County. B. AGE----Eligible children will be from birth through 18 years of age.

COVERED POPULATION. The CY 2008 ABD capitation rates have been developed using historical experience from the FFS population. The historical experience was developed for the population eligible for managed care enrollment based on age and program assignment. The program assignments shown in Table 1 were included in the development of the capitation rates. AGED Aged RAGED Aged as defined on RMF BLIND Blind RBLIND Blind as defined on RMF DISABLED Disabled RDISABLED Disabled as defined on RMF RESMED Residential State Supplement & Medicaid Milliman extracted the eligible population information from historical data. The eligible population includes the adult ABD population excluding: retro-active periods, back-dated periods, institutionalized, waiver, spend-down, Medicare dual-eligibles, and long-term nursing facility recipients. Adults are defined based on age greater than or equal to 21 during the base experience period. Long-term nursing facility was defined as stays lasting past the last day of the month following the admission to the nursing facility. If a member was ineligible during a month, all claims and eligibility for the month were excluded from the actuarial models.