Eligibility Procedures Sample Clauses

Eligibility Procedures. The conference agreement requires the Secretary to establish procedures for eligibility determinations for endorsed programs and for those eligible as a transitional assistance eligible individual or a special transitional eligible individual. The Secretary is to define the terms income and family size and specify the methods and period for which they are determined. If such methods provide for use of information for prior time periods, the Secretary is required to permit an individual whose circumstances changed to have eligibility for transitional assistance determined for a more recent period. The Secretary may use a reconsideration process or other method. An individual wishing to be treated as a transitional assistance eligible individual or special transitional eligible individual could self-certify through a simplified means as to their income, family size, and prescription drug coverage (if any). The certification could also be done by another qualified person, acting on the individual’s behalf. The certification could be provided before, on or after the time of enrollment in an endorsed program. The self- certification would be deemed as consent to have the information verified by the Secretary. A verified self-certification for as a transitional assistance or special transitional assistance eligible individual would be applicable for the entire period of enrollment in any endorsed program. The Secretary is required to establish verification methods, which could include sampling and use of information on Medicaid eligibility provided by the states, financial information from the Commissioner of Social Security, and financial information from the Secretary of the Treasury. The Secretary could find that an individual met the income requirements for transitional assistance if the individual is within a category of discount card eligible individuals who are enrolled under Medicaid (such as qualified Medicare beneficiaries, specified low- income Medicare beneficiaries, and certain qualified individuals). States will be required, as a condition of Federal Medicaid assistance to provide, on a timely basis, information that allows the Secretary to identify persons eligible for drug coverage under Medicaid, or who are transitional assistance eligible individuals, or special transitional eligible individuals. The Secretary is required to establish a reconsideration process for persons determined not to be transitional eligible or special transitional assist...
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Eligibility Procedures. Medicaid transportation services delivered by the Broker are only reimbursable when the recipient is being transported to or from a Medicaid covered service delivered by a Medicaid provider. Medicaid transportation services shall be provided if: • Recipient has a medical condition that prevents them from using fixed route bus services; and /or o Origin/destination address is more than 1/2 mile from the bus route; o Recipient has an appointment per Broker's confirmation; and • Transportation services delivered by the broker are only reimbursable when the person meets the criteria for the elderly transportation program (ETP), as described elsewhere in this Agreement. Medicaid and TANF recipient eligibility verification status shall be conducted for each trip by using at the minimum an EOHHS eligibility file (for example, 834 enrollment report). The Broker must verify recipient eligibility regardless of who initiates the request. The Broker shall be solely responsible for payment for any trips scheduled for ineligible individuals. EOHHS will supply the Broker a file of eligible recipients on a monthly basis. Broker agrees to accept recipient information in the data format submitted by EOHHS. Transportation services must be available on a non-discriminatory basis to eligible recipients irrespective of the regions, communities, or neighborhoods they live in or their age, race, religion, creed, national origin, sexual orientation/identification, gender, ability, health status or based on others with whom they live.
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Eligibility Procedures. Eligible sick leave may be donated to a certificated employee for a catastrophic illness or injury if all of the following requirements are met:
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Related to Eligibility Procedures

  • SAFETY PROCEDURES The Contractor shall:

  • PAY PROCEDURES Employees shall be paid on a bi-weekly payroll cycle. The District shall make available an electronic direct deposit system for payroll checks. Such feature shall be available to employees individually on a voluntary basis. The District shall continue the present system of itemizing deductions during the life of this Agreement. Shortages above fifty dollars ($50) shall be corrected within the time limits set below. The employee’s immediate or appropriate supervisor shall assure that the documentation necessary to correct the shortage has been delivered to Payroll within one (1) workday, exclusive of weekends and holidays, after the employee receives written notification of the shortage from the employee. Payroll shall correct the shortage and cause a check to be available at the employee’s normal work location within three (3) accounting workdays, exclusive of weekends and holidays, after receipt of the written notification. All other shortages shall be added to the next paycheck. Employees who receive overpayment shall pay in full or establish a reasonable repayment schedule in accordance with the form provided by the Payroll Department. Until such reasonable repayment schedule is established, the District shall no deduct from an employee’s paycheck overpayments by the District without written authorization from the employee or as authorized by law. Final termination paychecks shall be mailed to the employee’s address of record. The District will promptly process Public Employees’ Retirement System (PERS) refund forms following an employee’s termination.

  • Election Procedures Each holder of record of shares of Company Common Stock (“Holder”) shall have the right, subject to the limitations set forth in this Article II, to submit an election in accordance with the following procedures:

  • Claims Procedures Each Party entitled to be indemnified by the other Party (an “Indemnified Party”) pursuant to Section 8.1 or 8.2 hereof shall give notice to the other Party (an “Indemnifying Party”) promptly after such Indemnified Party has actual knowledge of any threatened or asserted claim as to which indemnity may be sought, and shall permit the Indemnifying Party to assume the defense of any such claim or any litigation resulting therefrom; provided:

  • Selection Procedures In selecting the Loan Assets to be Pledged pursuant to this Agreement, no selection procedures were employed which are intended to be adverse to the interests of the Lenders.

  • Notification Procedures To address non-compliance, the receiving Competent Authority would notify the providing Competent Authority pursuant to Article 5 of the IGA. The notification procedures would differ depending upon whether the receiving Competent Authority seeks to address administrative or other minor errors or significant non-compliance.

  • Administrative Procedures Administrative procedures with respect to the sale of Notes shall be agreed upon from time to time by the Agents and the Company (the "Procedures"). The Agents and the Company agree to perform the respective duties and obligations specifically provided to be performed by them in the Procedures.

  • AML/KYC Procedures “AML/KYC Procedures” means the customer due diligence (CDD) procedures of a Reporting Financial Institution pursuant to the anti-money laundering or similar requirements of the jurisdiction concerned to which such Reporting Financial Institution is subject.

  • Enrollment Procedures The District shall establish an open enrollment period each year for unit members to participate in the Catastrophic Leave Bank. The enrollment period shall be September 1 through December 1. Once a unit member becomes a participant in the Catastrophic Leave Bank, he/she shall not be required to reenroll each year.

  • CLAIM PROCEDURES Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. (800-544-6079). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's actions should be in writing and submitted to the office named above for transmittal to the Insurer.

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