Common use of Medicaid Management Information Clause in Contracts

Medicaid Management Information. System (MMIS) – the management information system of software, hardware and manual processes used to process claims and to retrieve and produce eligibility information, service utilization and management information for Members. Medically Necessary – in accordance with 130 CMR 450.204, Medically Necessary services are those services

Medicaid Management Information. System (MMIS) – the The management information system of software, hardware and manual processes used to process claims and to retrieve and produce eligibility information, service utilization and management information for Members. Medically Necessary – in accordance with 130 CMR 450.204, Medically Necessary services are those services35

Medicaid Management Information. System (MMIS) – the management information system of software, hardware hardware, and manual processes procedures used to process Medicaid claims and to retrieve and produce eligibility information, service utilization and management information for Members. Medically Necessary (or Medical Necessity) – in accordance with 130 CMR 450.204, a service is “Medically Necessary services are those servicesNecessary” if:

Medicaid Management Information. System (MMIS) – the MassHealth management information system of software, hardware hardware, and manual processes procedures used to process Medicaid claims and to retrieve and produce eligibility information, service utilization and management information information. Medical Home Load – the portion of the CPCP Rate that provides compensation for Memberstransformation costs associated with non-billable services, as described in Section 4.1.A.2.a of Appendix J-1. Medically Necessary (or Medical Necessity) – in accordance with 130 CMR 450.204, a service is “Medically Necessary services are those servicesNecessary” if: