Medicaid. The Covered Benefits payable by us under this Agreement, on behalf of a Member who is qualified for Medicaid, will be paid to the state Human Services Department, or its designee, when: • The Human Services Department has paid or is paying benefits on behalf of the Member under the state's Medicaid program pursuant to Title XIX and/or Title XXI of the Federal Social Security Act. • The payment for the services in question has been made by the state Human Services Department to the Medicaid Practitioner/Provider.
Appears in 5 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Group Subscriber Agreement
Medicaid. The Covered Benefits payable by us under this Agreement, on behalf of a Member who is qualified for Medicaid, will be paid to the state Human Services Department, or its designee, when: • The Human Services Department has paid or is paying benefits on behalf of the Member under the state's Medicaid program pursuant to Title XIX and/or Title XXI of the Federal Social Security Act. • The payment for the services in question has been made by the state Human Services Department to the Medicaid Practitioner/Provider.
Appears in 4 contracts
Samples: Presbyterian Health Plan, Group Subscriber Agreement, Presbyterian Health Plan
Medicaid. The Covered Benefits payable by us under this Agreement, on behalf of a Member who is qualified for Medicaid, will be paid to the state Human Services Department, or its designee, when: • ➢ The Human Services Department has paid or is paying benefits on behalf of the Member under the state's Medicaid program pursuant to Title XIX and/or Title XXI of the Federal Social Security Act. • ➢ The payment for the services in question has been made by the state Human Services Department to the Medicaid Practitioner/Provider.
Appears in 1 contract
Samples: Presbyterian Health Plan
