Minnesota Health Care Programs Sample Clauses

Minnesota Health Care Programs. The following health care programs administered by the Minnesota Department of Human Services (DHS), for which PrimeWest Health provides County-Based Purchasing services: Prepaid Medical Assistance Program (PMAP), MinnesotaCare, Minnesota Senior Care Plus (MSC+), Special Needs BasicCare (SNBC), Minnesota Senior Health Options (MSHO), and other similar programs that may be established by DHS. This includes Federal Medicare Advantage Programs as they apply to Minnesota Health Care Programs.
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Minnesota Health Care Programs. (MHCP) DHS-4469-ENG 5-13 Individual PCA Enrollment Application Please complete this form online, print and then fax to MHCP. Complete at least all bolded fields to enroll an individual PCA. We will return incomplete forms to you. New hire (requires new background study and completion of PCA training) Rehire (requires new background study and completion of PCA training) PREVIOUS EMPLOYMENT END DATE / / Previously used for Managed Care Organization claims only (new background study not required) Individual PCA Information PROVIDER TYPE 38 – INDIVIDUAL LEGAL NAME (FIRST) FULL MIDDLE LAST SOCIAL SECURITY NUMBER ADDRESS (RESIDENTIAL ADDRESS ONLY – DO NOT ENTER A PO BOX) PHONE NUMBER - - NPI/UMPI (IF REQUESTING REINSTATEMENT) CITY STATE ZIP CODE COUNTY OF RESIDENCE DATE OF BIRTH / / INDIVIDUAL PCA TRAINING DATE PASSED / / CERTIFICATION NUMBER IS THE INDIVIDUAL 18 YEARS OR OLDER? Yes No* *May affiliate with only one agency If previously used for MCO only claims, has this individual maintained continuous employment with your agency? Yes No BGS NUMBER/REQUEST ID Individual PCA Provider Statement I have reviewed and certify the information provided above is true and correct to the best of my knowledge. I will notify the Minnesota Department of Human Services Provider Enrollment of any additions and/or changes to the information. By signing this form, I acknowledge I have read and understand the Application and Background Study Privacy Notice. I also authorize the Minnesota Department of Human Services to use the information collected in accordance with the Privacy Notice. NAME OF PCA (PLEASE PRINT OR TYPE) SIGNATURE OF PCA DATE SIGNED / / Group Affiliation Information You have the option to affiliate/enroll the individual PCA named above, if 18 years or older, with other agencies you own without completing another application and agreement. Do you want to affiliate the above named individual PCA with any other agency(ies) you own? Yes No (If yes, enter information below.) ORGANIZATION/AGENCY NAME AGENCY NPI/UMPI STUDY ID Agency Information AGENCY NAME AGENCY NPI/UMPI AGENCY FAX NUMBER - - AGENCY PERSONNEL COMPLETING FORM AGENCY SIGNATURE Next Steps Read, sign and date the Minnesota Health Care Programs Provider Agreement Individual Personal Care Assistant form (DHS-4611), and return it with this application.
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Minnesota Health Care Programs. Provider Agreement –
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Minnesota Health Care Programs. (MHCP): Medical Assistance, General Assistance Medical Care, Prepaid Medical Assistance Program, and MinnesotaCare.
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Minnesota Health Care Programs. Pay- ment to Providers will now be the lesser of 105% of the Medical Assistance fee schedule or 90% of the Provider’s regu- lar billed charge. (IV. B.)
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Related to Minnesota Health Care Programs

  • HEALTH CARE PLANS ‌ Notwithstanding the references to the Pacific Blue Cross Plans in this article, the parties agree that Employers, who are not currently providing benefits under the Pacific Blue Cross Plans may continue to provide the benefits through another carrier providing that the overall level of benefits is comparable to the level of benefits under the Pacific Blue Cross Plans.

  • Home Health Care This plan covers the following home care services when provided by a certified home healthcare agency: • nursing services; • services of a home health aide; • visits from a social worker; • medical supplies; and • physical, occupational and speech therapy.

  • Health Promotion and Health Education Both parties to this Agreement recognize the value and importance of health promotion and health education programs. Such programs can assist employees and their dependents to maintain and enhance their health, and to make appropriate use of the health care system. To work toward these goals:

  • Extended Health Care Plan (a) The Employer shall pay the monthly premium for regular employees entitled to coverage under a mutually acceptable Extended Health Care Plan.

  • Health Care Operations Health Care Operations shall have the meaning set out in its definition at 45 C.F.R. § 164.501, as such provision is currently drafted and as it is subsequently updated, amended or revised.

  • Health Care Benefits (a) Each regular full-time employee may elect coverage for himself and his eligible dependents* under one of the following health insurance plans:

  • Health Care The Company will reimburse the Executive for the cost of maintaining continuing health coverage under COBRA for a period of no more than 12 months following the date of termination, less the amount the Executive is expected to pay as a regular employee premium for such coverage. Such reimbursements will cease if the Executive becomes eligible for similar coverage under another benefit plan.

  • COVERED HEALTHCARE SERVICES This section describes covered healthcare services. This plan covers services only if they meet all of the following requirements: • Listed as a covered healthcare service in this section. The fact that a provider has prescribed or recommended a service, or that it is the only available treatment for an illness or injury does not mean it is a covered healthcare service under this plan. • Medically necessary, consistent with our medical policies and related guidelines at the time the services are provided. • Not listed in Exclusions Section. • Received while a member is enrolled in the plan. • Consistent with applicable state or federal law. We review medical necessity in accordance with our medical policies and related guidelines. Our medical policies can be found on our website. Our medical policies are written to help administer benefits for the purpose of claims payment. They are made available to you for informational purposes and are subject to change. Medical policies are not meant to be used as a guide for your medical treatment. Your medical treatment remains a decision made by you with your physician. If you have questions about our medical policies, please call Customer Service. When a new service or drug becomes available, when possible, we will review it within six (6) months of one of the events described below to determine whether the new service or drug will be covered: • the assignment of an American Medical Association (AMA) Current Procedural Terminology (CPT) code in the annual CPT publication; • final Food and Drug Administration (FDA) approval; • the assignment of processing codes other than CPT codes or approval by governing or regulatory bodies other than the FDA; • submission to us of a claim meeting the criteria above; and • generally, the first date an FDA approved prescription drug is available in pharmacies (for prescription drug coverage only). During the review period, new services and drugs are not covered. For all covered healthcare services, please see the Summary of Medical Benefits and the Summary of Pharmacy Benefits to determine the amount that you pay and any benefit limits.

  • Health Care Savings Plan As provided in this Agreement, eligible ASF Members will participate in the health care savings plan (HCSP) established under Minnesota Statute 352.98, and as administered by the Plan Administrator. The Employer is responsible only for transferring funds, as specified in this agreement, to the Plan Administrator.

  • HEALTH PROGRAM 3701 Health examinations required by the Employer shall be provided by the Employer and shall be at the expense of the Employer. 3702 Time off without loss of regular pay shall be allowed at a time determined by the Employer for such medical examinations and laboratory tests, provided that these are performed on the Employer’s premises, or at a facility designated by the Employer. 3703 With the approval of the Employer, a nurse may choose to be examined by a physician of her/his own choice, at her/his own expense, as long as the Employer receives a statement as to the fitness of the nurse from the physician. 3704 Time off for medical and dental examinations and/or treatments may be granted and such time off, including necessary travel time, shall be chargeable against accumulated income protection benefits.

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