STAR+PLUS Eligibility Sample Clauses

STAR+PLUS Eligibility. Mandatory Medicaid Eligibles in the following categories who reside in any part of a STAR+PLUS Service Area must enroll a STAR+PLUS MCO: • SSI-eligibles over age 20; • individuals over age 20 who are Medicaid-eligible because they are in a Social Security Exclusion Program. NOTE: These individuals are considered MAO for purposes of 1915(c) Waiver eligibility; • MAO eligibles that qualify for 1915(c) Waiver services. Note: Dual Eligibles are persons covered both by Medicaid and Medicare. Acute Care Services and prescription drugs for this population are generally covered by Medicare. Participation in STAR+PLUS does not affect a Member’s right to receive Medicare services in any way. Voluntary Medicaid Eligibles in the following category who reside in any part of a STAR+PLUS Service Area may enroll in one (1) of the STAR+PLUS MCOs providing services in the Service Area (voluntary enrollment): • children birth through age 20 who are SSI eligible or who are Medicaid-eligible because they are in a Social Security Exclusion Program.
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Related to STAR+PLUS Eligibility

  • Member Eligibility Verify Member eligibility contemporaneous with the rendering of services. BCBS will provide systems and/or methods for verification of eligibility and benefit coverage for Members. This is furnished as a service and not as a guarantee of payment;

  • Benefit Eligibility For purposes of the Benefit Plan entitlement, common-law and same sex relationships will apply as defined.

  • Funding Eligibility Contractor understands, acknowledges, and agrees that, pursuant to Chapter 2272 (eff. Sept. 1, 2021, Ch. 2273) of the Texas Government Code, except as exempted under that Chapter, HHSC cannot contract with an abortion provider or an affiliate of an abortion provider. Contractor certifies that it is not ineligible to contract with HHSC under the terms of Chapter 2272 (eff. Sept. 1, 2021, Ch. 2273) of the Texas Government Code.

  • Special Eligibility The following employees also receive an Employer Contribution:

  • S-3 Eligibility (i) At the time of filing the Registration Statement and (ii) at the time of the most recent amendment thereto for the purposes of complying with Section 10(a)(3) of the Securities Act (whether such amendment was by post-effective amendment, incorporated report filed pursuant to Section 13 or 15(d) of the Exchange Act or form of prospectus), the Company met the then applicable requirements for use of Form S-3 under the Securities Act, including compliance with General Instruction I.B.1 of Form S-3.

  • Overtime Eligibility An Employee must work at least fifteen (15) minutes beyond her normal shift before being eligible for overtime compensation.

  • Contribution Eligibility You are eligible to make a regular contribution to your Xxxx XXX, regardless of your age, if you have compensation and your MAGI is below the maximum threshold. Your Xxxx XXX contribution is not limited by your participation in an employer-sponsored retirement plan, other than a Traditional IRA.

  • Employee Eligibility For purposes of this section, “eligible employee” shall be defined by the Public Employees’ Medical and Hospital Care Act.

  • Student Eligibility A. The Texas Success Initiative (TSI) requires mandatory assessment for all students to determine college readiness in reading, writing and math. The xxxx authorizes the Texas Higher Education Coordinating Board to prescribe assessment instruments with a statewide passing standard. The initiative allows an institution to determine when a student is ready to perform college‐level coursework. High School students who seek to register in a dual credit course, which will grant college credit must prove “college readiness” by achieving a college level score as outlined in Appendix A.

  • Membership Eligibility To join the Credit Union, you must meet the membership requirements, including purchase and maintenance of the minimum required share(s) (“membership share”) as set forth in the Credit Union’s bylaws. You authorize us to check your account, credit and employment history, and obtain reports from third parties, including credit reporting agencies, to verify your eligibility for the accounts and services you request.

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