Adult day care center means any facility that is either operated for profit or that desires licensure
Potential Enrollee means a Medical Assistance Recipient who may voluntarily elect to enroll in a given managed care program, but is not yet an Enrollee of an MCO.
Medicare Provider Agreement means an agreement entered into between CMS or other such entity administering the Medicare program on behalf of CMS, and a health care provider or supplier under which the health care provider or supplier agrees to provide services for Medicare patients in accordance with the terms of the agreement and Medicare Regulations.
Provider Number means an identifying number issued to each homecare worker who is enrolled as a provider through the Department.
Enrollee means any person entitled to health care services from a carrier.
Late enrollee means an eligible employee or dependent who
Open enrollment means a period of time as defined in rule
Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.
Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.
Day care center means any child day care facility other than a family day care home, and includes infant centers, preschools, extended day care facilities and school age child care centers.
Continuing care retirement community means a residential
Newborn means a baby less than nine days old.
Automatic identification device means a device, such as a reader or interrogator, used to retrieve data encoded on machine-readable media.
Automatic Location Identification (“ALI”) means a feature that provides the caller’s telephone number, address and the names of the Emergency Response agencies that are responsible for that address.