Basic Benefits Package definition

Basic Benefits Package means a package of publicly funded health care services.
View Source
Basic Benefits Package. , means the following medical/surgical services, representing a minimum benefits package, as defined in this contract and 471 Nebraska Administrative Code (NAC), that shall be provided by the plan to clients enrolled in the NHC:
View Source

Examples of Basic Benefits Package in a sentence

  • Note: The client may be disenrolled from the Basic Benefits Package and/or Mental Health/Substance Abuse (MH/SA) components of the NHC.

  • The PCP/plan shall provide or approve all services in the Basic Benefits Package.

  • The Basic Benefits Package was implemented on July 1, 1995 in the designated coverage areas.

  • The Department shall be responsible for all covered services, in the event that a client is eligible for NHC Basic Benefits Package but is not reflected on the enrollment report.

  • A Prepaid HealthPlan (PHP) has been utilized for the delivery of the MH/SA Package, as a "carve-out” from the Basic Benefits Package.

  • The objective of this contract is to formally define the responsibilities of the contractor as an HMO, in providing the Basic Benefits Package for the NHC in the designated coverage area, pursuant to this contract.

  • During enrollment, the client shall choose a Primary Care Physician (PCP)/plan for the Basic Benefits Package in the designated coverage areas, ensuring the client a “ Medical home” .

  • In developing a program for the delivery of the Basic Benefits Package, and all related aspects of the NHC, pursuant to this contract, the plan shall incorporate the information contained in this contract, 471 NAC, which defines in detail the minimum service provisions required for the NHC under the Nebraska Medical Assistance Program (NMAP), and 482 NAC, which defines the policy and procedures for the NHC.

  • The Department is responsible for related services in the Basic Benefits Package after disenrollment occurs if the client remains eligible for Medicaid..

  • The plan that the client is transferring to shall be responsible for the hospitalization and the related services in the Basic Benefits Package, beginning the day of discharge or on the 61st day of hospitalization following the transfer, whichever is earlier.

Related to Basic Benefits Package

  • Medical Benefits Schedule means the Medicare Schedule of Benefits produced by the Department of Health to which all fees and benefits relate for inpatient hospital services.

  • Public Benefits means the provision of benefits to the community by the Developer in the form and at the times specified in Schedule 3.

  • Basic Plan means as to any Member or Vested Former Member the defined benefit pension plan of the Company or an Affiliated Employer intended to meet the requirements of Code Section 401(a) pursuant to which retirement benefits are payable to such Member or Vested Former Member or to the Surviving Spouse or designated beneficiary of a deceased Member or Vested Former Member.

  • Health benefits plan means a benefits plan which pays or

  • Net Benefits Test means a calculation to determine whether the benefits of a reduction in price resulting from the dispatch of Economic Load Response exceeds the cost to other loads resulting from the billing unit effects of the load reduction, as specified in Operating Agreement, Schedule 1, section 3.3A.4 and the parallel provisions of Tariff, Attachment K-Appendix, section 3.3A.4.