Case Head definition

Case Head means the head of the household that is applying for Medicaid.

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Case Head means the case member who is responsible for providing information necessary to determine eligibility and calculate benefits, and report income. The case head may be either adult in the case.

Case Head means person applying for or on behalf of possible eligible client to receive benefits, may also be referred to as debtor by restitution services.

Examples of Case Head in a sentence

• When the Case Head or Account Name is on behalf of two or more new Members, the HMO is only required to send one Member Handbook.

• Within five business days following the receipt of an Enrollment File from the HHSC Administrative Services Contractor, the HMO must mail a Member’s ID card and Member Handbook to the Case Head or Account Name for each new Member.

• When the Case Head or Account Name represents two (2) or more new Members, the MCO is only required to send one (1) Member Handbook.

• Within five (5) Business Days following the receipt of an Enrollment File from the HHSC Administrative Services Contractor, the MCO must mail a Member's ID card and Member Handbook to the Case Head or Account Name for each new Member.

• Within five (5) Business Days following the receipt of an Enrollment File from the HHSC Administrative Services Contractor, the MCO must mail a Member’s ID card and Member Handbook to the Case Head or Account Name for each new Member.

• Within five Business Days following the receipt of an Enrollment File from the EB, the Dental Contractor must mail a Dental Member ID card and a Dental Member handbook to the Case Head or Account Name for each new Dental Member.

• When the Case Head or Account Name is associated with two or more new Dental Members, the Dental Contractor is only required to send one Dental Member handbook.

• When the Case Head or Account Name is on behalf of two or more new Members, the HMO is only Responsible Office: HHSC Office of General Counsel (OGC) Subject: Attachment B-1 – HHSC Joint Medicaid/CHIP HMO RFP, Section 8 Version 1.7 required to send one Member Handbook.

• No later than the fifth business day of the month following the receipt of an Enrollment File from the HHSC Administrative Services Contractor, the HMO must mail a Member’s ID card and Member Handbook to the Case Head or Account Name for each new Member.