Dual eligible individuals definition

Dual eligible individuals means individuals eligible for both Medicaid and Medicare. "Eligible" means an individual who has been deemed eligible for Medicaid in the State ofOklahoma and is eligible for participation in the managed care program but who is not yet enrolled in an MCO or DBM.
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Dual eligible individuals means individuals eligible for both Medicaid and Medicare.
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Dual eligible individuals means individuals eligible for both Medicaid and Medicare. "Eligible" means an individual who has been deemed Eligible for the SoonerSelect program butwho is not yet enrolled in a CE or DBM.
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Examples of Dual eligible individuals in a sentence

  • Comprehensive managed long term services and supports (LTSS), including self-directed care, provided to: >Dual eligible individuals with full Medicaid and Medicare coverage >Non-dual eligible individuals who receive LTSS services through an institution or through HCBS waiver programs >ABD individuals (beginning January 2018) 1.2.j Nebraska Department of Health and Human Services, Division of Medicaid and Long-Term Care − Magellan Healthcare: a.

  • The following populations shall be included in the CCC Plus program: 1) Dual eligible individuals with full Medicaid and any Medicare A and/or B coverage.

  • Unemployment Compensation Ex-service members (UCX) and criminal charges are not involved, the department will limit deduction from future benefits to a two-year period following the original determination of overpayment.

  • Dual eligible individuals can enroll in Medicare and Medicaid managed care plans offered by the same carrier, only to find that the two plans operate independently and do not coordinate with each other.

  • Among these, under package HT-01 there are 3 households that are affected with 169 m2 of boarding houses and kiosks for lease; under package HT-02 there are 2 households affected with 113 m2 of boarding houses and kiosks for lease; and under HT03 there are 20 households affected with 1,613 m2 of houses and kitchens.

  • Dual eligible individuals receive services driven by conflicting federal rules and separate funding streams resulting in fragmented and uncoordinated care, and they continue to receive services through a patchwork of health and social programs that are not necessarily person-centered or responsive to individual needs.

  • Dual eligible individuals will draw on different parts of the integrated service package in order to meet their individual needs.

  • Dual eligible individuals have some of the most complex care needs of any individuals who receive Medicaid or Medicare benefits, yet the current delivery system for this population strains, unevenly and inefficiently, to meet those needs.

  • Dual eligible individuals who are participating in federal waiver programs for home and- community-based Medicaid coverage other than the EDCD Waiver (e.g., Individual and Family Developmental Disability Support, Intellectual Disabilities, Day Support, Technology Assisted Waiver, and Alzheimer’s Assisted Living waivers).

  • Dual eligible individuals may be enrolled in a CMS-approved demonstration to integrate care for Medicare and Medicaid enrollees (MME), and may be subject to the terms of that demonstration.

Related to Dual eligible individuals

  • Eligible Individuals means directors, officers, employees and consultants of the Company or any of its Subsidiaries or Affiliates, and prospective employees and consultants who have accepted offers of employment or consultancy from the Company or its Subsidiaries or Affiliates.

  • Eligible Individual means any person who is an Employee, a Consultant or a Non-Employee Director, as determined by the Administrator.

  • Eligible Person means individuals, corporations, trusts, the estates of deceased individuals, partnerships and unincorporated associations of persons;

  • Eligible Persons or “Households” means one or more natural persons or a family who pays 30 percent of their household income toward their monthly rent and is determined by Grantee to be eligible for rental assistance under this Agreement.

  • Key Individuals means the Service Provider Representatives identified as being key individuals for the provision of the Services as set out in Schedule 5.5.

  • Eligible Employees means each employee of the Company or an Affiliate.

  • Eligible Participants means persons who, at a particular time, are employees, officers, consultants, or directors of the Company or its subsidiaries;

  • Eligible Directors means, with respect to a Regulated Fund and a Potential Co-Investment Transaction, the members of the Regulated Fund’s Board eligible to vote on that Potential Co-Investment Transaction under Section 57(o) of the Act (treating any registered investment company or series thereof as a BDC for this purpose).

  • qualifying individuals means individuals who have been, or without the assistance might otherwise be—

  • Eligible Recipients means all Employees, all Non-Employee Directors and all Consultants.

  • Non-Employee Director means a Director who either (i) is not a current employee or officer of the Company or an Affiliate, does not receive compensation, either directly or indirectly, from the Company or an Affiliate for services rendered as a consultant or in any capacity other than as a Director (except for an amount as to which disclosure would not be required under Item 404(a) of Regulation S-K promulgated pursuant to the Securities Act (“Regulation S-K”)), does not possess an interest in any other transaction for which disclosure would be required under Item 404(a) of Regulation S-K, and is not engaged in a business relationship for which disclosure would be required pursuant to Item 404(b) of Regulation S-K; or (ii) is otherwise considered a “non-employee director” for purposes of Rule 16b-3.

  • Eligible Participant means an employee, officer, consultant or director of the Company or any Affiliate.

  • Nonemployee Director Award means any Award granted to a Nonemployee Director.

  • Eligible pupil means a pupil who has been expelled from school under the mandatory expulsion provisions in section 1311 or 1311a of the revised school code, MCL 380.1311 and 380.1311a, a pupil who has been suspended or expelled from school under a local policy, a pupil who is referred by a court, a pupil who is pregnant or is a parent, a pupil who was previously a dropout, or a pupil who is determined by the district to be at risk of dropping out.

  • Prospective employee means an assessed individual who is anticipated to be hired upon completion of training.

  • U.S. Participant means a Participant who is a citizen of the United States or a resident of the United States, as defined in section 7701(a)(30)(A) and section 7701(b)(1) of the Code and any other Participant who is subject to tax under the Code with respect to compensatory awards granted pursuant to the Plan;

  • Covered Employees has the meaning set forth in Section 5.11(a).

  • Ineligible Person shall include an individual or entity who:

  • Key Individual means those individuals identified in the Proponent’s Prequalification Submission as key individuals;

  • Key Employees means Xxxxx Xxxxxxx and Xxxxxxx Xxxxxxx.

  • Small employer carrier means any carrier that offers health benefit plans covering eligible employees of one or more small employers in this state.

  • Service Awards means the amount awarded by the Court and paid to the Class Representatives in recognition of their role in this litigation, as set forth in Section 8 below.