Eligibility Determination definition

Eligibility Determination means an approval or denial of eligibility and a renewal or termination of eligibility.
Eligibility Determination means an approval or denial of eligibility and a renewal or termination of eligibility as set forth in OAR 410-200-0015;¶
Eligibility Determination means a decision by the CDDP or by the Department regarding the eligibility of a person for developmental disabilities services pursuant to OAR 411-320-0080 and is either a decision that a person is eligible or ineligible for developmental disabilities services.

Examples of Eligibility Determination in a sentence

  • The PH-MCO must abide by the decision of the Functional Eligibility Determination process determination letter related to the need for Nursing Facility services.

  • BCBSRI shall have no liability to GROUP or to any individual for any Eligibility Determination made by GROUP.

  • Medicaid Eligibility Determination Automation (MEDA) — Part of the Client Information System (CIS) that automates the determination of Medicaid eligibility.

  • Verification Systems for Eligibility Determination Documentation proving eligibility will be required from participants at the time of enrollment into the program.

  • Medicaid Eligibility Determination Automation — Part of the eCIS that automates the determination of Medicaid eligibility.


More Definitions of Eligibility Determination

Eligibility Determination means a decision by a community developmental disability program or by the Department regarding a person’s eligibility for developmental disability services pursuant to OAR 411-320-0080 and is either a decision that a person is eligible or ineligible for developmental disability services.
Eligibility Determination means the process by which a person who has not yet submitted a completed license application may request that the board determine whether one or more of the person’s convictions are disqualifying offenses that would prevent the individual from receiving a license or certification.
Eligibility Determination means the determination of eligibility by an AE for enrollment in a QHP through an Exchange, an IAP or for Certifications of Exemption. This refers to initial determinations or redeterminations based on a change in the individual's status, and appeals;
Eligibility Determination means the process of deciding if a prospective client meets the requirements necessary to receive authorized services under Oregon Project Independence.
Eligibility Determination means the process of deciding if a prospective individual meets the requirements necessary to receive authorized services under OPI.
Eligibility Determination means a determination that an applicant or enrollee is eligible for an IAP, for enrollment in a QHP, or for any enrollment periods, in accordance with Sections 6472, 6474, and 6476 of Article 5 of this chapter.
Eligibility Determination means the initial process conducted by the early learning coalition to determine if a child meets minimum requirements to participate in the School Readiness program.