Enrolled recipient definition
Enrolled recipient means a covered eligible who has been enrolled with a patient manager according to procedures set forth in rule 441—88.46(249A).
Enrolled recipient means a Medicaid recipient who is eligible for HMO enrollment as defined at subrule 88.2(4) and has been enrolled with an HMO as defined at subrule 88.3(2) or 88.3(7).
Enrolled recipient means a Medicaid recipient who is eligible for HMO enrollment as de- fined at subrule 88.2(4) and has been enrolled with an HMO as defined at subrule 88.3(2) or 88.3(7). “Enrollment area” shall mean the county or counties or region or regions in which an HMO is li- censed to operate by the state of Iowa and in which service capability exists as defined by the depart- ment and set forth in the contract. An enrollment area shall not be less than an entire county but may be less than a region. Regions shall be established by the department and outlined in the contract with the
More Definitions of Enrolled recipient
Enrolled recipient means a recipient who has entered into an agreement to receive services from a provider reimbursed under the terms of a prepaid capitation contract with the depart- ment.