Federal Medicare Program definition

Federal Medicare Program means the coverage provided
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Federal Medicare Program means the coverage provided under Title XVIII of the Social Security Act as amended in 1965, or its successor plan or plans.
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Examples of Federal Medicare Program in a sentence

  • Not connected with or endorsed by the U.S. Government or Federal Medicare Program.

  • Exclusion from the Federal Medicare Program or any state health care program administered by the Department because of fraudulent or abusive practices.

  • Suspension or termination from participation in another governmental medical program such as Workers' Compensation, Children With Special Health Care Needs Program, Rehabilitation Services, the Federal Medicare Program, or any state health care program administered by the Department.

  • This coverage will not be available to Pensioners and their Dependents who are eligible for coverage under the Federal Medicare Program.

  • During the period of eligibility of an Eligible Employee, any benefits available under this Article VI to the Eligible Employee or Dependent while such Employee or Dependent is eligible for benefits under the Federal Medicare Program shall be paid as a supplement only to the benefits payable under such Program whether or not such benefits are received.

  • The local board of education may reimburse an active employee for his premium charges under Part B of the Federal Medicare Program covering the employee alone.

  • An Eligible Employee or Dependent who would be eligible for benefits under the Federal Medicare Program except for the fact that such Eligible Employee or Dependent resides outside the United States shall be deemed, for the purpose of this section, to be eligible for such benefits.

  • Such benefits however, shall not be provided on behalf of a Dependent child defined in Article XVIII, Section 1 (c), (d) or (e) if such child is eligible for coverage under Federal Medicare Program.

  • A Pensioner or Dependent who would have been eligible for coverage under the Federal Medicare Program except for the fact that he resides outside of the United Stated shall be deemed, for the purpose of this Section, to be eligible for benefits under the Federal Medicare Program.

  • Such benefits, however, shall not be provided on behalf of a Dependent child defined in Article XVIII, Section 1(c), (d) or (e) if such child is eligible for coverage under the Federal Medicare Program.

Related to Federal Medicare Program

  • Federal Health Care Program has the meaning set forth in 42 U.S.C. 1320a-7b(f).

  • Child Care Program means a person or business that offers child care.

  • Managed Care Program means the process that determines Medical Necessity and directs care to the most appropriate setting to provide quality care in a cost-effective manner, including Prior Authorization of certain services.

  • Home Health Care Agency means an agency or organization which provides a program of home health care and which:

  • Licensed health care provider means a physician, physician assistant, chiropractor, advanced registered nurse practitioner, nurse, physical therapist, or athletic trainer licensed by a board.

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • Federal program means any of the following:

  • Indian Health Care Provider means a health care program operated by the Indian Health Service (IHS) or by an Indian Tribe, Tribal Organization, or Urban Indian Organization (otherwise known as an I/T/U) as those terms are defined in § 4 of the Indian Health Care Improvement Act (25 USC § 1603). Indian Health Care Provider includes a 638 Facility and provision of Indian Health Service Contract Health Services (IHS CHS).

  • Licensed health care practitioner means a physician, as defined in Section 1861(r)(1) of the Social Security Act, a registered professional nurse, licensed social worker or other individual who meets requirements prescribed by the Secretary of the Treasury.

  • Health care provider or "provider" means:

  • Licensed health care professional means a person who possesses a professional medical license that is valid in Oregon. Examples include, but are not limited to, a registered nurse (RN), nurse practitioner (NP), licensed practical nurse (LPN), medical doctor (MD), osteopathic physician (DO), respiratory therapist (RT), physical therapist (PT), physician assistant (PA), or occupational therapist (OT).

  • Health care practitioner means an individual licensed

  • Emergency medical care provider means an individual who has been trained to provide emergency and nonemergency medical care at the first responder, EMT-basic, EMT-intermediate, EMT-paramedic, paramedic specialist or other certification levels recognized by the department before 1984 and who has been issued a certificate by the department.

  • Home health agency means a person certified by medicare whose business is to provide to individuals in their places of residence other than in a hospital, nursing home, or county medical care facility 1 or more of the following services: nursing services, therapeutic services, social work services, homemaker services, home health aide services, or other related services.

  • Health care system means any public or private entity whose function or purpose is the management of, processing of, enrollment of individuals for or payment for, in full or in part, health care services or health care data or health care information for its participants;

  • Medicare Provider Agreement means an agreement entered into between CMS (or other such entity administering the Medicare program on behalf of the CMS) and a health care provider or supplier, under which such health care provider or supplier agrees to provide services for Medicare patients in accordance with the terms of the agreement and Medicare Regulations.

  • Rural health clinic means a rural health clinic as defined under section 1861 of part C of title XVIII of the social security act, chapter 531, 49 Stat. 620, 42 U.S.C. 1395x, and certified to participate in medicaid and medicare.

  • TRICARE means, collectively, a program of medical benefits covering former and active members of the uniformed services and certain of their dependents, financed and administered by the United States Departments of Defense, Health and Human Services and Transportation, and all laws applicable to such programs.

  • Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Health care professional means a physician or other health care practitioner licensed, accredited or certified to perform specified health care services consistent with state law.

  • Managed health care system means: (a) Any health care

  • Health Agency means the California Department of Health Services, or the local health officer with respect to a small water system.

  • Medicare Regulations means, collectively, all Federal statutes (whether set forth in Title XVIII of the Social Security Act or elsewhere) affecting the health insurance program for the aged and disabled established by Title XVIII of the Social Security Act and any statutes succeeding thereto, together with all applicable provisions of all rules, regulations, manuals and orders and administrative, reimbursement and other guidelines having the force of law of all Governmental Authorities (including Health and Human Services (“HHS”), CMS, the Office of the Inspector General for HHS, or any Person succeeding to the functions of any of the foregoing) promulgated pursuant to or in connection with any of the foregoing having the force of law, as each may be amended, supplemented or otherwise modified from time to time.

  • Public health authority means an agency or authority of the United States, a state, a territory, a political subdivision of a state or territory, an Indian tribe, or a foreign government, or a person or entity acting under a grant of authority from or contract with such public agency, including the employees or agents of such public agency or its contractors or persons or entities to whom it has granted authority, that is responsible for public health matters as part of its official mandate.

  • Local health department means the same as that term is defined in Section 26A-1-102.

  • Home health care services means medical and nonmedical services, provided to ill, disabled or infirm persons in their residences. Such services may include homemaker services, assistance with activities of daily living and respite care services.