Hoosier definition
Examples of Hoosier in a sentence
The MLR for the Hoosier Healthwise program shall be calculated separately from other managed care programs.
The Contractor shall maintain, at minimum, a MLR of eighty-five percent (85%) for its Hoosier Healthwise line of business.
The Contractor is required to submit MLR reporting as described in the MCE Reporting Manual for Hoosier Healthwise.
These enhanced programs and services are above and beyond those covered in the Hoosier Healthwise program.
The State must then approve the PASRR request, designate the appropriate level of care in CoreMMIS and disenroll the member from Hoosier Healthwise.
Hospice care is not covered under the Hoosier Healthwise program; however, terminally ill members may qualify for hospice care under the fee-for-service Medicaid program once they are disenrolled from Hoosier Healthwise.
The Hoosier Healthwise MCE Policies and Procedures Manual describe member disenrollment in greater detail.
Listed below are the services excluded from the Hoosier Healthwise program.
The State shall make its best efforts to publish a Hoosier Healthwise MCE Policies and Procedures Manual on or before the Contract award date and no later than the Contract start date.
In addition to complying with the Hoosier Healthwise MCE Policies and Procedures Manual, the Contractor shall operate in compliance with all future program manuals, guidance and policies and procedures, as well as any amendments thereto.