Medi definition

Medi. Cal Pll" is information directly obtained in the course of performing an administrative function on behalf of Medi-Cal that can be used alone, or in conjunction with any other information, to identify a specific individual. Pll includes any information that can be used to search for or identify individuals, or can be used to access their files, such as name, social security number, date of birth, driver's license number or identification number. Pll may be electronic or paper.
Medi. Cal Beneficiary" also includes a person whose eligibility for Medi-Cal is not established until after inpatient services have been provided. Medi-Cal beneficiaries who are also eligible for Medicare hospital benefits under the provisions of Title XVIII of the Social Security Act, and who have not exhausted those benefits, shall not be considered "Medi-Cal Beneficiaries" within the meaning of this Contract.
Medi. Cal PII" is information directly obtained in the course of performing an administrative function on behalf of Medi-Cal that can be used alone, or in conjunction with any other information, to identify a specific individual. PII includes any information that can be used to search for or identify individuals, or can be used to access their files, such as name, social security number, date of birth, driver's license number or identification number. PII may be electronic or paper; and

Examples of Medi in a sentence

  • The statement shall be signed by the Contractor and their personnel prior to access to Medi- Cal PII.

  • This includes the Social Security Administration’s Death Master File, the National Plan and Provider Enumeration System (NPPES), the Office of Inspector General’s List of Excluded Individuals/Entities (LEIE), the System for Award Management (▇▇▇), the National Practitioner database, as well as the DHCS’s Medi Cal Suspended and Ineligible Provider List (S & I List).

  • Cal If a Subscriber becomes entitled to Medi- Cal, the benefits of this Agreement will be suspended for up to 24 months.

  • This includes the Social Security Administration’s Death Master File, the National Plan and Provider Enumeration System (NPPES), the Office of Inspector General’s List of Excluded Individuals/Entities (LEIE), the System for Award Management (▇▇▇), as well as the Department’s Medi Cal Suspended and Ineligible Provider List (S & I List).

  • If a provider accepts the assignment method of payment under Medicare, Blue Shield's payment is limited to the difference between the amount paid by Medicare and the approved charge under Medi- care.

  • Train and use reasonable measures to ensure compliance with the requirements of this Agreement by their personnel who assist in the administration of the Medi- Cal program and use or disclose Medi-Cal PII; and take corrective action against such personnel who intentionally violate any provisions of this Agreement, up to and including by termination of employment.

  • Benefits provided under Title XVIII of the So- cial Security Act (commonly known as "Medi- care").

  • NTP provider who is enrolled as a Medi-Cal fee-for- service provider shall not seek reimbursement from a beneficiary for SUD treatment services, if the OTP/NTP provider bills the services for treatment of concurrent health conditions to the Medi- Cal fee-for-service program.

  • Medi- Cal eligibility verification should be performed prior to rendering service, in accordance with and as described in the DHCS’s DMC Provider Billing Manual.

  • Such notice shall be provided before seeking payment from Medi- Cal for the first time and annually thereafter.


More Definitions of Medi

Medi litigation, Case No. 02-CV-0279-K (LAB) (S.D. Cal.), and the "I-Flow" litigation, Case No. 02-CC-0620 (Sup. Ct.
Medi means collectively or singularly, the German headquarter of medi
Medi. Cal Member - is an individual residing in Los Angeles County who is eligible for Medi-Cal and is enrolled in the Foundation Medi-Cal Plan.

Related to Medi

  • Medical cannabis pharmacy means the same as that term is defined in Section 26-61a-102.

  • CMS means the Centers for Medicare and Medicaid Services.

  • Licensed mental health professional or "LMHP" means a physician, licensed clinical psychologist, licensed professional counselor, licensed clinical social worker, licensed substance abuse treatment practitioner, licensed marriage and family therapist, certified psychiatric clinical nurse specialist, licensed behavior analyst, or licensed psychiatric/mental health nurse practitioner.

  • Pharmacy care means medications prescribed by a licensed physician and any health-related services considered medically necessary to determine the need or effectiveness of the medications.

  • Medical cannabis card means the same as that term is defined in Section 26-61a-102.