Medicaid Advantage Product definition

Medicaid Advantage Product means the product offered by a qualified MCO to Eligible Persons under this Agreement as described in Appendix K-1 of this Agreement.
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Medicaid Advantage Product means the product offered by a qualified MCO to Eligible Persons under this Agreement as described in Appendix K--2 of this Agreement.
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Examples of Medicaid Advantage Product in a sentence

  • This notice is used when an individual has been determined by LDSS to be ineligible for enrollment into a Medicaid Advantage Product.

  • If an Enrollee is a Native American and the Enrollee chooses to access primary care or other services through their tribal health center, the PCP authorized by the Contractor to refer the Enrollee for Medicare or Medicaid Advantage Product benefits must develop a relationship with the Enrollee's PCP at the tribal health center to coordinate services for said Native American Enrollee.

  • In such events, the party exercising its right shall give the other party written notice specifying the reason for and the effective date of termination, which shall not be less time than will permit an orderly disenrollment of Enrollees from the Contractor’s Medicaid Advantage Product.

  • If SDOH excludes or terminates a provider from its Medicaid Program, the Contractor shall, upon learning of such exclusion or termination, immediately terminate the provider agreement with the Participating Provider with respect to the Contractor's Medicaid Advantage Product, and agrees to no longer utilize the services of the subject provider, as applicable.

  • Enrollees in the Contractor's Medicaid Advantage Product are eligible to request an External Appeal when one or more health care service determined by the Contractor to be a Medicaid only benefit or a benefit under both Medicare and Medicaid has been denied by the Contractor on the basis that the service(s) is not medically necessary or is experimental or investigational.

  • The Contractor shall give SDOH written notice specifying the reason for and the effective date of the termination, which shall not be less time than will permit an orderly disenrollment of Enrollees from the Contractor’s Medicaid Advantage Product.

  • The Contractor shall establish an appropriate plan acceptable to and prior approved by the SDOH for the orderly disenrollment of Enrollees from the Contractor’s Medicaid Advantage Product.

  • Finally, recent history has been marked by the disappearance of the USSR.

  • Participation in Medicaid Advantage and enrollment in the Contractor’s Medicaid Advantage Product shall be voluntary for all Eligible Persons.

  • Enrollees with an urgent medical need to disenroll from the Contractor’s Medicaid Advantage Product may request an expedited Disenrollment by the LDSS, SDOH, or Enrollment Broker.

Related to Medicaid Advantage Product

  • Tobacco product means any substance containing tobacco leaf, including but not limited to, cigarettes, cigars, pipe tobacco, hookah tobacco, snuff, chewing tobacco, dipping tobacco, bidis, blunts, clove cigarettes, or any other preparation of tobacco; and any product or formulation of matter containing biologically active amounts of nicotine that is manufactured, sold, offered for sale, or otherwise distributed with the expectation that the product or matter will be introduced into the human body by inhalation; but does not include any cessation product specifically approved by the U.S. Food and Drug Administration for use in treating nicotine or tobacco dependence.

  • Pre-Licensed Therapist means an individual who has obtained a Master’s Degree in Social Work or Marriage and Family Therapy and is registered with the BBS as an Associate CSW or MFT Intern acquiring hours for licensing. An individual’s registration is subject to regulations adopted by the BBS.

  • Biological Samples means any physical samples obtained from Study Participants in accordance with the Protocol for the purposes of the Study.

  • Licensed Product means a product, method or service in the Licensed Field of Use, the making, having made, using, importing or selling of which, absent this license, infringes, induces infringement, or contributes to infringement of a Licensed Patent.

  • MSAA Indicator Technical Specifications document means, as the context requires, either or both of the document entitled “Multi-Sector Service Accountability Agreement (MSAA) 2019-20 Indicator Technical Specifications November 5, 2018 Version 1.3” and the document entitled “Multi-Sector Service Accountability Agreement (MSAA) 2019-20 Target and Corridor-Setting Guidelines” as they may be amended or replaced from time to time;