Medicaid eligibility group definition

Medicaid eligibility group means the total number of persons counted in a household – that is, the family size involved – when identifying the FPL income level that applies when determining a person’s Medicaid eligibility.
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Medicaid eligibility group means the total number of persons counted in a household – that is, the family size involved – when identifying the Federal
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Examples of Medicaid eligibility group in a sentence

  • While the College is not violating Fair Labor Standards Act (FLSA) since overtime is paid when it is not required, the college should consider implementing such limits on overtime pay which could result in cost- savings.

  • Once the appropriate exclusions have been applied and the value of each type of resource is determined, the value of all countable resources (including deemed resources) are added together to determine the total countable resources for the Medicaid eligibility group for the family size involved.

  • Individuals enrolled in the Supports Program who are accessing Private Duty Nursing (PDN) from the MLTSS Program may be enrolled in any Medicaid eligibility group recognized within the Supports Program and will be able to access all Supports Program services.

  • That income is then compared against the Medicaid eligibility group income limit for the family size involved – i.e., household size.

  • The Medicaid eligibility group increases in size for any dependent child under age nineteen (19) who is not receiving SSI.

  • Income deeming requirements are based on the FRU rather than the Medicaid eligibility group rule.

  • A person may be included in the Medicaid eligibility group without being included in the FRU – (e.g., the sibling of a child seeking MN eligibility –) and having their income deemed to an applicant or non-applicant in the household.

  • This plan will be updated consistent with the provisions of the Affordable Care Act and CMS regulations for any individuals enrolled in Demonstration Eligible Groups (as defined in paragraph 17, Table 1a) who will be eligible for coverage under the state plan as of January 1, 2014, including under the new Medicaid eligibility group identified in Section 1902(a)(10)(A)(i)(VIII) of the Act, or who elect to move to an Exchange plan.

  • Table A outlines the Medicaid eligibility group for each DSHP and DSHP-Plus eligibility group.

  • Application for Medicare is a condition of eligibility unless the state does not pay the Medicare premiums, deductibles or co-insurance (except those applicable under Part D) for persons covered by the Medicaid eligibility group under which the individual is applying.

Related to Medicaid eligibility group

  • Health Plans means any and all individual and family health and hospitalization insurance and/or self-insurance plans, medical reimbursement plans, prescription drug plans, dental plans and other health and/or wellness plans.

  • Medicare eligible expenses means expenses of the kinds covered by Medicare Parts A and B, to the extent recognized as reasonable and medically necessary by Medicare.

  • Eligibility Service of an employee means the period or periods of service credited to him under the provisions of Article II for purposes of determining his eligibility to participate in the Plan as may be required under Article III or Article VI.

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

  • Retiree Health Plan means an "employee welfare benefit plan" within the meaning of Section 3(1) of ERISA that provides benefits to individuals after termination of their employment, other than as required by Section 601 of ERISA.

  • Retirement Eligibility means attainment of age 60 and completion of at least five (5) years of continuous service with the Company.

  • Pharmacy benefits management means the administration or management of prescription drug

  • Public employees retirement system means the retirement plan and program

  • Health care service means that service offered or provided

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

  • Medicare benefit means the Medicare benefit payable within the meaning of Part II of the Health Insurance Act 1973 with respect to a professional service.

  • Medical Benefits Schedule means the Medicare Schedule of Benefits produced by the Department of Health to which all fees and benefits relate for inpatient hospital services.

  • Eligibility Waiting Period means the continuous length of time you must be in Active Employment in an eligible class to reach your Eligibility Date.

  • Health plan or "health benefit plan" means any policy,

  • Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

  • Eligibility means the decision as to whether an individual qualifies, under financial and nonfinancial requirements, to receive program benefits.

  • Eligible patient means an individual who meets all of the following conditions:

  • Medicaid program means the medical assistance

  • Group health plan means an employee welfare benefit plan as defined in section 3(1) of subtitle A of title I of the employee retirement income security act of 1974, Public Law 93-406, 29 USC 1002, to the extent that the plan provides medical care, including items and services paid for as medical care to employees or their dependents as defined under the terms of the plan directly or through insurance, reimbursement, or otherwise.

  • Eligible Employees means each employee of the Company or an Affiliate.

  • Mental health service provider means a public or private

  • Health care coverage means any plan providing hospital, medical or surgical care coverage for

  • Medicare means the “Health Insurance for the Aged Act,” Title XVIII of the Social Security Amendments of 1965, as then constituted or later amended.

  • Pharmacy benefit manager means a person, business or other

  • Disability benefit recipient means a member who is receiving a disability benefit.

  • Acute care hospital means a Hospital that provides Acute Care Services. Adjudicate means to deny or pay a Clean Claim. Administrative Services see MCO Administrative Services. Administrative Services Contractor see HHSC Administrative Services Contractor.