Medicaid Eligibility Rate definition

Medicaid Eligibility Rate or “MER” means the proportional share of Medicaid individuals to the total number of individuals in the target population (Contractor’s jurisdiction) as defined in the CAP, Manual and this Agreement.
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Medicaid Eligibility Rate means the proportional share of Medicaid individuals to the total number of individuals in the target population.
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Examples of Medicaid Eligibility Rate in a sentence

  • A Medicaid Eligibility Rate (MER) would have to be applied to those activities to ensure Medicaid is only reimbursing its fair share.

  • The claim associated with any particular activity is based on the following factors:  Gross reported costs; and  Percentage of time distribution for that activity, as determined by the time study; and  Application of reimbursement level factors:  Application of Medicaid Eligibility Rate for Activity Codes;  Reconciliation of those activities that are non-allowable; and  Allocation of allowable general administration off as described in code 15.

  • The claim associated with any particular activity is based on the following factors: • Gross reported costs; and • Percentage of time distribution for that activity, as determined by the time study; and • Application of reimbursement level factors: ✓ Application of Medicaid Eligibility Rate for Activity Codes; ✓ Reconciliation of those activities that are non-allowable; and ✓ Allocation of allowable general administration off as described in code 15.

  • This allocation of costs involves the development of the proportional Medicaid share, also referred to as the Medicaid Eligibility Rate (MER), Medicaid discount, or Medicaid percentage (See Attachment B: MER Methodology and FFP by Activity Code).

  • If DOH performs work under this contract that may benefit all Washington state residents in addition to Medicaid recipients, DOH must apply a Medicaid Eligibility Rate (MER) to ensure appropriate reimbursement for the Medicaid- related work only.