Medicaid Member definition

Medicaid Member means any person enrolled in the Department Medicaid Program and eligible to receive prescription drug benefits under a fee for service arrangement.

Medicaid Member means an individual enrolled in a taxable health plan who is a

Medicaid Member means an individual enrolled in a taxable health plan who is a Medicaid beneficiary on whose behalf the department directly pays the health plan a capitated payment.

Examples of Medicaid Member in a sentence

• Important statistical studies have been done on the less detailed but more general quasi-panel data derived from the “Enquête Emploi” (Bloch and Estrade 1999; Fondeur 2005).

• A capacity is the maximum Medicaid Member count for each of a provider’s Specialties within the County and State.

• All other types of potential Fraud and all types of potential Medicaid Member Waste or Abuse related to the Medicaid program shall be reported to the Utah OIG and to the Department.

• It also includes Medicaid Member practices that result in unnecessary cost to the Medicaid program.

• The report will be uploaded to the MCO’s SharePoint monthly library and will contain the following data elements, Medicaid Member ID, first name, last name, beginning date of service, ending date of service, Claim paid date, paid Provider NPI, submitted charge, practice specialty description, primary health insurance payment, primary health insurance carrier code and Claim paid amount.

More Definitions of Medicaid Member

Medicaid Member means a person who has been determined to be an eligible Medicaid beneficiary.

Medicaid Member. Any individual enrolled in the Virginia Medicaid program. “Medical Loss Ratio (MLR) Reporting Year” As defined in 42 C.F.R. § 438.8, a period of 12 months consistent with the rating period selected by the Department.

Medicaid Member means a Covered Person enrolled under any contract HMO may have with DMAS during the term of this Attachment. Medicaid Members include Covered Persons enrolled through Virginia’s Medallion II program, Family Access to Medical Insurance Security (FAMIS) plan, or FAMIS MOMS program or their successor programs as well as Covered Persons enrolled under any new programs for which HMO may contract with DMAS such as the Virginia Acute and Long-Term Care program.

Medicaid Member means a Medicaid beneficiary enrolled in a managed care plan.

Medicaid Member means a Member under a state Medicaid program that has contracted with an HMO Subsidiary to administer Covered Services under such Medicaid program.

Medicaid Member means any person enrolled in the State Medicaid Program and eligible to Medicaid benefits under a fee-for-service arrangement.

Medicaid Member means “a Member enrolled under any Medicaid Contract PREMIER may have with DMAS during the term of this Agreement”