Medicaid services definition

Medicaid services means those services as described in Appendix K-2 of this Agreement.

Medicaid services or “Medicaid care” means medically necessary medical or allied institutional or noninstitutional care, goods, services, or procedures covered, and eligible for payment, by the Medicaid program. Also see “Medically necessary.”

Medicaid services means either or both of the following:

Examples of Medicaid services in a sentence

• This ATT program provides all Directors of County Human Services departments with the opportunity to apply for grant funding provided by the CDA for the administration of services and supports in alignment with the Centers for Medicare & Medicaid Services (CMS) Home and Community Based Services (HCBS) spending plan.

• The Provider must fully cooperate with any and all reviews and/or audits by state or federal agencies, such as the Department of Audit, Department of Health and Human Services, Centers for Medicare and Medicaid Services, Office of Inspector General, General Accounting Office, or any other auditing agency approved by DOM, by assuring that appropriate employees and involved parties are available for interviews relating to the reviews or audits.

• Provider shall repay any identified Overpayment to the appropriate payor (e.g., Medicare contractor) in accordance with the requirements of 42 U.S.C. § 1320a-7k(d) and any applicable regulations and guidance from the Centers for Medicare and Medicaid Services (CMS).

• The MCO is an entity eligible to enter into this Agreement in accordance with 42 CFR 438.3 and is engaged in the business of providing the comprehensive services described in 42 CFR 438.2 through the managed care program for the Medicaid-eligible population described in OAC rule 5160-26-02 along with any other Medicaid-eligible populations authorized by the Centers for Medicare and Medicaid Services (CMS) and described in the Ohio Medicaid state plan.

• Within 60 days of receipt of the Claims Review Report, Provider shall repay the lower limit of the two-sided 90% confidence interval (Estimated Overpayment) to the Centers for Medicare and Medicaid Services (CMS).

More Definitions of Medicaid services

Medicaid services means the Health and Human Services Commission oversee state administration of Medicaid and CHIP, or any successor or renamed agency carrying out the functions and duties heretofore carried out by such office.

Medicaid services means nursing facility services, home health-care services, inpatient hospital services and nursing facilities for individuals 65 years of age or older in an institution for mental disease, services in an intermediate care facility for the mentally retarded, home and community care for functionally disabled elderly individuals, and community supported living arrangement services as defined in title XIX of the Social Security Act, approved July 30, 1965 (Pub. L. 89-97; 42 U.S.C. § 1396 et seq.).

Medicaid services means Covered Services under the Medicaid Program pursuant to the North Carolina Contract.