Medical Spend definition

Medical Spend means the sum of the direct, indirect, and sub-contracted costs for providing all Covered Services provided under this Contract, verified through encounters submitted through the Medicaid Management Information System and supplemental financial information, subject to Department approval.
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Examples of Medical Spend in a sentence

  • The Contractor’s Medical Spend is audited supplemental data provided in the Contractor’s annual financial reporting will be verified using encounter data submitted through flat file submission on a secure server, until such time that the Department deems it appropriate for such Encounter Data submissions to be sent through the State’s Colorado interchange.

  • Estimated Decrease in Forecasted Revenues$ (2.5) - Decrease in Insurance Premiums due to a reduction in projected enrollment and category/coverage migration.$ 0.4- Increase in Interest Income due to higher projected monthly ending cash balances.29.8 Estimated Decrease in Forecasted Expenses$ 12.2 - Decrease in PPO Plan Medical Spend$ (0.7) - Increase due to an increase in projected enrollment.

  • The Promotion allows an Eligible Cardmember to earn 3% cash rebate (“ Cash Rebate”) on Medical Spend (defined below) during the Promotion Period if he/she charges a minimum of S$500 to either of his/her POSB Everyday Card or PAssion POSB Debit Card (“Eligible Card Account”) in retail purchases in the same calendar month (“Qualifying Spend”).

  • Chris Gordon presented a slide deck that described DMAS’ key fiscal metrics:- Prompt Pay to Medicaid Providers- Agency Small, Women, and Minority contracts (SWAM)- Fiscal Year 2022 Appropriations ($17.8 billion)- Medical Spend (through Jan.

  • This should reflect the summary of all Projected VBP Medical Spend in the Large Risk Category from the table above.The same dollars may not be counted twice between target areas and models.

  • The Promotion allows an Eligible Cardmember to earn 3% cash rebate (“ Cash Rebate”) on Medical Spend (defined below) during the Promotion Period if he/she charges a minimum of S$500 to either of his/her PAssion POSB Debit Card (“Eligible Card Account”) in retail purchases in the same calendar month (“Qualifying Spend”).

  • INTEL CURRENTLY HAS A NPDES PERMIT FOR DISCHARGING TREATED GROUNDWATER EXTRACTED AT THE SC3 SITE TO SAN TOMAS AQUINO CREEK.

  • This should reflect the summary of all Projected VBP Medical Spend in the Small Risk Category from the table above.- Projected VBP Medical Spend ($) Payment Models 2 (Bundled/Episodic Payment), 3 (Shared Savings), and 4 (Shared Risk).

  • This should reflect the summary of all Projected VBP Medical Spend in the Medium Risk Category from the table above.- Projected VBP Medical Spend ($) Payment Models 5 (Capitation) and 6 (Capitation + PBC).

  • In fact, when a person is no longer employed, providers have been asked to upload adocument indicating that the person is no longer employed and provider has not uploaded current financialdocumentation.the name of their last employer and date, so that the Waiver unit is not waiting for paystubs that do not exist and can recertify timely.4Excess income and over resourced persons on Medical Spend downDDA staff continue to track persons identified as over income or over resourced.

Related to Medical Spend

  • Medical Specialist means any medical practitioner who is vocationally registered by the Medical Council under the Health Practitioners Competence Assurance Act 2003 in one of the approved branches of medicine and who is employed in either that branch of medicine or in a similar capacity with minimal oversight.

  • Medical services means Medically Necessary services, including, as the context requires, Confinement, treatments, procedures, tests, examinations or other related services for the investigation or treatment of a Disability.

  • Medical history means information regarding any:

  • Medical service means any medical treatment or any medical, surgical, diagnostic, chiropractic, dental, hospital, nursing, ambulances, and other related services, and drugs, medicine, crutches and prosthetic appliances, braces and supports and where necessary, physical restorative services.

  • Medical physicist means a person trained in evaluating the performance of mammography equipment and facility quality assurance programs and who meets the qualifications for a medical physicist set forth in 41.6(3)“c.”

  • Medical cannabis means the same as that term is defined in Section 26-61a-102.

  • Medical supplies means items for medical use that are suitable for use in a health care facility or in the home and that are disposable or semi-disposable and are non-reusable.

  • Medical home means a team approach to providing health care that originates in a primary care setting; fosters a partnership among the patient, the personal provider, and other health care professionals, and where appropriate, the patient’s family; utilizes the partnership to access and integrate all medical and nonmedical health-related services across all elements of the health care system and the patient’s community as needed by the patient and the patient’s family to achieve maximum health potential; maintains a centralized, comprehensive record of all health-related services to promote continuity of care; and has all of the characteristics specified in section 135.158.

  • Medical marijuana waste or "waste" means unused,

  • Orthodontic means a type of specialist dental treatment carried out by an orthodontist that diagnoses, prevents and corrects mispositioned teeth and jaws and misaligned bite patterns.

  • Medical marijuana means marijuana that is grown, processed, dispensed, tested, possessed, or used for a medical purpose.

  • Medical equipment means equipment used in a patient care environment to support patient treatment and diagnosis.

  • medical food means a food that is intended for the dietary treatment of a disease or condition for which nutritional requirements are established by medical evaluation and is formulated to be consumed or administered enterally under the direction of a Practitioner.

  • Medical personnel means those persons assigned, by a Party to the conflict, exclusively to the medical purposes enumerated under subparagraph (e) or to the administration of medical units or to the operation or administration of medical transports. Such assignments may be either permanent or temporary. The term includes:

  • Emergency medical services or “EMS” means an integrated medical care delivery system to provide emergency and nonemergency medical care at the scene or during out-of-hospital patient transportation in an ambulance.

  • Medical flexible spending arrangement means a benefit plan

  • Medical cannabis dispensary means an organization issued a

  • Dependent care assistance program means a benefit plan

  • Medical care means amounts paid for:

  • Medical cannabis card means the same as that term is defined in Section 26-61a-102.

  • Medical facility means any of the following:

  • Medical support means providing health care coverage for a joint child by carrying health care coverage for the joint child or by contributing to the cost of health care coverage, public coverage, unreimbursed medical expenses, and uninsured medical expenses of the joint child.

  • Medication means any drug, chemical, compound, suspension, or preparation in suitable form for use as a curative or remedial substance taken either internally or externally by any person.

  • Outpatient hospital services means preventive, diagnostic, therapeutic, observation, rehabilitation, or palliative services provided to an outpatient by or under the direction of a physician, dentist, or other practitioner by an institution that:

  • Emergency medical technician means a person who is either an EMT-I, EMT-II, or EMT-P (paramedic), and possesses a valid certificate or license in accordance with the standards of Division 2.5 (commencing with Section 1797) of the Health and Safety Code.

  • Drug therapy management means the review of a drug therapy regimen of a patient by one or more pharmacists for the purpose of evaluating and rendering advice to one or more practitioners regarding adjustment of the regimen.