Medical Status Code definition
Medical Status Code. The two digit (alpha, numeric, or alphanumeric) code in the ForwardHealth interChange system that identifies the basis of eligibility, whether cash assistance is being provided funding sources, and other aspects of Medicaid eligibility. The medical status code is listed on the enrollment report. Member: A child in out-of-home care who has been certified by the state as eligible to enroll under this Contract, and whose name appears on the Enrollment Reports that the Department transmits to the PIHP according to an established notification schedule. Member-Centric Care: Member-centric care is care that explicitly considers the member’s perspective and point of view. For example, a member-centric care plan will include treatment goals and expected outcomes identified by the member, often expressed in the member’s own words. A member-centric needs assessment includes the needs expressed by the member whether or not those needs fit neatly into medical or health nomenclatures. Member-centric care actively engages the patient throughout the care process. Member Communication: Materials designed to provide the PIHP’s members with clear and concise information about the program, the PIHP’s network, and the Medicaid program. Members with Special Needs: Pursuant to 42 CFR § 438.208(c)(1), the terminology used in clinical diagnostic and functional development to describe individuals who require additional assistance for conditions that may be medical, mental, developmental, physical or psychological (this includes, but is not limited to, members who need intensive medical or behavioral case management or Birth to 3 members).
Medical Status Code means the two digit (alphanumeric) code that the Department uses in its computer system to define the type of Medicaid eligibility a recipient has: the code identifies the basis of eligibility, whether cash assistance is being provided, and other aspects of Medicaid. The medical status code is listed on the HMO enrollment reports. Please refer to Article IV. A. for a list of HMO eligible medical status codes.
Medical Status Code. The two digit (alpha, numeric, or alphanumeric) code in the ForwardHealth interChange system that identifies the basis of eligibility, whether cash assistance is being provided funding sources, and other aspects of Medicaid eligibility. The medical status code is listed on the enrollment report. Member: A child in out-of-home care who has been certified by the state as eligible to enroll under this Contract, and whose name appears on the Enrollment Reports that the Department transmits to the PIHP according to an established notification schedule. Member Communication: Materials designed to provide the PIHP’s members with clear and concise information about the program, the PIHP’s network and the Medicaid program. Member-Centric Care: Member-centric care explicitely considers the member’s perspective and point of view. For example, a member-centric care plan will include treatment goals and expected outcomes identified by the member, often expressed in the member’s own words. A member-centric needs assessment includes the needs expressed by the member whether or not those needs fit neatly into medical or health nomenclatures. Member-centric care actively engages the patient throughout the care process.
More Definitions of Medical Status Code
Medical Status Code means the two digit (alphanumeric) code in the Department’s computer system that defines the type of Medicaid eligibility a recipient has. The code identifies the basis of eligibility, whether cash assistance is being provided, and other aspects of Medicaid. The medical status code is listed on the HMO enrollment reports. Article V, A of this contract includes a list of HMO eligible medical status codes.