Member Month means one Member enrolled with the HMO during any given month. The total Member Months for each month of a year comprise the annual Member Months.
Member Month means one (1) Member enrolled with the MCO during any given month. The total Member Months for each month of a year comprise the annual Member Months. Member(s) with Special Health Care Needs (MSHCN) includes a Child or Children with a Special Health Care Need (CSHCN) and any adult Member who:
Member Month means, respectively, as of the first of each applicable month, the number of active eligible Members as enrolled and entered by Customer, as of a given effective date, onto the MPOWER System (for Remote Processing) or processed using the MPOWER Software (for Customer Processing, adjusted for actual retroactive Customer Member enrollment or disenrollment occurring in the prior twelve (12) months.
Examples of Member Month in a sentence
Member Month – A month of coverage for a TennCare enrollee enrolled in the CONTRACTOR’s MCO.
Member Month Reporting Enter the member months for each of the EGs for the quarter.
Demonstration Populations (as hard coded in the CMS-64) Current Enrollees (to date) Disenrolled in Current Quarter SeniorCare Member Month Reporting Enter the member months for the quarter.
Pace The data mart will maintain data at the service, customer, and provider levels with metrics (e.g., visits) to allow aggregation that when joined with Member Month data mart we can easily calculate metrics like PMPM and visits/1,000.
More Definitions of Member Month
Member Month. A month in which a Customer/Patient is a Program Customer/Patient under this Program. Payment Quarter: A 3-month period with the 1st quarter starting on the 1st day of the Measurement Period. For example, the 1st Payment Quarter of an applicable Measurement Period runs from July 1st through September 30th . The 2nd Payment Quarter will run from October 1st through December 31st . The 3rd Payment Quarter will run from January 1st through March 31st . The last Payment Quarter of an applicable Measurement Period will run from April 1st through June 30th.
Member Month means, respectively, during any applicable month, the number of active eligible Customer Members as enrolled and entered by Customer onto the MPOWER System, adjusted for actual retroactive Customer Member enrollment or disenrollment occurring in the prior twelve (12) months. Such retroactive adjustments shall include the twelve (12) months prior to the Effective Date of this is Agreement. Retroactive disenrollment shall not apply to a month in which the Member was, at any prior time, eligible for processing on MPOWER's system under a Customer's subscriber contras, and are limited to late enrollments and disenrollments by employer groups.
Member Month means the quotient of the (i) total number of Members per month during a Measurement Period, divided by (ii) twelve (12), as evidenced by membership eligibility files received by CFCHP and PC Xxxxx from the Plans. By way of example only, a Member who is a Member for each month of a twelve (12) month Measurement Period will be counted twelve (12) times; a Member who is a Member for only six (6) of the twelve (12) months will be counted six (6)
Member Month means one Dental Member enrolled with the Dental Contractor during any given month. The total Member Months for each month of a year comprise the annual Member Months.
Member Month means a calendar month during which a member is enrolled.
Member Month means one capitated paid enrollment month per Member. The total Member Months for each month of a year comprise the annual Member Months.
Member Month. A month of coverage for a Medicaid enrollee. Mental Health/Substance Use (MH/SU) Providers – Behavioral health professionals engaged in the treatment of substance use, dependency, addiction, or mental illness.