Examples of MMC Enrollee in a sentence
In addition the Contractor is responsible for coverage of HIV testing provided to an MMC Enrollee during an STD related visit at a public health clinic, directly operated by a LPHA; such services will be covered by the Contractor.
Within ten (10) days of a request of an MMC Enrollee, who has already undergone, or is scheduled to undergo, an initial LDSS required mental and/or physical examination, the MMC Enrollee’s PCP shall provide a health, or mental health and/or chemical dependence assessment, examination or other services as appropriate to identify or quantify an MMC Enrollee’s level of incapacitation.
The Contractor is responsible for HIV testing provided to a MMC Enrollee during a TB related visit at a public health clinic that is directly operated by a LPHA.
The cost of such coverage shall be determined by SDOH.b) Under NYS stop-loss coverage, if the hospital inpatient expenses incurred by the Contractor for an individual MMC Enrollee during any calendar year reaches $100,000, the Contractor shall be compensated for eighty percent (80%) of the cost of hospital inpatient services in excess of this amount up to a maximum of $250,000.
Within ten (10) days of a request of an MMC Enrollee or a former MMC Enrollee, currently receiving public assistance or who is applying for public assistance, the MMC Enrollee’s or former MMC Enrollee’s PCP or specialist provider, as appropriate, shall provide medical documentation concerning the MMC Enrollee or former MMC Enrollee’s health or mental health status to the LDSS or to the LDSS’ designee.
HIV counseling and testing provided to an MMC Enrollee during an STD related visit at a public health clinic, directly operated by a LPHA, will be covered by Medicaid fee-for-service at rates established by SDOH.
For MMC Enrollees, the Contractor, NYSoH and the LDSS are responsible for notifying the MMC Enrollee of the expected Effective Date of Enrollment.
MMC Enrollee co-payment requirements pursuant to Section 367 of the Social Services Law are applicable to prescription and over-the-counter drugs only.
Effective Date PG&E requests that this Tier 2 advice filing be approved with an effective date of January 1, 2015.
Information that the cost of the Enrollee’s Family Planning and Reproductive Health care will be fully covered, including when a MMC Enrollee obtains such services in accordance with MMC’s Free Access policy.