MSI Program definition

MSI Program means all hospital services, physician services, Clinic Services, administrative 37 services, and other non-hospital services for which reimbursement is authorized by the Agreement and 3 of 1210 EXHIBIT A 1 all other agreements for the MSI Program.
View Source
MSI Program means Medical Services Initiative Program responsible for providing necessary medical care, under California Welfare & Institutions (W&I) Code 17000 and/or the STCs, to Orange County residents ages 19 through 64 who have no other financial resources for medical care.
View Source

Examples of MSI Program in a sentence

  • Availability of MSI Program services at locations other than UCI Medical Center.

  • Rebate quotes must be itemized by rebate guaranteed for each applicable MSI Program or BHS Program formulary, and by MSI Program or BHS Program formularies that will be designed according to lowest net-net drug cost before rebates.

  • Specific documentation for the customer service department shall be created by Contractor based upon the needs of the MSI Program and corresponding plan designs.

  • Contractor shall train and instruct the customer service representatives in the intricacies of the the MSI Program plan design.

  • Contractor’s call center shall handle inquiries from network pharmacies to clarify coverage and prescription information for the MSI Program.

  • Contractor shall adjudicate claims according to each and every element of the Plan Benefit Design (not limited to those listed above) for the MSI Program.

  • There is an overwhelming case-specific need, and the diagnosis is within the scope of the MSI Program and is consistent with the prescription.

  • Contractor shall maintain a telephone number dedicated to facilitating communication with the County and providers submitting claims for the MSI Program.

  • The MSI Administrative Manager retains the right to determine if communications are of marketing or other nature that is inconsistent with MSI Program policies.

  • This is a fixed fee Contract between County and Contractor for the provision of Pharmacy Benefits Manager Services for the Medical Services for Indigents (MSI) Program and the Behavioral Health Services Program.