Plan First definition

Plan First. The Medicaid fee-for-service family planning program. The purpose of this program is to reduce unplanned pregnancies, increase spacing between births, reduce infant mortality rates, and reduce the rates of abortions due to unintended pregnancies. Men and women not eligible for full benefit Medicaid or FAMIS/FAMIS MOMS, who have income between 138% and less than or equal to 200 percent of the federal poverty level (plus a 5% disregard) and meet citizenship and identity requirements may be eligible for Plan First. “Post-Payment” Subjecting claims for services to evaluation after the claim has been adjudicated. This activity may result in claim reversal or partial reversal, and claim payment recovery. “Post Stabilization Services” Covered services related to an emergency medical condition that are provided after a member is stabilized in order to maintain the stabilized condition or to improve or resolve the member’s condition.
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Plan First. The Medicaid fee-for-service family planning program. The purpose of this program is to reduce unplanned pregnancies, increase spacing between births, reduce infant mortality rates, and reduce the rates of abortions due to unintended pregnancies. Men and women not eligible for full benefit Medicaid or FAMIS/FAMIS MOMS, who have income less than or equal to 200 percent of the federal poverty level and meet citizenship and identity requirements may be eligible for Plan First. “Post-Payment” Subjecting claims for services to evaluation after the claim has been adjudicated. This activity may result in claim reversal or partial reversal, and claim payment recovery. “Pre-Payment” A review process conducted before a claim is paid to ensure the appropriate code was billed, the documentation supports the claim submitted, and/or the service was medically necessary.
Sample 1

Examples of Plan First in a sentence

  • IF YOU DO, WE ARE REQUIRED TO MARK ALL MAIL “RETURN TO SENDER” PER US POSTAL SERVICE * □ New Account □ Reactivation $15 reactivation fee + $0.98 sales tax required □ Titanium Plus SuperScan Plan First class and above mail (no junk mail) and small packages are exterior scanned $228.99/year plus $25 one-time set-up fee +$16.51 sales tax + $100 or more for postage/services acct.

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