Retroactive eligibility definition

Retroactive eligibility means the period of time consisting of the three months preceding the month in which an application for Medicaid is filed, during which the person may be eligible for Medicaid coverage as determined by the department.
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Retroactive eligibility means that if payment for past medical expenses is requested, and eligibility exists, retroactive medical assistance may be approved.[ The Department of Social Services, Office of Community Operations, will determine the eligibility.]
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Retroactive eligibility. Members who have an eligibility period that is only retroactive.  PACE: Members who are enrolled in the Program of All-Inclusive Care for the Elderly (PACE) benefit.
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Examples of Retroactive eligibility in a sentence

  • Retroactive eligibility is provided in accordance to STC 50 Table F.

  • Retroactive eligibility is calculated independently for each of the three (3) months for which retroactive eligibility may be granted and during which services may be retroactively covered.

  • Retroactive eligibility includes all bargaining unit members who retired from SUSD or who remain in paid SUSD status (in any SUSD position) as of July 1, 2024.

  • Retroactive eligibility is by month, beginning on the first of the month up to a maximum of three (3) months.

  • Retroactive eligibility will be extended three (3) months prior to the date of application to the LIHP population but not earlier than the effective date of this contract.

  • Retroactive eligibility is provided in accordance to STC 61 Table F.

  • Retroactive eligibility determinations shall account for any Medicaid Member's termination, change, or addition of coverage.

  • Retroactive eligibility will not be extended prior to the date of application to the LIHP population.

  • Retroactive eligibility claims returned on prepayment RETROACTIVE ELIGIBILITY (CONT’D.) BENEFICIARY COPAYMENTS OVERVIEW review DHHS Form 017 or DHHS Form 017CI without any processing must be completely resubmitted with required corrections.

  • Retroactive eligibility as provided for under the approved Medicaid state plan does not apply to demonstration eligibles.


More Definitions of Retroactive eligibility

Retroactive eligibility means that if payment for past medical expenses is requested, and eligibility exists, retroactive medical assistance may be approved.
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