State health care program definition

State health care program means the medical assistance, MinnesotaCare, and general assistance medical care programs.

State health care program or (iii) has been convicted (as that term is defined in 42 C.F.R. Section 1001.2) of any of the following categories of offenses as described in the SSA Section 1127(a) and (b)(l), (2), (3): (A) criminal offenses relating to the delivery of an item or service under Medicare or any State Health Care Program; (B) criminal offenses under federal or state law relating to patient neglect or abuse in connection with the delivery of a health care item or service; (C) criminal offenses under federal or state law relating to fraud, theft, embezzlement, breach of fiduciary responsibility, or other financial misconduct in connection with the delivery of a health care item or service or with respect to any act or omission in a program operated by or financed in whole or in part by any federal, state or local government agency; (D) federal or state laws relating to the interference with or obstruction of any investigations into any criminal offense described in (A) through (C) above; or (E) criminal offenses under federal or state law relating to the unlawful manufacture, distribution, prescription or dispensing of a controlled substance. Without limiting the generality of the foregoing, neither any Borrower nor any Operator is in default in the performance, observance or fulfillment of any of the obligations, covenants or conditions contained in any Medicare or Medicaid Provider Agreement or other agreement or instrument to which such Borrower or Operator is a party, which default has resulted in, or if not remedied within any applicable grace period could result in, the revocation, termination, cancellation or suspension of the Medicare or Medicaid Certification of such Borrower or Operator.

State health care program means a program for which

Examples of State health care program in a sentence

• An exclusion or debarment from participation in a Federal or State health care program.

• Any misdemeanor conviction, under Federal or State law, related to: (a) the delivery of an item or service under Medicare or a State health care program, or (b) the abuse or neglect of a patient in connection with the delivery of a health care item or service.

• Where these terms are governed by law, free, public access to the relevant statutory documentation is deemed sufficient to meet the IRMA requirement.

• A service is not covered if it is specifically identi- fied as excluded from Medicare Part B coverage or is not a defined Medicare Part B benefit.Exclusion means the temporary or permanent barring of a person or other entity from participation in the Medi- care or State health care program and that services furnished or ordered by that person are not paid for under ei- ther program.General Counsel means the General Counsel of HHS or his or her designees.

• If the buyer is an entity which is an HMO or a CMP acting in accordance with a risk contract under section 1876(g) or 1903(m) of the Act, or under another State health care program, the offeror need not report the discount to the buyer for purposes of this provi- sion.

More Definitions of State health care program

State health care program has the meaning ascribed thereto in Section 3.19.

State health care program means the medical assistance, RIte Care, and any other

State health care program has the meaning set forth in Section 4.35 of this Agreement.

State health care program means the medical assistance and MinnesotaCare programs.

State health care program means a program for which the state purchases prescribed products, including but not limited to a state employee, corrections, or retirement system program, but does not include the medical assistance program.

State health care program is defined in Section 4.33.

State health care program means a program for which the state purchases prescribed products, including, but not limited to, the state medical assistance program (Medicaid), a state pharmaceutical assistance program, or a program for state employees and their dependants, individuals under the supervision of corrections, or state retirees and their dependants.