State Plan for Medical Assistance or "the Plan" means the document containing the covered groups, covered services and their limitations, and provider reimbursement methodologies as provided for under Title XIX of the Social Security Act.
State Plan for Medical Assistance or "Plan" means the Commonwealth's legal document approved by CMS identifying the covered groups, covered services and their limitations, and provider reimbursement methodologies as provided for under Title XIX of the Social Security Act.
State Plan for Medical Assistance or “Plan” means the regulations identifying the covered groups,
Examples of State Plan for Medical Assistance in a sentence
TENNCARE MEDICAID shall mean that part of the TennCare program, which covers persons eligible for Medicaid under Tennessee’s Title XIX State Plan for Medical Assistance.
Recipient of Medicaid Program under the State Plan for Medical Assistance as set forth in Service Chapter 510-05, Medical Assistance Eligibility Factors;2.
The Alabama Medicaid Agency is responsible for the administration of the Alabama Medicaid Program under a federally approved State Plan for Medical Assistance.
This service shall encompass those items not otherwise covered in the State Plan for Medical Assistance or through another program.
These Additional Services are health care services that are not covered by the South Carolina State Plan for Medical Assistance and/or are in excess of the amount, duration, and scope of those listed in the Managed Care Policy and Procedure Guide and handbooks.
More Definitions of State Plan for Medical Assistance
State Plan for Medical Assistance or "Plan" means the [ regulations Commonwealth's legal document approved by the Centers for Medicare and Medicaid Services ] identifying the covered groups, covered services and their limitations, and provider reimbursement methodologies as provided for under Title XIX of the Social Security Act.
State Plan for Medical Assistance or "State Plan" means the comprehensive written statement submitted to CMS by DMAS describing the nature and scope of the Virginia Medicaid program and giving assurance that the program will be administered in conformity with the requirements, standards, procedures, and conditions for obtaining federal financial participation. DMAS has the authority to administer such State Plan for the Commonwealth pursuant to the authority of the § 32.1-325 of the Code of Virginia.
State Plan for Medical Assistance or “the Plan” means the Commonwealth’s legal
State Plan for Medical Assistance or "Plan" means the Commonwealth’s legal document
State Plan for Medical Assistance or "the Plan" means the document containing the covered groups,
State Plan for Medical Assistance or “State Plan” - The comprehensive written statement submitted to CMS by the Department describing the nature and scope of the Virginia Medicaid program and giving assurance that it will be administered in conformity with the requirements, standards, procedures and conditions for obtaining Federal financial participation. The Department has the authority to administer the State Plan for Virginia under Code of Virginia § 32.1-325, as amended. “State Plan Substituted Services” (In Lieu of Services) – Alternative services that are not (or services provided in a setting that is not) included in the state plan and/or not normally covered by this Contract, but are medically appropriate, cost effective substitutes for state plan services that are included within this Contract (An example of this type of services is a service provided in an ambulatory surgical center or sub-acute care facility, rather than an inpatient hospital). The Contractor shall not, however, require a Member to use a state plan substituted service/“in lieu of service” as a substitute for a state plan covered service or setting, but may offer and cover such services or settings as a means of ensuring that appropriate care is provided in a cost efficient manner. For individuals 21 through 64 years of age, an Institution for Mental Disease (IMD) may be an “in lieu of” service; however, a member’s stay in an IMD shall be limited to no more than fifteen (15) calendar days in any calendar month. Reference 42 CFR §§ 438.3 and 438.6(e).
State Plan for Medical Assistance or "Plan" means the Commonwealth's legal document approved by CMS identifying the covered groups, covered