County Assistance Office. The county offices of the Department that determine eligibility for all benefit programs, including MA, on the local level. Covered Outpatient Drug – A brand name drug, a generic drug, or an OTC which: • Is approved by the FDA. • Is distributed by a manufacturer that entered into a Federal Drug Rebate Program agreement with the CMS. • Is compensable under the MA Program. • May be dispensed only upon prescription in the MA Program. • Has been prescribed or ordered by a licensed prescriber within the scope of the prescriber’s practice. • Is dispensed or administered in an outpatientsetting. The term includes biological products and insulin. Covered Services - Services which CHC-MCOs are required to offer to Participants under CHC as specified in Exhibit EE Covered Services.
County Assistance Office. The county offices of the Department which administer the Medical Assistance program at the local level. Department staff in these offices perform necessary Medical Assistance functions such as determining recipient eligibility.
County Assistance Office. (CAO) — The county offices of the Department that determine eligibility for all benefit programs, including MA, on the local level. Covered Outpatient Drug — A brand name drug, a generic drug, or an OTC drug which: • Is approved by the FDA; • Is distributed by a manufacturer that entered into a Federal Drug Rebate Program Agreement with the CMS; • Is compensable under the MA Program; • May be dispensed only upon prescription in the MA Program; • Has been prescribed or ordered by a licensed prescriber within the scope of the prescriber’s practice; and • Is dispensed or administered in an outpatient setting. The term includes biological products and insulin. Covered Services — Services which the CHC-MCO is required to offer to Participants as specified in Exhibit A, Covered Services List. Critical Incident — An occurrence of an event that jeopardizes the participant’s health or welfare.
County Assistance Office. (CAO) — The county offices of the Department that determine eligibility for all benefit programs, including MA, on the local level. Covered Drug — A brand name drug, a generic drug, or an OTC drug which: • Is approved by the FDA; • Is distributed by a manufacturer that entered into a Federal Drug Rebate Program Agreement with the CMS; • • May be dispensed only upon prescription in the MA Program; • Has been prescribed or ordered by a licensed prescriber within the scope of the prescriber’s practice. The term includes biological products and insulin. Covered Services — Services which the CHC-MCO is required to offer to Participants as specified in Exhibit A, Covered Services List. Critical Incident — An occurrence of an event that jeopardizes the participant’s health or welfare.
County Assistance Office. (CAO) — The county offices of the Department that determine eligibility for all benefit programs, including MA, on the local level. Covered Outpatient Drug — A brand name drug, a generic drug, or an OTC drug which: • Is approved by the FDA; • Is distributed by a manufacturer that entered into a Federal Drug Rebate Program Agreement with the CMS; • Is compensable under the MA Program; • May be dispensed only upon prescription in the MA Program; • Has been prescribed or ordered by a licensed prescriber within the scope of the prescriber’s practice; and • Is dispensed or administered in an outpatientsetting. The term includes biological products and insulin.
County Assistance Office. (CAO) - The county offices of the Department that administer all benefit programs, including MA, on the local level. Department staff in these offices perform necessary functions such as determining and maintaining MA Consumer eligibility.
