Basic Health Program definition

Basic Health Program or BHP means an optional state program established under Section 1331 of the ACA;
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Basic Health Program or “BHP” means an optional state program established under section 1331 of the PPACA;
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Basic Health Program means a joint federal and state funded program for medical assistance established under Section 1331 of the federal Patient Protection and Affordable Care Act of 2010 and Title 42, Chapter IV, Subchapter 1 of the Code of Federal Regulations, which the state has elected to adopt and implement as OHP Bridge.¶
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Examples of Basic Health Program in a sentence

  • The analysis includes estimates of CMS’s labor and system costs as both the recipient agency in relation to the aforementioned trusted data sources and recipient and source agency in relation to state-based administering entities; costs incurred by TDSs; and costs to Administering Entities (Medicaid/CHIP agencies, Marketplaces and agencies administering the Basic Health Program) to support the hub services.

  • If the Member receives coverage under the Plan through the Marketplace and the Member becomes eligible for coverage under Medicaid, the Children’s Health Insurance Program, or a Basic Health Program, the termination will generally be effective the day before new coverage starts.

  • A Member becomes newly eligible for enrollment in a Medicaid, Children’s Health Insurance Program (CHIP) or Basic Health Program (BHP) plan.

  • Under section 1331(e)(1)(C) of the Affordable Care Act, individuals are eligible for enrollment in a Basic Health Program if they are not eligible for MEC as defined in section 5000A(f) of the Internal Revenue Code.

  • However, funding under the Exchange Establishment Cooperative Agreements may not be used solely for waiver activities, the Basic Health Program or investigation of the feasibility of those options.

  • Basic Health Program (BHP): The final budget accepts the Governor's BHP proposal, including DOH rate-setting authority.

  • In order to provide accurate and efficient Eligibility Determinations when an Applicant or Enrollee uses this single streamlined application and coordinated eligibility process, a computer matching program is necessary because it provides an efficient and prompt means to verify whether one of the criteria for eligibility for APTCs, CSRs, and the Basic Health Program is met.

  • However, funding under the Establishment Cooperative Agreements may not be used solely for waiver activities, the Basic Health Program or investigation of the feasibility of those options.

  • If the Member receives coverage under the Plan through the Marketplace and the Member becomes eligible for coverage under Medicaid/MaineCare, the Children’s Health Insurance Program, or a Basic Health Program, the termination will generally be effective the day before new coverage starts.

  • This exclusion does not apply to Benefit Plans which are offered by employers or other group sponsors through an exchange mechanism, whether operated by the employer or group or by the federal or state government or other third party; such Benefit Plans will be included under the Agreement as otherwise provided under this Agreement; and (b) Benefit Plans for the Basic Health Program administered by a state government pursuant to the federal Patient Protection and Accountable Care Act.


More Definitions of Basic Health Program

Basic Health Program means the program authorized by section 1331 of ACA.
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Basic Health Program means Section 1331 of the Affordable Care Act.
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Related to Basic Health Program

  • Basic health plan means the plan described under chapter

  • Basic health plan model plan means a health plan as required in RCW 70.47.060(2)(e).

  • Basic health plan services means that schedule of covered

  • Public health or “DPH” means the Illinois Department of Public Health. BOARD NOTE: See the definition of “Agency” in this Section.

  • Basic health benefit plan means any plan offered to an individual, a small group,

  • Participating Clinical Laboratory means a Clinical Laboratory which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Basic health care services means in and out-of-area emergency services, inpatient hospital and

  • Provider of health care means a physician or physician assistant licensed pursuant to chapter 630, 630A or 633 of NRS, perfusionist, dentist, licensed nurse, dispensing optician, optometrist, practitioner of respiratory care, registered physical therapist, podiatric physician, licensed psychologist, licensed audiologist, licensed speech-language pathologist, licensed hearing aid specialist, licensed marriage and family therapist, licensed clinical professional counselor, chiropractor, licensed dietitian or doctor of Oriental medicine in any form.

  • Clinical laboratory means a facility for the microbiological, serological, chemical, hematological, radiobioassay, cytological, immunohematological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of a disease or assessment of a medical condition.

  • Participating Retail Health Clinic means a Retail Health Clinic which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Community mental health program means all mental health

  • Public health authority means an agency or authority of the United States, a state, a territory, a political subdivision of a state or territory, an Indian tribe, or a foreign government, or a person or entity acting under a grant of authority from or contract with such public agency, including the employees or agents of such public agency or its contractors or persons or entities to whom it has granted authority, that is responsible for public health matters as part of its official mandate.

  • Participating Prescription Drug Provider means an independent retail Pharmacy, chain of retail Pharmacies, mail-order Pharmacy or specialty drug Pharmacy which has entered into an agreement to provide pharmaceutical services to participants in the benefit program. A retail Participating Pharmacy may or may not be a select Participating Pharmacy as that term is used in the Vaccinations Obtained Through Participating Pharmacies section.

  • Non-Participating Clinical Laboratory means a Clinical Laboratory which does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan provide services to you at the time services are rendered.

  • Home health aide means an individual employed by a home health agency to provide home health services under the direction of a registered nurse or therapist.

  • Nonprescription drug or "over-the-counter drug" means any

  • Health care worker means a person other than a health care professional who provides medical, dental, or other health-related care or treatment under the direction of a health care professional with the authority to direct that individual's activities, including medical technicians, medical assistants, dental assistants, orderlies, aides, and individuals acting in similar capacities.

  • Medicaid program means the medical assistance

  • Spatial Planning and Land Use Management Act means the Spatial Planning and Land Use Management Act, 2013 (Act 16 of 2013);

  • Emergency medical technician means a person who is either an EMT-I, EMT-II, or EMT-P (paramedic), and possesses a valid certificate or license in accordance with the standards of Division 2.5 (commencing with Section 1797) of the Health and Safety Code.

  • Mental Health Worker means an individual that assists in planning, developing and evaluating mental health services for Clients; provides liaison between Clients and service providers; and has obtained a Bachelor's degree in a behavioral science field such as psychology, counseling, or social work, or has two years of experience providing client related services to Clients experiencing mental health, drug abuse or alcohol disorders. Education in a behavioral science field such as psychology, counseling, or social work may be substituted for up to one year of the experience requirement.