Medicaid eligible. An individual eligible to receive services under the Medicaid Program but not necessarily enrolled in the Medicaid Program. Medicaid Management Information System (MMIS): Computerized system used for the processing, collecting, analysis and reporting of Information needed to support Medicaid and SCHIP functions. The MMIS consists of all required subsystems as specified in the State Medicaid Manual.

Medicaid eligible means an individual has been determined eligible and has been issued an effective date of health care which covers the time period in question by the CDJFS under Chapter 5101:1-39 of the Administrative Code.

Medicaid eligible. An individual who has been determined to be eligible for Medicaid and who has been issued a Medicaid card.

Examples of Medicaid eligible in a sentence

Medicare or Medicaid eligible as a supplier of skilled inpatient nursing care.
The MAPP HHTS does not use 12/31/9999 to indicate that a member is indefinitely Medicaid eligible.
There are known recognized standards as identified in WAC 246-310- 200(2)(a)(ii) and (b) that a facility must meet when it is to be Medicare certified and Medicaid eligible.
The Contractor shall ensure that Network Providers verify that the individuals receiving services covered under this Contract are Medicaid eligible on the date of service, whether the Contractor or the Department is responsible for reimbursement of the services provided, and whether the Contractor has authorized a referral or made special arrangements with a provider, when appropriate.
There are known recognized standards as identified in WAC 246-310-200(2)(a)(ii) and (b) that a facility must meet when it is to be Medicare certified and Medicaid eligible.

More Definitions of Medicaid eligible

Medicaid eligible means an individual has been determined eligible by the CDJFS under Chapter 5160:1-3 of the Administrative Code and has been issued an effective date of health care coverage for the time period in question.

Medicaid eligible means a person who is eligible for medical assistance from the department;

Medicaid eligible means a person who is

Medicaid eligible means an individual eligible to receive services under the Medicaid Program, whether or not actually enrolled in the Medicaid Program.

Medicaid eligible. An individual eligible to receive services under the Medicaid Program but not necessarily enrolled in the Medicaid Program. Medicaid Care Management Organizations Act: O.C.G.A. 33-21-1, et seq MEDICAID CARE MANAGEMENT ORGANIZATIONS ACT. A xxxx passed by the Georgia General Assembly, signed into law by the Governor, and effective July 1, 2008 which speaks to several administrative requirements for the administrators of the Medicaid Managed Care plan, Georgia Families, to comply. Some of the requirements include dental provider networks; emergency room claims payment requirements, eligibility verification, and others. Medicaid Management Information System (MMIS): Computerized system used for the processing, collecting, analysis and reporting of Information needed to support Medicaid and SCHIP functions. The MMIS consists of all required subsystems as specified in the State Medicaid Manuals.

Medicaid eligible. Means an individual who has been determined to be entitled to Medicaid for service dates rendered This includes persons entitled to Medicaid who are on a spend-down who have met their deductible for a given month and persons who are retro-eligible for Medicaid. Medically Necessary or Medical Necessity: Medical necessity and recommendation for BHT services is determined by a physician or other licensed practitioner working within their scope of practice under state law. The child must demonstrate substantial functional impairment in social communication, patterns of behavior, and social interaction as evidenced by meeting criteria A and B (listed below); and require BHT services to address the elements identified in the Medicaid Provider Manual 18.4 Medical Necessity Criteria.