Common use of COVERED POPULATIONS Clause in Contracts

COVERED POPULATIONS. The MyCare Ohio eligible population includes all “full benefit” Medicare and Medicaid enrollees age 18 and over within the selected MyCare demonstration counties. The following describes the populations not eligible to participate in the MyCare program:  Partial Medicare Eligibility  Delayed and Other Spend-down  PACE  Intellectual Disabilities and Other Developmental Disabilities (IDD)  Receives Third-Party Liability (TPL) Benefits  CMS Independence at Home (IAH) Demonstration  Employee Union Coverage and/or Retiree Drug Subsidy  Incarcerated Recipients  Other Exclusion Populations.

Appears in 1 contract

Sources: Provider Agreement

COVERED POPULATIONS. The MyCare Ohio eligible population includes all “full benefit” Medicare and Medicaid enrollees age 18 and over within the selected MyCare demonstration counties. The following describes the populations not eligible to participate in the MyCare program:  Partial Medicare Eligibility  Delayed and Other Spend-down  PACE  Intellectual Disabilities and Other Developmental Disabilities (IDD)  Receives Third-Party Liability (TPL) Benefits  CMS Independence at Home (IAH) Demonstration  Employee Union Coverage and/or Retiree Drug Subsidy  Incarcerated Recipients  Other Exclusion Populations.

Appears in 1 contract

Sources: Provider Agreement