Enrollee Encounter Data definition

Enrollee Encounter Data means the information relating to the receipt of any item(s) or service(s) by an Enrollee that is subject to the requirements of 42 CFR § § 438.242 and 438.818, and as described in section Error! Reference source not found.
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Enrollee Encounter Data means the information relating to the receipt of any item(s) or service(s) by an Enrollee under this Contract that is subject to the requirements of 42 CFR Enrollees with Special Health Care Needs means Enrollees who have or are at increased risk for chronic physical, developmental, behavioral, or emotional conditions and who also require health and related services of a type or amount beyond that required by adults and children generally.
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Examples of Enrollee Encounter Data in a sentence

  • Enrollee Encounter Data — The information relating to the receipt of any item(s) or service(s) by an enrollee under a contract between the State and a PH-MCO that is subject to the requirements of 42 C.F.R. §438.242 and 42 C.F.R. §438.818.

  • Serves as a liaison between the Contractor and the Agency, or its Designee, regarding Enrollee Encounter Data submissions, Capitation Payment, Member eligibility, enrollment and other data transmission interface and management issues.

  • Enrollee Encounter Data — The information relating to the receipt of any item(s) or service(s) by an Enrollee under a contract between the State and a PH-MCO that is subject to the requirements of 42 C.F.R. §438.242 and 42 C.F.R. §438.818.

  • Enrollee Encounter Data means the information relating to the receipt of any item(s) or service(s) by an Enrollee under this Contract that is subject to the requirements of 42 CFR § 438.242 and 42 CFR § 483.818.

  • Enrollee Encounter Data — The information relating to the receipt of any item(s) or service(s) by an enrollee under a contract between the State and a CHIP-MCO that is subject to the requirements of 42 CFR §438.242 and 42 CFR §438.818.

Related to Enrollee Encounter Data

  • Encounter Data Any Contractor accessing payments for services through the Global Commitment to Health Waiver and Vermont Medicaid programs must provide encounter data to the Agency of Human Services and/or its departments and ensure that it can be linked to enrollee eligibility files maintained by the State.

  • ODJFS means the Ohio Department of Job and Family Services.

  • Encounter means a record of a medically-related service rendered by an AHCCCS-registered provider to a member enrolled with a contractor on the date of service.

  • Enrollee means any person entitled to health care services from a carrier.

  • Electronic Subcontracting Reporting System (eSRS) means the Governmentwide, electronic, web-based system for small business subcontracting program reporting. The eSRS is located at http://www.esrs.gov.