Prescription Drug Coverage definition

Prescription Drug Coverage means Prescription Drugs that are covered under this Contract.

Prescription Drug Coverage means health insurance or plan that helps pay for prescription drugs and medications.

Prescription Drug Coverage. Refers to how Members’ prescription drugs and medications are covered under the NC Medicaid and Health Choice State Plan.

Prescription Drug Coverage means certain generic and name-brand drugs that are covered by Medicaid. Prescription Drugs means generic and name-brand drugs that are prescribed by a doctor. Primary Care means all health care services and laboratory services customarily furnished by or through a general practitioner, family physician, internal medicine physician, obstetrician/gynecologist, or pediatrician, to the extent the furnishing of those services is legally authorized in the State in which the practitioner furnishes them.

Prescription Drug Coverage health insurance that helps pay for prescription drugs and medications. Prescription drug coverage is not provided by the MCO. BMS provides prescription drug coverage directly to Medicaid members. Prescription Drugs – drugs and medication that, by law, require a prescription. Primary Care Physician – a doctor who directly provides and coordinates health care services to MCO members. Primary Care Provider (PCP) – a specific clinician responsible for treating and coordinating the health care needs of certain enrollees. Primary Services – basic or general health services rendered by general practitioners, family practitioners, internists, obstetricians, and pediatricians. Prior Authorization/Preauthorization – approval granted for payment purposes by the MCO for its active, specified enrollees, or the Medicaid Program to a provider to render specified services to a specified recipient. Provider – an individual or entity that is engaged in the delivery of health services, or ordering or referring for those services, who meets the requirements of the West Virginia Medicaid Program and is a member of the MCO’s network. Psychiatric Residential Treatment Facilities (PRTF) - a separate, standalone entity providing a range of comprehensive psychiatric services to treat the psychiatric condition of residents under age twenty-one (21) years on an inpatient basis under the direction of a physician. The purpose of such comprehensive services is to improve the resident’s condition or prevent further regression so that the services will no longer be needed. (42 CFR §483.352, subpart D of part 441). Pulmonary Rehabilitation - individually tailored multidisciplinary approach to the rehabilitation of members who have pulmonary disease. Recipient – see Eligible Recipient. Regulation – a Federal or State agency statement of general applicability designed to implement or interpret law, policy, or procedure. Rehabilitation Services and Devices – health care services and devices that help an individual keep, get back, or improve skills and functioning for daily living that have been lost or impaired because he was sick, hurt, or disabled including occupational therapy, speech therapy, and psychiatric rehabilitation services in inpatient and/ or outpatient settings. Request for Proposals (RFP) - a procurement method in which vendors submit proposals in response to the request for proposals published by the Purchasing Division. It requires an award to the highest scoring vendor, ra...

Prescription Drug Coverage health insurance that helps pay for prescription drugs and medications. Prescription drug coverage is not provided by the MCO. The Department provides outpatient prescription drug coverage directly to Medicaid enrollees. Prescription Drugs – drugs and medication that, by law, require a prescription. Primary Care Physician – a doctor who directly provides and coordinates health care services to MCO enrollees. Primary Care Provider (PCP) – a specific clinician responsible for treating and coordinating the health care needs of certain enrollees. Primary Services – basic or general health services rendered by general practitioners, family practitioners, internists, obstetricians, and pediatricians. Prior Authorization/Preauthorization – approval granted for payment purposes by the MCO for its active, specified enrollees, or the Medicaid Program to a provider to render specified services to a specified enrollee. Provider – an individual or entity that is engaged in the delivery of health services, or ordering or referring for those services, who meets the requirements of the West Virginia Medicaid Program and is enrolled in the MCO’s network. Psychiatric Residential Treatment Facilities (PRTF) – a separate, standalone entity providing a range of comprehensive psychiatric services to treat the psychiatric condition of residents under age twenty-one (21) years on an inpatient basis under the direction of a physician. The purpose of such comprehensive services is to improve the resident’s condition or prevent further regression so that the services will no longer be needed. (42 CFR §483.352, subpart D of part 441). Pulmonary Rehabilitation – individually tailored multidisciplinary approach to the rehabilitation of enrollees who have pulmonary disease. Qualified Residential Treatment Program (QRTP) – a specific category of a licensed non-xxxxxx family home setting with a trauma-informed treatment model that is designed to address the needs, including clinical needs as appropriate, of children with serious emotional or behavioral Regulation – a Federal or State agency statement of general applicability designed to implement or interpret law, policy, or procedure. Rehabilitation Services and Devices – health care services and devices that help an individual keep, get back, or improve skills and functioning for daily living that have been lost or impaired because he was sick, hurt, or disabled including occupational therapy, speech therapy, and psychiatric rehabilitat...

Prescription Drug Coverage means a payment or discount applied toward prescription drugs purchased by or for a consumer as part of a health insurance benefit. 317:30-5-180.2. Eligibility In order to be eligible for the OPDDP, an individual must: (1) be an Oklahoma resident;(2) apply with the Pharmacy Benefit Manager (PBM); (3) not have insurance to cover all or part of prescriptions; (4) pay an enrollment fee when income is above 150% Federal Poverty Level (FPL); and (5) provide verification of income to determine enrollment fee, co-pay, and eligibility for the manufacturer's PAP. 317:30-5-180.3. Services

Prescription Drug Coverage means health insurance or plan that helps pay for prescription drugs and medications. 1. 146 Personally Identifiable Information (PII) means any information about an individual maintained by an entity, including, but not limited to, education, financial transactions, medical history, and criminal or employment history and information that can be used to distinguish or trace an individual’s identity, either alone or when combined with other personal or identifying information that is linked or linkable to a specific individual, such as their name, social security number, date and place of birth, mother’s maiden name, biometric records, etc. (as defined in 45C.F.R. § 75.2 and OMB Memorandum M-06-19, “Reporting Incidents Involving Personally Identifiable Information and Incorporating the Cost for Security in Agency Information Technology Investments” (July 12, 2006)). PII also includes an individual's first name or first initial and last name in combination with any one or more of types of information, including, but not limited to, social security number, passport number, credit card numbers, clearances, bank numbers, biometrics, date and place of birth, mother's maiden name, criminal, medical and financial records, educational transcripts (as defined in 45 C.F.R. § 75.2, “Protected Personally Identifiable Information”). 1. 147 Population Health refers to the health status and health outcomes within a group of people rather than considering the health of one person at a time. For public health practitioners, improving population health involves

Prescription Drug Coverage means a health insurance or plan that helps pay for prescription drugs and medications.

Prescription Drug Coverage. Is a stand-alone insurance plan, covering only prescription drugs. Primary Care Physician: A doctor who provides both the first contact for a person with an undiagnosed health concern as well as continuing care of varied medical conditions, not limited by cause, organ system, or diagnosis. Primary Care Provider: A health care professional (usually a physician) who is responsible for monitoring an individual’s overall health care needs. Provider: Is a term used for health professionals who provide health care services. Sometimes, the term refers only to physicians. Often, however, the term also refers to other health care professionals such as hospitals, nurse practitioners, chiropractors, physical therapists, and others offering specialized health care services.