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A term used to refer to the comprehensive set of benefits covered for children in Medicaid.
- Browse Related Terms: Benefits, Centers for Medicare & Medicaid Services (CMS), Children's Health Insurance Program (CHIP), Department of Health and Human Services (HHS), Dependent Coverage, Disability, Domestic Partnership, Early and Periodic Screening, Diagnostic, and Treatment Services (EPSDT), Federal Poverty Level (FPL), fee, Health Coverage, Health Insurance Marketplace, Maryland Children’s Health Program (MCHP), Medicaid, Medicaid/Medical Assistance, Metal Level, State Health Insurance Assistance Program (SHIP), State Medical Assistance Office, Subsidized Coverage, TRICARE
All > Healthcare > Medicine > HIV/AIDS
Activities designed to identify individuals who are HIV-positive and get them into care as quickly as possible. As funded through Parts A and B of the Ryan White HIV/AIDS Program, includes outreach, counseling and testing, information and referral services. Under Part C Ryan White HIV/AIDS Program, also includes comprehensive primary medical care for individuals living with HIV/AIDS.
- Browse Related Terms: Agency for Healthcare Research and Quality (AHRQ), Capacity, Core Services, Early Intervention Services (EIS), Family Centered Care, Health Care for the Homeless Health Center, Health Centers, Home and Community Based Care, Medicaid Spend-down, Part B, Part C, Part D, Part F (SPNS) (Special Projects of National Significance), Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, Ryan White HIV/AIDS Act of 2009 (Ryan White HIV/AIDS Program), Service Gaps, Support Services, Unmet Need
All > Healthcare > Medicine > Malaria
The power or capacity to produce a desired effect.
- Browse Related Terms: anorexia, antibody, antigen, Coma, efficacy, Immunity, lymphocyte, Serology, Splenectomy, splenomegaly
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A surgery that is optional and not required.
- Browse Related Terms: Clinic, Comparative Effectiveness, Elective Surgery, Electronic Health Record (EHR), Hospital, Medical Record, nursing home, Outpatient Surgery, Privileges, Readmission, Recovery, Second Opinion, Specialist, Treatment Option, Treatment Plan
A computerized record of patient health in a care delivery setting. Typically, the data collected are created by and for health professionals while providing treatment.
- Browse Related Terms: Clinic, Comparative Effectiveness, Elective Surgery, Electronic Health Record (EHR), Hospital, Medical Record, nursing home, Outpatient Surgery, Privileges, Readmission, Recovery, Second Opinion, Specialist, Treatment Option, Treatment Plan
All > Healthcare > Health Insurance
In certain states, the Marketplace doesn't provide the final decision on Medicaid eligibility. Instead, the Marketplace conducts an assessment and passes the application to the State Medicaid agency to conduct a final eligibility determination.
- Browse Related Terms: Eligibility Assessment, Eligibility determination, Eligible Immigration Status, Federally Recognized Tribe, Grievance, Home and Community-Based Services (HCBS), Notice, State Insurance Department, TTY
All > Healthcare > Health Insurance
A notice sent by MNsure to let a MNsure consumer know the decision about whether the consumer qualifies (is eligible) for MNsure programs.
- Browse Related Terms: Eligibility Assessment, Eligibility determination, Eligible Immigration Status, Federally Recognized Tribe, Grievance, Home and Community-Based Services (HCBS), Notice, State Insurance Department, TTY
All > Healthcare > Health Insurance
An immigration status that's considered eligible for getting health coverage through the Marketplace. The rules for eligible immigration status may be different in each insurance affordability program.
- Browse Related Terms: Eligibility Assessment, Eligibility determination, Eligible Immigration Status, Federally Recognized Tribe, Grievance, Home and Community-Based Services (HCBS), Notice, State Insurance Department, TTY
All > Healthcare > Medicine > HIV/AIDS
Geographic areas highly-impacted by HIV/AIDS that are eligible to receive Ryan White HIV/AIDS Program Part A funds To be an eligible EMA, an area must have reported more than 2,000 AIDS cases in the most recent 5 years and have a population of at least 50,000. (See also Transitional Grant Area, TGA.)
- Browse Related Terms: Data Terms, Eligible Metropolitan Area (EMA), Financial Status Report (FSR - Form 269), representative, Ryan White HIV/AIDS Program Services Report (RSR), Ryan White Program Data Report (RDR), Surveillance Report, Transitional Grant Area (TGA)
All > Healthcare > Medicine > Malaria
In the context of malaria, reducing all local transmission down to zero cases within a defined geographic location.
- Browse Related Terms: Autochthonous, Elimination, Endemic, Epidemic, Eradication, immunization, Imported malaria, Indigenous malaria, Introduced malaria, Zoonosis
All > Healthcare > Health Insurance
- (see "pre-existing condition") A period of time before benefits are payable.
- Browse Related Terms: Creditable Coverage, Creditable Coverage or Prior Qualifying Coverage, Disclosure, Discount Health Plan, Elimination period, Exclusion, High Risk Pool Plan (State), High-risk pool, Maryland Health Insurance Program (MHIP), Minnesota Comprehensive Health Association (MCHA), Portability, Pre-existing Condition, Pre-Existing Condition (Job-based Coverage), Pre-existing condition exclusion, Pre-Existing Condition Exclusion Period (Individual Policy), Pre-Existing Condition Exclusion Period (Job-based Coverage), Pre-existing Condition Insurance Plan (PCIP), Rider (exclusionary rider)
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A serious situation that happens unexpectedly and demands immediate action.
- Browse Related Terms: antibiotic, Benefit, Co-morbidity, Congenital Heart Disease, coronary artery disease, Diabetes, Disease, Emergency, Estrogen, mortality, Pulse Rate
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All > Healthcare > Health Insurance
An illness, injury, symptom or condition so serious that a reasonable person would seek care right away to avoid severe harm.
A condition where there is an immediate need for health services. This happens when a person's life or health or ability to get, keep, or regain maximum function is in serious danger.
An illness, injury, symptom or condition so serious that a reasonable person would seek care right away to avoid severe harm.
- Browse Related Terms: Chronic Condition, Durable Medical Equipment (DME), Emergency Medical Condition, Hospice Services, Major Medical Plan, Public Health, Reconstructive Surgery, Special Health Care Need, Urgent Care
All > Healthcare > Health Insurance
Ambulance services for an emergency medical condition.
Ambulance services for an emergency medical condition.
Ambulance services for an emergency medical condition.
- Browse Related Terms: Complication of Pregnancy, Complications of Pregnancy, Emergency Medical Transportation, Emergency Room Care, Emergency Services, Service Area
All > Healthcare > Health Insurance
Emergency services you get in an emergency room.
Emergency services you get in an emergency room.
Emergency services you get in an emergency room.
- Browse Related Terms: Complication of Pregnancy, Complications of Pregnancy, Emergency Medical Transportation, Emergency Room Care, Emergency Services, Service Area
All > Healthcare > Health Insurance
Evaluation of an emergency medical condition and treatment to keep the condition from getting worse.
Evaluation of an emergency medical condition and treatment to keep the condition from getting worse.
Evaluation of an emergency medical condition and treatment to keep the condition from getting worse.
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All > Healthcare > Health Insurance
is a comprehensive and complex statute that federalizes the law of employee benefits. ERISA applies to most kinds of employee benefit plans, including plans covering health care benefits, which are called employee welfare benefit plans.
- Browse Related Terms: Affordable coverage (as it relates to APTC), Employee Retirement Income Security Act of 1974 (ERISA), Employer Shared Responsibility Payment (ESRP), Full-Time Employee, Full-Time Equivalent, Minimum value, Multi-Employer Plan, Open Enrollment, Plan, Tax credit, Vision or Vision Coverage
All > Healthcare > Health Insurance
- Employer choice allows small employers to select one insurance company and allow employees to choose from any plans offered by that company across all metal levels.
- Browse Related Terms: COBRA, COBRA coverage, Employer Choice, Employee Choice, Employer Contribution, Employer or Union Retiree Plans, Flexible Benefits Plan, Fully Insured Job-based Plan, Group Health Plan, Health Reimbursement Account (HRA), Job-based Health Plan, Large Group Health Plan, Medicare Hospital Insurance Tax, Premium, Self-insured, Self-Insured Plan, Small Employer, Third Party Administrator (TPA), Wellness Programs, Worker's compensation
All > Healthcare > Health Insurance
Employer contribution is the amount or percentage of health care premiums contributed by employers for employees’ health insurance.
- Browse Related Terms: COBRA, COBRA coverage, Employer Choice, Employee Choice, Employer Contribution, Employer or Union Retiree Plans, Flexible Benefits Plan, Fully Insured Job-based Plan, Group Health Plan, Health Reimbursement Account (HRA), Job-based Health Plan, Large Group Health Plan, Medicare Hospital Insurance Tax, Premium, Self-insured, Self-Insured Plan, Small Employer, Third Party Administrator (TPA), Wellness Programs, Worker's compensation
All > Healthcare > Health Insurance
Plans that provide health and/or drug coverage to former employees or members, and, in some cases, their families. These plans are offered to people through their (or a spouse's) former employer or employee organization. Many of these plans aren't legally required to meet many of the provisions of the Affordable Care Act, including providing coverage for children up to age 26.
- Browse Related Terms: COBRA, COBRA coverage, Employer Choice, Employee Choice, Employer Contribution, Employer or Union Retiree Plans, Flexible Benefits Plan, Fully Insured Job-based Plan, Group Health Plan, Health Reimbursement Account (HRA), Job-based Health Plan, Large Group Health Plan, Medicare Hospital Insurance Tax, Premium, Self-insured, Self-Insured Plan, Small Employer, Third Party Administrator (TPA), Wellness Programs, Worker's compensation