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Today's Terms
Medicaid provider
Definition:
A professional or medical facility who is enrolled as a provider for the Medicaid Program by entering into a contract with the Medicaid Program to provide medical services to Medicaid eligible recipients. By entering into this contract the professional has agreed to abide by all rules and regulations governing the Medicaid Program.
Section 1619(b) Status
Definition:
The special SSI recipient status for Medicaid purposes provided to working disabled or blind individuals when their earnings make them ineligible for regular or special cash payments.
Substantial Gainful Activity (SGA)
Definition:
The level of work activity used to establish disability. A finding of disability requires that a person be unable to engage in SGA.
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