Glossary entry

English term or phrase:

presumptive eligibility determinations

Polish translation:

ustalenia/oceny domniemanej kwalifikalności/domniemanego spełnienia kryteriów kwalifikacji

Added to glossary by Frank Szmulowicz, Ph. D.
Dec 24, 2015 04:37
8 yrs ago
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English term

presumptive eligibility determinations

English to Polish Medical Insurance State public assistance programs
W zdaniu:

the Hospital’s approach to presumptive eligibility determinations and the types of information that the Hospital will use to assess presumptive eligibility.

Chodzi o kryteria kwalifikacyjne do bezpłatnej lub zniżkowej opieki medycznej w bogatym stanie na Wschodnim wybrzeżu USA. Odbiorcami dokumenu będą amerykańskie Polonusy, niekoniecznie biegłe w takich zawiłościach

Wiadomo, o co chodzi, mniej oczywiste jest zgrabne, krótkie ujęcie.
Change log

Dec 28, 2015 04:28: Frank Szmulowicz, Ph. D. Created KOG entry

Discussion

geopiet Dec 25, 2015:
domyślne zaakceptowanie uprawnień pacjenta do zniżkowej/darmowej opieki medycznej ... ?
Frank Szmulowicz, Ph. D. Dec 25, 2015:
Presumptive tu oznacza, że wątpliwości odnośnie kwalifikacji są rozstrzygane na korzyść pacjenta. Wystarczy, że pacjent prawdopodobnie spełnia kryteria kwalifikacji ("likely is, appears to be qualified").

Proposed translations

+1
1 hr
Selected

ustalenia/oceny domniemanej kwalifikalności/domniemanego spełnienia kryteriów kwalifikacji

Propozycja

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Note added at 1 hr (2015-12-24 06:23:03 GMT)
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Here, by meeting minimum requirements one is presumed eligible and admitted preliminarily, pending a fuller review. In that sense, presumptive functions as preliminary, so an easier to swallow alternative might be
oceny wstępnej kwalifikalości.

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Note added at 7 hrs (2015-12-24 11:40:18 GMT)
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Q1: What is hospital presumptive eligibility and how is it different from presumptive
eligibility (PE) for pregnant women and children?
A1: For years, states have had the option to use presumptive eligibility (PE) to connect pregnant women and children to Medicaid. Hospitals were often key to implementing PE for those populations. Starting in January 2014, the Affordable Care Act gives qualified hospitals a unique new opportunity to connect other populations to Medicaid coverage. Under this new PE authority, hospitals will be able to immediately enroll patients who are likely eligible</b< under a state’s Medicaid eligibility guidelines for a temporary period of time. An individual provides information about his or her income and household size, and (at state option) information regarding citizenship, immigration status, and residency, and if they appear to be eligible for Medicaid based on this information, a hospital shall determine that individual to be “presumptively eligible” for Medicaid. The individual is temporarily enrolled, and health care providers (not just hospitals) will receive payment for services provided during this interim period pending a final adjudication of Medicaid eligibility by the state Medicaid agency. Like other forms of PE, hospital PE aims to:
• Assure timely access to care while a final eligibility determination is made; and
• Promote enrollment (beyond the interim PE period) in ongoing Medicaid coverage by offering additional channels through which individuals can apply.
The choice to make PE determinations rests with each individual hospital (not with the state) and is not dependent on whether the hospital (or the state) operates PE for other populations.
https://www.medicaid.gov/federal-policy-guidance/downloads/f...

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Note added at 9 hrs (2015-12-24 13:50:05 GMT)
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eligibility rzeczownik
▸wybieralność, obieralność, uprawnienie, kwalifikowalność, kwalifikacje, potrzebne kwalifikacje, prawo, kwalifikacja, uprawnienia, uprawnienie do korzystania z pomocy

http://translatica.pl/szukaj/po-polsku/eligibility.html

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eligibility criteria > kryteria kwalifikowalności
http://www.proz.com/?sp=gloss/term&id=15276481
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Peer comment(s):

agree Dimitar Dimitrov : "domniemanego spełnienia kryteriów kwalifikacji" - prima! (Bo o "kwalifikalności" - czy tym bardziej "kwalifikalości" - jakoś nie slyszałem... :-) ) || "Kwalifikowalność" to już może być! Wesołych Świąt, Frank!
4 hrs
Dziękuję Dimitarze. Kwalifikowalność występuje w internecie, ale nie wiem, czy jest ogólnie przyjęte.
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