Medicaid Managed Care Program definition

Medicaid Managed Care Program means the Department’s system of coordinated care for individuals under HFS Medical Programs.
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Medicaid Managed Care Program means the Department’s system of coordinated care for individuals under HFS Medical Programs.‌
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Medicaid Managed Care Program means a program under sections 1903(m), 1905(t), and 1932 and includes a man- aged care program operating under a waiver under section 1915(b) or 1115 or otherwise.’’.
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Examples of Medicaid Managed Care Program in a sentence

  • The South Carolina Healthy Connections Program (a.k.a. the South Carolina Medicaid Managed Care Program) is administered by the South Carolina Department of Health and Human Services (SCDHHS) under the 1932(a) State Plan Authority (SSA Sec.

  • Ancillary medical services are included in the Medicaid Managed Care Program coverage array.

  • The Provider agrees that if it claims, orders, or is paid $500,000 or more per year from the Medical Assistance Program, including, in the aggregate, claims submitted to or paid directly by the Medical Assistance Program and/or claims submitted to or paid by any MCO under the Medicaid Managed Care Program, that it shall adopt and implement a compliance program which meets the requirements of New York State Social Services Law § 363-d(2) and 18 NYCRR § 521.3.

  • For initial and renewal waiver requests, please describe the efforts the State has made to ensure Federally recognized tribes in the State are aware of and have had the opportunity to comment on this waiver proposal.The quarterly Tribal Health Directors meeting offers Tribal chairs and the health directors an opportunity to be updated on the activities, operations, and changes of the Medicaid Managed Care Program.

  • Being coherent, the BW and SPP interfere and illuminate the detector sensitive element with the intensity 𝐼 described by the expression: 𝐼(𝑥) = 𝐼1 + 𝐼𝑜 · exp(−𝛼 · 𝑥) + 2 · 𝐼1 · 𝐼𝑜 · 𝑒𝑥𝑝 (−𝛼 · 𝑥) · cos (Δ𝜑) , (1)here 𝐼1 is the BW intensity, independent on the distance 𝑥 (supposing that air does not absorb the radiation); 𝐼𝑜 is the SPP intensity right under screen 5 when 𝑥 = 0.The interference pattern (interferogram) registered by mobile detector 7 is charac- terized by a constant period Λ.

  • The quarterly Tribal Health Directors meeting offers Tribal chairs and the health directors an opportunity to be updated on the activities, operations, and changes of the Medicaid Managed Care Program.

  • Managed Care Programs If you enroll in a Medicaid Managed Care Program you will not be subject to the Utilization Threshold Program except for pharmacy.

  • HHSC has authority to contract with MCOs to carry out the duties and functions of the Medicaid Managed Care Program under Title XIX of the Social Security Act; Texas Health and Safety Code §§ 12.011, 12.017, and 12.021; and Texas Government Code, Chapter 533.

  • To find out if there is a Medicaid Managed Care Program available to you, please call your local department of social services.

  • The report to the Department must include the following: (1) An explanation of how the case was resolved; (2) Details relating to the case, including any pertinent materials; (3) Any determination that the MCO has failed to meet the requirements of the Maryland Medicaid Managed Care Program; and (4) Any other information required by the Department.


More Definitions of Medicaid Managed Care Program

Medicaid Managed Care Program means a health care delivery system organized to manage cost, utilization, and quality. Medicaid managed care provides for the delivery of Medicaid health benefits and additional services through contracted arrangements between state Medicaid agencies and managed care organizations (MCOs) that accept a set per-member, per-month (capitation) payment for these services pursuant to 42 U.S.C. § 438.
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Related to Medicaid Managed Care Program

  • Managed Care Program means the process that determines Medical Necessity and directs care to the most appropriate setting to provide quality care in a cost-effective manner, including Prior Authorization of certain services.

  • Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

  • Child Care Program means a person or business that offers child care.

  • Medicaid program means the medical assistance

  • Medicaid means the medical assistance programs administered by state agencies and approved by CMS pursuant to the terms of Title XIX of the Social Security Act, codified at 42 U.S.C. 1396 et seq.

  • Child care provider means a provider who receives compensation for providing child care services on a regular basis, including an ‘eligible child care provider’ (as defined in section 658P of the Child Care and Development Block Grant Act of 1990 (42 U.S.C. 9858n)).

  • Managed care organization means an entity that (1) is under contract with the department to provide services to Medicaid recipients and (2) meets the definition of “health maintenance organization” as defined in Iowa Code section 514B.1.

  • Health Care Operations shall have the meaning given to such term under the HIPAA 2 Privacy Rule in 45 CFR § 164.501.