MCO. On an ongoing basis, if a Recipient was previously enrolled with a MCO and loses eligibility for a period of six (6) months or less, the Recipient will be re- enrolled with that MCO;
MCO. If the Recipient’s MCO is not a Centennial Care 2.0 MCO, then he/she will be auto assigned to a Centennial Care 2.0
MCO. ETO benefits may be used, but will not be considered 5 mandatory, for scheduled work days missed when a nurse is called 6 off, mandated to unschedule his/her shift or part thereof, or given 7 the option to go off the schedule any time within the nurse’s shift 8 due to low census, nursing unit closures (for example, on a holiday) 9 or low acuity. This includes nurses who may also receive stand-by 10 pay.
MCO. A Medicaid managed care organization contracted with HHSC to provide health care services to Medicaid recipients.
MCO. If the Member’s Current MCO is not a Centennial Care 2.0 MCO and the Member fails to select a Centennial Care 2.0 MCO, the Member will be auto-assigned to a Centennial Care 2.0 MCO in the first auto-assignment cycle that begins December 1, 2018.
MCO. In the event the State enters into a new contract with a new MCO for a new 22 program or makes changes to an existing contract with an existing MCO, the State 23 will notify the AFHC and fulfill its bargaining obligations in accordance with 24 Article 9, Duty to Bargain.
MCO. (Except for ABD population. FFS for the Aged, Blind, and Disabled). Covers a minimum of 60 home care visits during any contract year. (N.J.A.C. §10:49- 5.2(a)8) FFS for the ABD population. (N.J.A.C. §10:49- 5.2(b)14). Coverage includes nursing services by a registered nurse and/or licensed practical nurse; home health aide service; medical supplies and equipment, and appliances suitable for use in the home; audiology services; physical therapy; speech- *Covered. Parts A & B. *Limited to medically necessary part-time or intermittent skilled nursing care, physical therapy, speech-language pathology, or a continuing need for occupational therapy. May include medical social services, home health aide services, durable medical equipment, and certain medical supplies. Members must meet a specific set of criteria to be eligible. Members pay 20% of the Medicare- approved amount for covered medical equipment. Any applicable cost sharing is covered by Categorically Needy. (N.J.A.C. §11:24- 5.2(a)19) language pathology; and occupational therapy. Home Health Agency Services must be provided by a home health agency that is licensed through the Department of Health as a home health agency and meets Medicare participation requirements. Covered for services rendered beyond Medicare Parts A & B limits. the Medicaid benefit. Members have $0 cost sharing liability.
MCO. 1. Management; 2. Finance; 3. Information System; 4. Operations (Access, Network, Waiver Implementation); 5. Quality; and 6. Others to be identified if needed.
MCO. All claims data;
