Capitated payment definition
Capitated payment means a monthly payment to the contractor on behalf of each enrollee for the provision of health services under the contract. Payment is made regardless of whether the enrollee receives services during the month.
Capitated payment means the monthly payment paid to the PACE organization by ODJFSODM for medical care and services provided to medicaid recipients enrolled in the PACE program.
Capitated payment means a fixed monthly payment paid per person by the department to a participating health plan for which the health plan provides a defined set of benefits.
Examples of Capitated payment in a sentence
The Contractor shall comply with Capitated contract rules established by PRICO, in accordance with Normative Letter CA-I-2-1232-91 (Attachment 13 to this Contract), which provides that every contract based on a Capitated payment arrangement prohibits the Provider from in turn subcontracting on a Capitated basis.
COB amount An amount paid through coordination of benefits Capitated payment flag (is this an information- only claim submitted by a provider who receives a capitated payment) CAPITATION GROUP INDICATOR CODE is a Yes / No code used to identify a paid claim for a group with a capitated arrangement Prepaid amount For capitated services, the fee for service equivalent amount.
More Definitions of Capitated payment
Capitated payment means a fixed monthly payment paid per person by the department to a participating health plan for which the health plan provides a defined set of benefits and the payment may be prorated for the portion of the month for which the person was enrolled with the health plan.
Capitated payment or “Capitation Payment” means a monthly prepayment to Contractor for the provision of Capitated Services provided on behalf of Members. Capitation Payment is made on a per Member, per month basis. Capitation Payment does not include any payment made to a Fully Capitated Health Plan as a supplemental incentive payment under a Physician Access Improvement Plan Demonstration Project.
Capitated payment means the monthly payment paid to the program of all inclusive care for the elderly PACE organization by the Ohio department of medicaid (ODM) for medical care and services provided to medicaid recipients enrolled in PACE.
Capitated payment or “Capitation Payment” means a monthly prepayment to Contractor for the provision of Capitated Services provided on behalf of Members. Capitation Payment is made on a per Member, per month basis.