Federally Qualified HMO means an HMO qualified under Section 1315(a) of the Public Health Service Act as determined by the U.S. Public Health Service.
Federally Qualified HMO means an HMO that CMS has determined is a qualified HMO under section 1310(d) of the Public Health Services Act. Fee for Service (FFS) means the Medicaid service delivery system under which services are billed directly to and are paid directly by the Division of Integrated Healthcare based on an established fee schedule.
Federally Qualified HMO means an HMO that CMS has determined to be a qualified HMO under Section 1310(d) of the Public Health Service Act.
Examples of Federally Qualified HMO in a sentence
This Plan meets the requirements for a Federally Qualified HMO for only` those Groups defined as National Accounts.
Federally Qualified HMO means an HMO that CMS has determined is a qualified HMO under section 1310(d) of the PHS Act.
Some of the required information is listed below.Health Net of California is a for profit, Mixed Model (MMP) HMO that received certification as a Federally Qualified HMO in 1979 and was licensed by the California Department of Corporations in 1991.If you want more information about us, call 800-522-0088, or write to Health Net of California, P.O. Box 9103, Van Nuys, CA 91409-9103.
Moskowitz said he had had a discussion with HCFA and that he was advised that specifics as to what infertility services would be covered were not required to be included in a Federally Qualified HMO plan.
Steve further noted the park and trail deficiency the District faces in the northeast quadrant of the district.
More Definitions of Federally Qualified HMO
Federally Qualified HMO means an HMO that CMS has determined is a qualified HMO under section 1310(d) of the Public Health Services Act. Fee-for-Service (FFS) means the Medicaid service delivery system under which services are billed directly to and paid directly by Medicaid based on an established fee schedule. Fiscal Agent means a contractor that processes or pays vendor Claims on behalf of the Medicaid agency or Contractor. Fraud means an intentional deception or misrepresentation made by a person with the knowledge that the deception could result in some unauthorized benefit to himself or some other person including any act that constitutes fraud under applicable federal or state law. Grievance means an expression of dissatisfaction about any matter other than an Adverse Benefit Determination. Grievances may include, but are not limited to, the quality of care or services provided, aspects of interpersonal relationships such as rudeness of a provider or an employee, failure to respect the Enrollee’s rights regardless of whether remedial action is requested.
Federally Qualified HMO means an HMO that CMS has determined is a qualified HMO under section 1310(d) of the Public Health Services Act. Fiscal Agent means a contractor that processes or pays vendor claims on behalf of the Contractor.
Federally Qualified HMO. An HMO that CMS has determined is a qualified HMO under section 1310(d) of the PHS Act. “Fee-for-Service” The traditional health care payment system in which physicians and other providers receive a payment for each unit of service they provide. This method of reimbursement is not used by the Department to reimburse the Contractor under the terms of this Contract.
Federally Qualified HMO means an HMO that CMS has determined is a qualified HMO under section 1310(d) of the PHS Act.
Federally Qualified HMO means an HMO that CMS has determined is a qualified HMO under section 1310(d) of the Public Health Services Act. Fee for Service (FFS) means the Medicaid service delivery system under which services are billed directly to and are paid directly by the Division of Medicaid and Health Financing based on an established fee schedule. Fiscal Agent means a contractor that processes or pays vendor Claims on behalf of the Medicaid agency or Contractor. Fraud means an intentional deception or misrepresentation made by a person with the knowledge that the deception could result in some unauthorized benefit to them self or some other person including any act that constitutes fraud under applicable federal or state law. Grievance means an expression of dissatisfaction about any matter other than an Adverse Benefit Determination. Grievances may include, but are not limited to, the quality of care or services provided, aspects of interpersonal relationships such as rudeness of a provider or an employee, failure to respect the Enrollee’s rights regardless of whether remedial action is requested.
Federally Qualified HMO means an HMO that CMS has determined is a qualified HMO under section 1310(d) of the Public Health Services Act. Federal Health Care Program means (1) any plan or program that provides health benefits, whether directly, through insurance, or otherwise, which is funded directly, in whole or in part, by the United States Government (other than the health insurance program under chapter 89 of title 5, United States Code) of the Social Security Act; or (2) any State Health Care program, as defined in Section 1128(h) of the Social Security Act.
Federally Qualified HMO means a prepaid health delivery plan that has fulfilled the requirements of the HMO Act, along with its amendments and regulations, and has obtained the Federal Government's qualification status under Section 1310(d) of the Public Health Service Act (42 USC S300e).