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.
As of January 1, 2006, we are an HCSC under both licenses and have relinquished our Federally Qualified HMO status.
A drawing schedule is a project management tool which indicates the demands and times for issuing building plans to the employer and designers.
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.
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. Xxxxxx Care or Children in Xxxxxx Care means children and youth under the statutory responsibility of the Utah Department of Human Services identified as such in eREP.
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 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).
Federally Qualified HMO means an HMO that CMS has determined is a qualified HMO under section 1310(d) of the PHS Act. Health care professional means a physician or any of the following: a podiatrist, optometrist, chiropractor, psychologist, dentist, physician assistant, physical or occupational therapist, therapist assistant, speech- language pathologist, audiologist, registered or practical nurse (including nurse practitioner, clinical nurse specialist, certified registered nurse anesthetist, and certified nurse midwife), licensed certified social worker, registered respiratory therapist, and certified respiratory therapy technician. Health insuring organization (HIO) means a county operated entity, that in exchange for capitation payments, covers services for beneficiaries—