Fee-for-Service (FFS) definition

Fee-for-Service (FFS) means the traditional Medicaid Healthcare Services payment system under which providers receive a payment for each unit of service, after the service is provided, according to rules adopted under Texas Human Resources Code Chapter 32.

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Fee-for-Service (FFS) means the Medicaid delivery system that provides covered Medicaid benefits to eligible beneficiaries through any willing and contracted provider. Providers are paid on a per service basis.

Fee-for-Service (FFS) means the traditional Medicaid payment method whereby payment is made by HSD to a service provider after services are rendered and billed.

Examples of Fee-for-Service (FFS) in a sentence

Fee-for-Service (FFS): A method of reimbursement based on payment for specific services rendered to a Member.
Nursing facilities will use the traditional Fee-for-Service (FFS) system of billing HHSC rather than billing the MCO.
Fee-for-Service (FFS) — Payment by the Department to Providers on a per- service basis for health care services provided to Recipients.
At a minimum, In-Plan Services must be provided in the amount, duration and scope set forth in the MA Fee-for-Service (FFS) Program and be based on the Recipient's benefit package, unless otherwise specified by the Department.
Fee-for-Service (FFS) — Payment to Providers on a per-service basis for healthcare services provided to Beneficiaries.
PH-MCOs are required to honor all approved BLE requests issued by the Fee-for-Service (FFS) program or by another PH-MCO.
Fee-for-Service (FFS) – A method of making payment for health services based on a fee schedule that specifies payment for defined services.
Only State or County correctional facilities that are contracted with HCA are able to participate in the STMII program and are eligible to submit Claims for Fee-for-Service (FFS) Medicaid reimbursement.
Individuals eligible for this Demonstration are those meeting the following criteria: are enrolled in Medicare Parts A and B and eligible for Part D; receive full Medicaid benefits under Fee-for-Service (FFS) arrangements; have no other private or public health insurance; and are a resident of the State.
Federally Qualified Health Center (FQHC) — An individual health center site location that is receiving, or meets all of the requirements to receive (FQHC “look alike”), grant funds under Sections 329, 330, 340, or 340A of the Public Health Fee-for-Service (FFS) — Payment to Providers on a per-service basis for healthcare services provided to Beneficiaries.

More Definitions of Fee-for-Service (FFS)

Fee-for-Service (FFS) means the right to bill the Medical Services Plan for benefits under the Medicare Protection Act according to the Medical Services Commission (MSC) Payment Schedule, as amended from time to time.

Fee-for-Service (FFS) means a payment mechanism wherein payment is made after services are rendered and billed.

Fee-for-Service (FFS) means the payment model in which Providers charge separately for each Encounter or service rendered.

Fee-for-Service (FFS) means the non-risk payment method by which the Authority pays for OHP services provided to OHP Members who (i) are not enrolled in CCOs, or (ii) enrolled in a CCO but are receiving services carved out from the CCOs' contract with the Authority and are instead receiving services from a provider that has contracted directly with the Authority. ¶