Examples of FFS in a sentence
This is a proposal for a 1915(b)(4) FFS Selective Contracting Program only and the managed care regulations do not apply.
If this is an initial waiver, the State assures that contracts that comply with these provisions will be submitted to the CMS Regional Office for approval prior to enrollment of beneficiaries in the MCO, PIHP, PAHP, or PCCM.This is a proposal for a 1915(b)(4) FFS Selective Contracting Program only and the managed care regulations do not apply.
For example, Federal mandates, changes in hospital payment from per diem rates to Diagnostic Related Group (DRG) rates or changes in the benefit coverage of the FFS program.
This would apply to PCCM enrollees and to PAHP, PIHP or MCO enrollees if the institutional services were provided as FFS wrap around.
Please describe the State’s enrollment process for MCOs/PIHPs/PAHP/PCCMs and FFS selective contracting provider by checking the applicable items below.