Indian Managed Care Entity (IMCE) definition

Indian Managed Care Entity (IMCE) means a managed care entity that is controlled by the Indian Health Service, a Tribe, Tribal Organization, or Urban Indian Organization, or a consortium thereof, as described in 42 U.S.C. 1396u-2(h)(4)(B) and 42 C.F.R. 438.14(a);¶
Indian Managed Care Entity (IMCE) means a MCO, PIHP, PAHP, PCCM, or PCCM entity that is controlled (within the meaning of the last sentence of section 1903(m)(1)(C) of the Act) by the Indian Health Service, a Tribe, Tribal Organization, or Urban Indian Organization, or a consortium, which may be composed of one or more Tribes, Tribal Organizations, or Urban Indian Organizations, and which also may include the Service.

Examples of Indian Managed Care Entity (IMCE) in a sentence

  • Indian Managed Care Entity (IMCE) - The IMCE is referred to as the Tribal Option in North Carolina.

  • Indian Managed Care Entity (IMCE): Means an ICME as defined by 42 C.F.R. § 438.14(a).