Managed care organization definition

Managed care organization means an entity that (1) is under contract with the department to provide services to Medicaid recipients and (2) meets the definition of “health maintenance organization” as defined in Iowa Code section 514B.1.

Managed care organization means an organization, having a

Managed care organization means a person:

Examples of Managed care organization in a sentence

• Managed care organization (MCO) (42 CFR 457.10) Capitation paymentDescribe population served: Prepaid inpatient health plan (PIHP) (42 CFR 457.10) Capitation paymentOther (please explain) Describe population served: Guidance: If the State uses prepaid ambulatory health plan(s) (PAHP) to exclusively provide non-emergency medical transportation (a NEMT PAHP), the State should not check the following box for that plan.

• Managed care organization (MCO): An organization certified by the Minnesota Department of Health to provide all defined health care benefits to people enrolled in a Minnesota Health Care Program (MHCP) in return for a capitated payment.

• Managed care organization" means an organization that manages and controls medical services, including but not limited to a health maintenance organization, a preferred provider organization, a competitive medical plan, a managed indemnity insurance program and a nonprofit hospital and medical service organization, licensed in the State.[PL 1995, c.

• Managed care organization" or "MCO" means: A vendor as defined under section 4121.44 of the Revised Code who has contracted with the bureau to provide medical management and cost containment services as provided in sections 4121.44 and 4121.441 of the Revised Code.

• Managed care organization (MCO) (42 CFR 457.10) Capitation paymentDescribe population served: All, with the exception of those in a Prepaid Inpatient Health Plan (PIHP)Prepaid inpatient health plan (PIHP) (42 CFR 457.10) Capitation paymentOther (please explain)Describe population served: Children at risk of out of home placement who are in the Coordinated System of Care (CSoC).

More Definitions of Managed care organization

Managed care organization or “MCO” means an organization formed to provide medical services and certified in accordance with OAR chapter 436, division 015.

Managed care organization or "MCO" means any entity which

Managed care organization means an organization, having a certificate of authority or certificate of registration from the office of the insurance commissioner, that contracts with the authority under a comprehensive risk contract to provide prepaid health care services to enrollees under the authority's managed care programs under chapter 74.09 RCW.

Managed care organization means an entity for which the Department for Medicaid Services has contracted to serve as a managed care organization as defined by 42 C.F.R. 438.2.

Managed care organization. (“MCO”) means an organization formed to provide medical services and certified under these rules.

Managed care organization. (hereinafter “MCO”) means an entity that has or is seeking to qualify for a comprehensive risk contract and that is: (1) a Federally qualified HMO that meets the advance directives requirements of 42 CFR 489.100-104; or (2) any public or private entity that meets the advance directives requirements and is determined to also meet the following conditions: a) makes the services it provides to its enrollees as accessible (in terms of timeliness, amount, duration, and scope) as those services are accessible to other recipients within the area served by the entity, and b) meets the solvency standards of 42 CFR 438.116.

Managed care organization. (hereinafter “MCO”) means an entity that has or is seeking to qualify for a comprehensive risk contract and that is: (1) a Federally qualified HMO that meets the advance directives requirements of 42 CFR §489.100-104; or (2) any public or private entity that meets the advance directives requirements and is determined to also meet the following conditions: a) makes the services it provides to its enrollees as accessible (in terms of timeliness, amount, duration, and scope) as those services are accessible to other recipients within the area served by the entity, and b) meets the solvency standards of 42 CFR §438.116.