Maryland Medicaid Managed Care Program definition

Maryland Medicaid Managed Care Program means the Medicaid reform program established under COMAR 10.09.62—10.09.73, as authorized by Health-General Article, Title 15, Subtitle 1, Annotated Code of Maryland.
Sample 1Sample 2Sample 3
Maryland Medicaid Managed Care Program means the Maryland Voluntary Medicaid Managed Care Program and/or the Maryland Mandatory Medicaid Managed Care Program.
Sample 1
Maryland Medicaid Managed Care Program means the Health Choice Program authorized by:
Sample 1

Examples of Maryland Medicaid Managed Care Program in a sentence

  • The Maryland Medicaid Managed Care Program, better known as the Maryland HealthChoice Program, has been operational since June 1997.

  • MDH has established the Maryland Medicaid Managed Care Program, also known as the Maryland HealthChoice Program (HealthChoice), a waiver program approved by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (DHHS) under §1115 of the Social Security Act and authorized under Maryland Annotated Code, Health-General Article, §§15-101 et seq.

  • On local governments:NONE scheduled.10.09.65 Maryland Medicaid Managed Care Program: Managed Care OrganizationsAuthority: Insurance Article, §15-112, 15-605, and 15-1008; Health-General Article, §§2-104, 15-102.3, and 15-103; Annotated Code of Maryland.19 MCO Reimbursement.

  • To supply other information requested by the Department, given a reasonable period of notice, for the purposes of Maryland Medicaid Managed Care Program administration or the Department’s monitoring of MCO performance pursuant to 42 CFR 438.66 and COMAR 10.67.04.15 (Appendix Q).

  • These specially labelled sacks will be taken away by the refuse collectors on the collection day.

  • A practitioner (listed in COMAR 10.09.66.05.) who is the primary coordinator of care for the Enrollee and whose responsibility is to provide accessible, continuous, comprehensive, and coordinated health care services covering the full range of benefits required by the Maryland Medicaid Managed Care Program.

  • A system of primary care and other medical services that are provided and coordinated by HealthChoice providers in accordance with the provisions of COMAR 10.09.62 -10.09.73 Maryland Medicaid Managed Care Program.

  • To supply other information requested by the Department, given a reasonable period of notice, for the purposes of Maryland Medicaid Managed Care Program administration or the Department’s monitoring of MCO performance pursuant to COMAR 10.09.65.15 (Appendix H).

  • To supply other information requested by the Department, given a reasonable period of notice, for the purposes of Maryland Medicaid Managed Care Program administration or the Department’s monitoring of MCO performance pursuant to 42 CFR 438.66 and COMAR 10.67.04.15 (Appendix O).

  • Subject to Article V, Section B and Section C, JHMSC City Sites shall be available as Primary Care Provider sites under the Maryland Medicaid Managed Care Program exclusively through PHCP during the term of this Agreement.

Related to Maryland Medicaid Managed Care Program

  • Managed Care Program means the process that determines Medical Necessity and directs care to the most appropriate setting to provide quality care in a cost-effective manner, including Prior Authorization of certain services.

  • Child Care Program means a person or business that offers child care.

  • Centers for Medicare and Medicaid Services or “CMS” means the federal office under the Secretary of the United States Department of Health and Human Services, responsible for the Medicare and Medicaid programs.

  • Federal Health Care Program means any “federal health care program” as defined in 42 U.S.C. § 1320a-7b(f), including Medicare, state Medicaid programs, state CHIP programs, TRICARE and similar or successor programs with or for the benefit of any Governmental Authority.

  • Managed care plan means a health benefit plan that either requires a covered person to use, or

  • Medicaid program means the Kansas program of medical

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • Indian Health Care Provider means a health care program

  • Health care provider or "provider" means:

  • Licensed health care practitioner means a physician, as defined in Section 1861(r)(1) of the Social Security Act, a registered professional nurse, licensed social worker or other individual who meets requirements prescribed by the Secretary of the Treasury.

  • Managed health care system means: (a) Any health care

  • Licensed health care provider means a physician, physician assistant, chiropractor, advanced registered nurse practitioner, nurse, physical therapist, or athletic trainer licensed by a board.

  • Health care practitioner means an individual or firm licensed or certified to engage actively in a regulated health profession.

  • Health Care Operations shall have the meaning given to such term under the HIPAA 2 Privacy Rule in 45 CFR § 164.501.

  • Health care system means any public or private entity whose function or purpose is the management of, processing of, enrollment of individuals for or payment for, in full or in part, health care services or health care data or health care information for its participants;

  • Emergency medical care provider means an individual who has been trained to provide emergency and nonemergency medical care at the first responder, EMT-basic, EMT-intermediate, EMT-paramedic, paramedic specialist or other certification levels recognized by the department before 1984 and who has been issued a certificate by the department.

  • Licensed health care professional means a person who possesses a professional medical license that is valid in Oregon. Examples include, but are not limited to, a registered nurse (RN), nurse practitioner (NP), licensed practical nurse (LPN), medical doctor (MD), osteopathic physician (DO), respiratory therapist (RT), physical therapist (PT), physician assistant (PA), or occupational therapist (OT).

  • Home health care services means medical and nonmedical services, provided to ill, disabled or infirm persons in their residences. Such services may include homemaker services, assistance with activities of daily living and respite care services.

  • Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Health care worker means a person other than a health care professional who provides medical, dental, or other health-related care or treatment under the direction of a health care professional with the authority to direct that individual's activities, including medical technicians, medical assistants, dental assistants, orderlies, aides, and individuals acting in similar capacities.

  • Health care services means services for the diagnosis, prevention, treatment, cure, or relief of a health condition, illness, injury, or disease.

  • Home Health Care Agency means an agency or organization which provides a program of home health care and which:

  • Medicaid means that government-sponsored entitlement program under Title XIX, P.L. 89-97 of the Social Security Act, which provides federal grants to states for medical assistance based on specific eligibility criteria, as set forth on Section 1396, et seq. of Title 42 of the United States Code.

  • Basic health care services means in and out-of-area emergency services, inpatient hospital and

  • Child care provider means a provider who receives compensation for providing child care services on a regular basis, including an ‘eligible child care provider’ (as defined in section 658P of the Child Care and Development Block Grant Act of 1990 (42 U.S.C. 9858n)).