MCO definition

MCO means an organization having a certificate of authority or certificate of registration from the 11 Washington State Office of Insurance Commissioner that contracts with HCA under a comprehensive 12 risk contract to provide prepaid health care services to eligible HCA Enrollees under HCA managed 13 care programs.

MCO means managed care organization.

MCO means a health maintenance organization ("HMO") or prepaid health service plan ("PHSP") certified under Article 44 of the New York State PHL.

Examples of MCO in a sentence

• Upon North Sound BH-ASO’s request, and as 16 additional information becomes available, Provider shall update the information 17 provided regarding the Critical Incident and, if requested by MCO, shall prepare a 18 written report regarding the Critical Incident, including any actions taken in response 19 to the incident, the purpose for which such actions were taken, any implications to 20 Provider’s delivery system and efforts designed to prevent or lessen the possibility of 21 future similar incidents.

• Nothing herein shall give North Sound BH-ASO, MCO, or HCA authority 4 over Provider’s medical judgment or direct the means by which they practice within the scope 5 of their licensed, certified, and/or registered practice.

• If Provider becomes aware of a Critical Incident 6 involving an individual after business hours, Provider shall provide notice to North 7 Sound BH-ASO and, when indicated, to the applicable MCO as soon as possible the 8 next business day.

• These photos may be used by Miss America, MCO and/or my local organization in all social media / promotional materials.

More Definitions of MCO

MCO means the person, natural or corporate, or any groups of such persons, certified under Public Health Law Article 44, who enter into an arrangement, agreement or plan or any combination of arrangements or plans which provide or offer a comprehensive health services plan, or a health and long term care services plan. “Independent Practice Association” or “IPA” shall mean an entity formed for the limited purpose of contracting for the delivery or provision of health services by individuals, entities and facilities licensed and/or certified to practice medicine and other health professions, and, as appropriate, ancillary medical services and equipment. Under these arrangements, such health care Providers and suppliers will provide their service in accordance with and for such compensation as may be established by a contract between such entity and one or more MCOs. “IPA” may also include, for purposes of this Agreement, a pharmacy or laboratory with the legal authority to contract with other pharmacies or laboratories to arrange for or provide services to enrollees of a New York State MCO.

MCO means a member’s HSD contracted managed care organization.

MCO means a managed care organization Medicaid Only means an individual who is eligible for Medicaid either categorically or through optional coverage groups such as medically needy or special income levels for institutionalized or home and community-based waivers, but who does not meet the federal income or resource criteria for QMB or SLMB. For purposes of this Agreement, Medicaid Only does not include individuals required to recertify eligibility monthly. Medicare Advantage Dual Eligible Special Needs Plan or MA Dual SNP means a Medicare Advantage coordinated care plan that is filed and approved as a dual eligible special needs plan by CMS. The plan must be designed for and offered to individuals who are eligible for Medicare under Title XVIII of the Member Advisory Committee has the same meaning as enrollee advisory committee, as provided in 42 CFR Section 422.107(f).

MCO means managed care organization. MCO or Contractor means the MCO that is a party to this Contract and is an insurer licensed or approved by TDI as an HMO, ANHC formed in compliance with Chapter 844 of the Texas Insurance Code, or an EPO with an Exclusive Provider Benefit Plan approved by TDI in accordance with 28 T.A.C. §3.9201-3.9212.

MCO means managed care organization. MCO or Contractor means the MCO that is a party to this Contract and is an insurer licensed or approved by TDI as an HMO, ANHC formed in compliance with Chapter 844 of the Texas Insurance Code, or an EPO with an Exclusive Provider Benefit Plan approved by TDI in accordance with 28 T.A.C. §3.9201-3.9212. MCO Administrative Services means the performance of services or functions, other than the direct delivery of Covered Services, necessary for the management of the delivery of and payment for Covered Services, including Network, utilization, clinical or quality management, service authorization, claims processing, management information systems operation, and reporting. This term also includes the infrastructure development for, preparation of, and delivery of, all required Deliverables under the Contract, outside of the Covered Services.

MCO means a managed care organization qualified to participate in the Program under COMAR 10.09.65.

MCO means a managed long term care plan certified or operating pursuant to PHL section 4403-f.