Medicaid managed care organization definition

Medicaid managed care organization means a medicaid contracted health plan or a specialty prepaid health plan.

Medicaid managed care organization means a managed care organization under contract with the department of medicaid pursuant to section 5167.10 of the Revised Code.

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

Examples of Medicaid managed care organization in a sentence

• Our plan is a Massachusetts licensed health maintenance organization and a not-for-profit Medicaid managed care organization.

• This includes the CMS requirement that all employees who work for or contract with a Medicaid managed care organization meet annual compliance and education training requirements with respect to FWA.

• As of January 1, 2012, section 1860D-14 of the Act also eliminates Part D cost sharing for Full Medicaid individuals who are receiving home and community-based services (HCBS) either through: • A home and community-based waiver authorized for a state under section 1115 or subsection (c) or (d) of section 1915 of the Act; • A Medicaid State Plan Amendment under section 1915(i) of the Act; or • A Medicaid managed care organization with a contract under section 1903(m) or section 1932 of the Act.

• Section 3309 of the ACA also eliminates cost-sharing for full-benefit dual eligible individuals who are receiving home and community-based services (HCBS) under a home and community-based waiver authorized for a State under section 1115 or subsection (c) or (d) of section 1915 of the Act, or under a State Plan Amendment under section 1915(i) of the Act, or if such services are provided through enrollment in a Medicaid managed care organization with a contract under section 1903(m) or 1932 of the Act.

• These amounts do not include DSH payments, regular Medicaid FFS rate payments, and Medicaid managed care organization payments.

More Definitions of Medicaid managed care organization

Medicaid managed care organization means an entity acting pursuant to a contract with the department of health and human services to administer the medical assistance program under chapter 249A, and that meets the definition of “health maintenance organization” under section 514B.1.

Medicaid managed care organization means a managed care

Medicaid managed care organization means an entity contracted with the

Medicaid managed care organization means a managed care organization as defined by Section 533.001, Government Code, that contracts with the commission under Chapter 533, Government Code, to provide health care services to medical assistance program recipients.

Medicaid managed care organization means a managed care organization that contracts with the commission under this chapter to provide health care services to recipients.

Medicaid managed care organization means a Medicaid managed

Medicaid managed care organization means a managed care organization that provides or administers Medicaid benefits pursuant to this chapter; and