Physician Incentive Plan or “PIP” means any compensation arrangement between the Contractor or one of its contracting entities and a physician or physician group that may directly or indirectly have the effect of reducing or limiting services furnished to the Contractor’s Enrollees.
Physician Incentive Plan or "PIP" means any compensation arrangement between the Contractor or one of its contracting entities and a physician or physician group that may directly or indirectly have the effect of reducing or limiting services furnished to Medicaid recipients enrolled by the MCO.
Physician Incentive Plan means any compensation arrangement to pay a physician or physician group that may directly or indirectly have the effect of reducing or limiting the services provided to any plan enrollee.
Examples of Physician Incentive Plan in a sentence
If Contractor wants to institute a Physician Incentive Plan, Contractor shall submit the proposed plan to the County which will in turn submit the Plan to the State for approval, in accordance with the provisions of 42 C.F.R. § 438.6(c).
Physician Incentive Plan — Any compensation arrangement between an MCO and a physician or physician group that may directly or indirectly have the effect of reducing or limiting services furnished to MA Recipients enrolled in the MCO.
More Definitions of Physician Incentive Plan
Physician Incentive Plan means any compensation arrangement between the Contractor and a physician or physician group that may directly or indirectly have the effect of reducing or limiting services to enrollees under the terms of this Contract.
Physician Incentive Plan means any compensation arrangement between the Contractor and a physician or Physician Group that may directly or indirectly have the effect of reducing or limiting services to Enrollees under the terms of this Contract.
Physician Incentive Plan means any compensation between a contracting organization and a physician group that may directly or indirectly have the effect of reducing or limiting services provided with respect to Enrollees in the organization.
Physician Incentive Plan means “physician incentive plan” as defined in 42 CFR 422.208;
Physician Incentive Plan has the meaning specified in 42 C.F.R. (S)417.479, as ------------------------ amended from time to time.
Physician Incentive Plan. Any compensation arrangement between the Contractor and a physician or physician group that is intended to advance Utilization Management. Plan: See definition of the MiSalud Plan. Post-Stabilization Services: Covered Services, relating to an Emergency Medical Condition, that are provided after an Enrollee is stabilized, in order to maintain the stabilized condition, or to improve or resolve the Enrollee’s condition.
Physician Incentive Plan as Sections 22.8, 22.9. 22.10. 22.11. 22.12.. 22.13. and 22.14 respectively.