Population Risk Group definition

Population Risk Group means a distinct group of members identified by age, age range, gender, type of program, or eligibility category. Post-stabilization Care Services means Covered Services, related to an Emergency Medical Condition that are provided after a Member is stabilized in order to maintain the stabilized condition, or, for a Medicaid Member, under the circumstances described in 42 §§C.F.R. 438.114(b)&(e) and 42 C.F.R. §422.113(c)(iii) to improve or resolve the Medicaid Member’s condition.

Population Risk Group means a distinct group of members identified by age, age range, gender, type of program, or eligibility category.

Population Risk Group means a distinct group of members identified by age, age range, gender, type of program, eligibility category, or other criteria established by HHSC. Post-stabilization Care Services has the meaning assigned to it in 42 C.F.R. § 438.114(a). Accordingly, the phrase means Covered Services related to an Emergency Medical Condition that are provided after a Member is stabilized in order to maintain the stabilized condition, or, under the circumstances described in 42 C.F.R. § 438.114(e) and 42 C.F.R. § 422.113(c)(2) to improve or resolve the Member’s condition. Pre-tax Income see Net Income Before Taxes.

Examples of Population Risk Group in a sentence

• RATE CELL means a Population Risk Group for which a Capitation Rate has been determined.

More Definitions of Population Risk Group

Population Risk Group means a distinct group of Dental Members identified by age, age range, gender, type of program, eligibility category, or other criteria established by HHSC.

Population Risk Group means a distinct group of members identified by age, age range, gender, type of program, or eligibility category. Post-stabilization Care Services means Covered Services, related to an Emergency Medical Condition that are provided after a Medicaid Member is stabilized in order to maintain the stabilized condition, or, under the circumstances described in 42 §§C.F.R. 438.114(b)&(e) and 42 C.F.R. §422.113(c)(iii) to improve or resolve the Medicaid Member’s condition. Primary Care Physician or Primary Care Provider (PCP) means a physician or provider who has agreed with the HMO to provide a Medical Home to Members and who is responsible for providing initial and primary care to patients, maintaining the continuity of patient care, and initiating referral for care. Provider types that can be PCPs are from any of the following practice areas: General Practice, Family Practice, Internal Medicine, Pediatrics, Obstetrics/Gynecology (OB/GYN), Pediatric and Family Advanced Practice Nurses (APNs) and Physician Assistants (when practicing under the supervision of a physician specializing in Family Practice, Internal Medicine, Pediatrics or Obstetrics/Gynecology who also qualifies as a PCP under this contract), , Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs) and similar community clinic s; and specialist physicians who are willing to provide a Medical Home to selected Members with special needs and conditions.

Population Risk Group means a distinct group of Members identified by age, age range, gender, type of program, eligibility category, or other criteria established by HHSC. Post-stabilization Care Services has the meaning assigned to it in 42 C.F.R. § 438.114. Accordingly, the means Covered Services, related to an Emergency Medical Condition that are provided after a Member is stabilized in order to maintain the stabilized condition, or, under the circumstances described in 42 C.F.R. §§ 438.114(b), (e) and 42 C.F.R. § 422.113(c)(iii) to improve or resolve the Member’s condition.