Prepaid Mental Health Plan definition

Prepaid Mental Health Plan means the prepaid, capitated program through which the Department pays contracted community mental health centers to provide all needed inpatient and outpatient mental health services to residents of the community mental health center's catchment area who are enrolled in the plan.
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Prepaid Mental Health Plan means the mental health centers that contract with the DEPARTMENT to provide inpatient and outpatient mental health services to Medicaid clients living within each mental health center's jurisdiction.
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Prepaid Mental Health Plan means the Medicaid mental and/or substance use disorder managed care plan that covers inpatient and/or outpatient mental health services and outpatient substance use disorder services for PMHP-enrolled Medicaid members.
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Examples of Prepaid Mental Health Plan in a sentence

  • Amendments, revisions, or additions to the State Plan, the Prepaid Mental Health Plan Waiver or to State or Federal regulations, guidelines, or policies, insofar as they affect the scope or nature of benefits available to a Medicaid Eligible Individual shall be considered incorporated by this Contract and the Contractor shall be required to provide those benefits to Medicaid Eligible Individuals.

  • Amendments, revisions, or additions to the State Plan, the Prepaid Mental Health Plan Waiver or to State or federal regulations, guidelines, or policies, insofar as they affect the scope or nature of benefits available to a Medicaid Member shall be considered incorporated by this Contract and the Contractor shall be required to provide those benefits to Enrollees.

  • As a Medicaid member you are part of the Prepaid Mental Health Plan (PMHP).

  • Amendments, revisions, or additions to the State Plan, the Prepaid Mental Health Plan Waiver or to state or federal regulations, guidelines, or policies, insofar as they affect the scope or nature of benefits available to a Medicaid Eligible Individual shall be considered incorporated by this Contract and the Contractor shall be required to provide those benefits to Enrollees.

  • An MCO that covers physical health care is called an Accountable Care Organization (ACO); one that covers behavioral health is a Prepaid Mental Health Plan (PMHP), and one that covers dental services is called a dental plan (only for those eligible for full dental coverage).

  • The child may be enrolled in a Prepaid Mental Health Plan (PMHP) for inpatient psychiatric services only.

  • For tools to verify eligibility, refer to Chapter 6, Member Eligibility.2-1.2 Prepaid Mental Health Plans Under the Prepaid Mental Health Plan (PMHP), DMHF contracts with local county mental health and substance abuse authorities or their designated entities to provide inpatient and outpatient mental health services and substance use disorder services to Medicaid members.The PMHP covers most counties of the state.

  • Services will not be reimbursed when the child is not eligible for Medicaid, nor when the child is covered by a health plan or Prepaid Mental Health Plan and the provider is not affiliated with the plan.

  • Mental health conditions may be handled by the Primary Care Provider or referred to the Enrollee’s Prepaid Mental Health Plan when more specialized services are required for the Enrollee.

  • The Health Plan is not responsible for behavioral health services for enrollees who are enrolled in the Child Welfare Prepaid Mental Health Plan (CWPMHP) with the exception of CWPMHP enrollees residing in Area 1 and the following counties in Area 6: Xxxxxx, Highlands, Manatee and Polk.

Related to Prepaid Mental Health Plan

  • Local Mental Health Authority means a county legislative body.

  • Mental health facility means a mental health facility as defined by the Inpatient Mental Health Treatment of Children Act;

  • Mental Health Worker means an individual that assists in planning, developing and evaluating mental health services for Clients; provides liaison between Clients and service providers; and has obtained a Bachelor's degree in a behavioral science field such as psychology, counseling, or social work, or has two years of experience providing client related services to Clients experiencing mental health, drug abuse or alcohol disorders. Education in a behavioral science field such as psychology, counseling, or social work may be substituted for up to one year of the experience requirement.

  • Community mental health program means all mental health

  • Retiree Health Plan means an "employee welfare benefit plan" within the meaning of Section 3(1) of ERISA that provides benefits to individuals after termination of their employment, other than as required by Section 601 of ERISA.

  • Qualified mental health professional means a licensed medical practitioner or any other person meeting the qualifications specified in OAR 309-019-0125.

  • Group health plan means an employee welfare benefit plan as defined in section 3(1) of subtitle A of title I of the employee retirement income security act of 1974, Public Law 93-406, 29 USC 1002, to the extent that the plan provides medical care, including items and services paid for as medical care to employees or their dependents as defined under the terms of the plan directly or through insurance, reimbursement, or otherwise.

  • Designated mental health professional means a mental health

  • Basic health plan means the plan described under chapter

  • Health plan or "health benefit plan" means any policy,

  • Licensed mental health professional or "LMHP" means a physician, licensed clinical psychologist, licensed professional counselor, licensed clinical social worker, licensed substance abuse treatment practitioner, licensed marriage and family therapist, certified psychiatric clinical nurse specialist, licensed behavior analyst, or licensed psychiatric/mental health nurse practitioner.

  • Qualified health plan means a health benefit plan that has in effect a certification that the plan

  • Participating Retail Health Clinic means a Retail Health Clinic which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Basic health plan model plan means a health plan as required in RCW 70.47.060(2)(e).

  • State health plan means the employee and retiree insurance program provided for in Article 5, Chapter 11, Title 1.

  • Historically Disadvantaged Individual (HDI) means a South African citizen -

  • aerodrome control service means air traffic control service for aerodrome traffic;

  • Health Plans means any and all individual and family health and hospitalization insurance and/or self-insurance plans, medical reimbursement plans, prescription drug plans, dental plans and other health and/or wellness plans.

  • Medicare Advantage plan means a plan of coverage for health benefits under Medicare Part C as defined in 42 U.S.C. 1395w-28(b)(1), and includes:

  • Mental health therapist means the same as that term is defined in Section 58-60-102.

  • Mental health provider means a health care provider or a health care facility authorized by state law to provide mental health services.

  • Disabled parking license plate means a license plate that displays the international symbol of access

  • Casual Employees are employed on an "on call" basis to cover absences due to sick leave, vacation, or other approved leaves, or to augment staff during peak periods or periods of staff shortage.

  • Non-Participating Retail Health Clinic means a Retail Health Clinic which does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Regional health planning agency means the regional agency, including the regional health planning

  • Naturopathic physician means a person licensed to practice naturopathic medicine by the Oregon Board of Naturopathic Medicine.