Rhody Health Options definition

Rhody Health Options or “RHO” means the capitated managed care delivery system operating under contract with EOHHS to manage and coordinate Medicaid covered services and supports, including LTSS, for eligible MNM and MME beneficiaries and to coordinate Medicaid covered services with Medicare covered services for eligible MME beneficiaries. RHO terminates as service delivery option on September 30, 2018.
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Rhody Health Options means the capitated managed care delivery system operating under contract with EOHHS to manage and coordinate Medicaid covered services and supports, including LTSS, for eligible MNM and MME beneficiaries and to coordinate Medicaid covered services with Medicare covered services for eligible MME beneficiaries.
Sample 1Sample 2Sample 3
Rhody Health Options means the capitated managed care delivery system operating under contract with EOHHS to manage and coordinate the Medicaid covered services and supports for MNM and MME beneficiaries eligible for the ICI Phase I.
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Examples of Rhody Health Options in a sentence

  • Rhody Health Options is a managed care delivery system for Medicaid only and Medicare Medicaid eligibles that integrates acute and primary care and long term care services and supports.

  • Effective November 1, 2013, the Rhody Health Options component expanded to all qualified aged, blind, and disabled beneficiaries whether they have other health insurance or not.

  • Effective November 1, 2013, the Rhody Health Options and Connect Care Choice Community Partners component will expand to all qualified aged, blind, and disabled beneficiaries whether they have other health insurance or not.

  • Individuals who are dually eligible for Medicare and Medicaid will receive primary and acute care services through Medicare FFS, a Medicare Advantage Plan, managed care delivery systems of Rhody Health Options or Connect Care Choice Community Partners or through the Program of All Inclusive Care for the Elderly (PACE).

  • Rhody Health Options (RHO) – The comprehensive Medicaid managed care delivery system implemented under Phase I of the ICI for Medicaid-only Beneficiaries eligible for LTSS and Medicare beneficiaries who are entitled to full Medicaid benefits.

  • Phase I of the ICI includes the provision of Medicaid-covered benefits to Medicaid-only adults eligible for LTSS, and to all full-benefit Medicare-Medicaid beneficiaries except for those individuals who are specifically excluded from the ICI or choose to Opt-Out, through the Rhody Health Options (RHO) program.

  • EOHHS implemented the Rhody Health Options Program in the Fall of 2013 to serve the ABD and Medicare and Medicaid Eligible (“MME”) populations.

  • As of November 1, 2013, almost 4,500 individuals were enrolled in either Rhody Health Options program.

  • Unless otherwise approved by EOHHS, trends assigned to TCOC baselines shall not exceed the final cumulative trends to the medical portion of Rhody Health Options rates for the nursing facility and the community LTSS capitation cells for Medicaid-only and Medicare-Medicaid populations contained in the EOHHS data books.

  • Individuals with Seriously and Persistently Mentally Ill and Developmental Disabilities The State considers mental health services to be an integral part of the Rhody Health Options program, and therefore, has included them within the Comprehensive Risk Contract.

Related to Rhody Health Options

  • Parent Stock Option means any option to purchase Parent Common Stock granted under any Parent Stock Plan.

  • Company Stock Options means all options to acquire shares of Company Common Stock from the Company, whether granted pursuant to the Company Stock Plans or otherwise.

  • Stock Options means the collective reference to "Incentive Stock Options" and "Other Stock Options".

  • Nonstatutory Stock Option means an Option not intended to qualify as an Incentive Stock Option.

  • Company Stock Option Plan means any equity incentive, stock option, stock bonus, stock award or stock purchase plan, program or arrangement, as amended to date, of the Company or any Company Subsidiary, or any predecessor of any of the foregoing, including the Company's 2003 Omnibus Stock Option Plan and 2000 Omnibus Stock Option Plan.

  • Stock Option Plan means any stock option plan now or hereafter adopted by the Company or by the Corporation, including the Corporate Incentive Award Plan.

  • Incentive Stock Options means Option Rights that are intended to qualify as “incentive stock options” under Section 422 of the Code or any successor provision.

  • Stock Option means a contractual right granted to an Eligible Person under Section 6 hereof to purchase shares of Common Stock at such time and price, and subject to such conditions, as are set forth in the Plan and the applicable Award Agreement.

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

  • Company Stock Option means an option to purchase shares of Common Stock.

  • Vested Options means the Options that have vested in accordance with Section 2.2 of this Agreement.

  • Ontario Health means the corporation without share capital under the name Ontario Health as continued under the CCA;

  • Non-Statutory Stock Option means a right to purchase Common Stock granted to an Eligible Recipient pursuant to Section 6 of the Plan that does not qualify as an Incentive Stock Option.

  • 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.

  • Nonqualified Stock Option means an Option that is not an Incentive Stock Option.

  • Stock Option Agreement means the agreement between the Company and an Optionee that contains the terms, conditions and restrictions pertaining to the Optionee’s Option.

  • Parent Stock Plans has the meaning set forth in Section 4.5(a).

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

  • Non-Participating Optometrist means an Optometrist who 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.