STAR+PLUS HMOs definition

STAR+PLUS HMOs means contracted HMOs participating in the STAR+PLUS Program.
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STAR+PLUS HMOs means contracted HMOs participating in the STAR+PLUS Program. State Fiscal Year (SFY) means a 12-month period beginning on September 1 and ending on August 31 the following year.
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Examples of STAR+PLUS HMOs in a sentence

  • This can lead to intersection crashes where drivers misjudge space.

  • STAR+PLUS HMOs will be notified when Providers are added to the list of STPs for a Service Area.

  • The Operational Start Date is September 1, 2006 for STAR and CHIP HMOs, January 1, 2007 for CHIP Perinatal HMOs, and February 1, 2007 for the STAR+PLUS HMOs.

  • No later than the Contract execution date, STAR+PLUS HMOs must update the information above and provide any additional information as it relates to the STAR+PLUS Program.

  • For STAR+PLUS HMOs, the Medicaid STP requirements apply to all Service Areas, except Xxxxxx County within the Xxxxxx Service Area.

  • STAR+PLUS HMOs are responsible for professional charges during every month for which the HMO receives a full capitation for a Member.

  • STAR+PLUS HMOs must also provide Functionally Necessary Community Long-term Care Services to all Members beginning on the Member’s date of enrollment regardless of pre-existing conditions, prior diagnosis and/or receipt of any prior health care services.

  • For STAR+PLUS HMOs, HHSC will negotiate and implement Performance Improvement Goals for the first full fiscal year following the STAR+PLUS Operational Start Date.

  • STAR+PLUS HMOs must be able to demonstrate the ability to produce the STAR+PLUS encounter file by the STAR+PLUS Operational Start Date and the 837- encounter file by September 1, 2007.

  • All STAR+PLUS HMOs will be required to utilize the standardized method, which will be incorporated into the HHSC Uniform Managed Care Manual.

Related to STAR+PLUS HMOs

  • HCFA means the United States Health Care Financing Administration.

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

  • CMS means the Centers for Medicare and Medicaid Services.

  • California Renewables Portfolio Standard means the California Public Utilities Code Section 399.11, et seq.

  • Asset Management Plan means a plan created by the department and approved by the state transportation commission or a plan created by a local road agency and approved by the local road agency's governing body that includes provisions for asset inventory, performance goals, risk of failure analysis, anticipated revenues and expenses, performance outcomes, and coordination with other infrastructure owners.

  • HMO means any health maintenance organization, managed care organization, any Person doing business as a health maintenance organization or managed care organization, or any Person required to qualify or be licensed as a health maintenance organization or managed care organization under applicable federal or state law (including, without limitation, HMO Regulations).

  • Pharmacy means prescribed drugs and medicines dispensed by a pharmacist and/or travel and allergy vaccines dispensed by a pharmacist or doctor.

  • Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

  • Renewable Energy Standard means the minimum renewable energy capacity portfolio, if applicable, and the renewable energy credit portfolio required to be achieved under section 28 or former section 27.

  • CDBG means community development block grant.

  • SLDC means the State Load Dispatch Center as notified by the State Government.

  • DOH means the department of health.

  • MCP means a Material Change Proposal for the Station issued on [

  • SBD means Standard Bidding Documents.

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.