Tribal 638 Facility definition

Tribal 638 Facility means a Tribal facility authorized to provide services pursuant to the Indian Self-Determination and Education Assistance Act, 25 U.S.C. 450 et seq.
Tribal 638 Facility means a Tribal facility authorized to provide services pursuant to the Indian Self- Determination and Education Assistance Act, 25 U.S.C. 450 et seq. Urban means the following counties in New Mexico: Bernalillo, Los Alamos, Santa Fe and Xxxx Xxx. Urban Indian shall have the meaning ascribed to such term in 25 U.S.C. § 1603.
Tribal 638 Facility means a T riba l facility authorized to provide services pursuant to the Indian Self-Determination and Education Assistance Act, 25 U.S.C. 450 et seq. Urban means the following counties in New Mexico: Bernalillo, Los Alamos, Santa Fe and Xxxx Xxx. Urban Indian shall have the meaning ascribed to such term in 25 U.S.C. § 1603. Utilization Management (UM) means a system for reviewing the appropriate and efficient allocation of health care services that are provided, or proposed to be provided, to a Member. Value Added Service means any service offered by the CONTRACTOR that is not a M e d i c a i d covered benefit under this Agreement or provided in lieu of the CONTRACTOR offered service or setting. Value-Based Purchasing (VBP) means payment arrangements with providers that motivate movement away from fee-for-service reimbursement and toward payment methodologies that reward value or outcomes, including but not limited to such as Primary Care incentives, performance-based contracts, risk contracts, bundled/episode payments, shared savings and shared risk and global Capitation Payments or any other payment arrangement that HSD approves as a value-based purchasing. Warm Transfer means a telecommunications mechanism in which the person answering the call facilitates the transfer to a third party, announces the caller and issue, and remains engaged as necessary to provide assistance. Waste means the overutilization of services or other practices that result in unnecessary costs. Acronyms list: 3 CONTRACTOR’s Administrative Requirements

Examples of Tribal 638 Facility in a sentence

  • Tribal 638 Facility: Tribally owned facilities funded by Title I or III of the Indian Self-Determination and Education Assistance Act (Public Law 93-638), including all facilities under contract, compact, or receiving grants from the IHS.


More Definitions of Tribal 638 Facility

Tribal 638 Facility means a facility operated by a Tribe or Tribal organization, funded by Title I or V of the Indian Self-Determination and Education Assistance Act (Public Law 93- 638, amended), and enrolled in the state Medicaid program as a facility type other than an FQHC or Tribal FQHC.
Tribal 638 Facility means a facility operated by a Native American/Indian Tribe authorized to provide services pursuant to the Indian Self-Determination and Education Assistance Act, 25 Urban means the following counties in New Mexico: Bernalillo, Los Alamos, Santa Fe and Xxxx Xxx. Urban Indian shall have the meaning ascribed to such term in 25 U.S.C. § 1603. Utilization Management (UM) means a system for reviewing the appropriate and efficient allocation of health care services that are provided, or proposed to be provided, to a Member. Value Added Service means any service or benefit offered by the CONTRACTOR that is not a Covered Service. Warm Transfer means a telecommunications mechanism in which the person answering the call facilitates the transfer to a third party, announces the caller and issue, and remains engaged as necessary to provide assistance. YTD means year to date. 3 CONTRACTOR’s Administrative Requirements

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