Directed payments definition

Directed payments means payment arrangements allowed under 42 Code of Federal Regulations (C.F.R.) Section (§) 438.6(c) that permit states to direct specific payments made by managed care plans to providers under certain circumstances and can assist states in furthering the goals and priorities of their Medicaid programs.(2)(3) "Fee" means supplemental hospital offset assessment pursuant to Section (§) 3241.1 of Title 63 of the Oklahoma StatutesO.S.
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Directed payments means payment arrangements allowed under 42 C.F.R. Section 438.6(c) that permit states to direct specific payments made by managed care plans to providers under certain circumstances and can assist states in furthering the goals and priorities of their Medicaid programs.
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Directed payments means payment arrangements allowed under
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Examples of Directed payments in a sentence

  • Directed payments to hospitals must be based on the claims paid to covered hospitals from the managed care organizations during each quarter of FY 2023-2024.

  • In the total amount of one hundred twenty-five thousand dollars ($125,000) to offset a portion of the hospital cost of providing admissions, discharge, and transfer (ADT) messages to the TennCare bureau to support the TennCare Patient Centered Medical Home initiative; (2) Directed payments to hospitals to offset unreimbursed costs incurred by covered hospitals in providing services to TennCare patients, as approved by CMS.

  • Though it is used in support of Army, these helicopters are operated by IAF.

  • Directed payments to hospitals to offset unreimbursed costs incurred by covered hospitals in providing services to TennCare patients, as approved by CMS.

  • Directed payments that fail to meet the “special contract provisions as specified in § 438.6” will not be approved as actuarially sound.

  • Directed payments received by STBH will be directed to the nonprofit entity “SSCOE” to execute the proposed transformation project.

  • Contractor shall comply with the Department’s instructions in disbursing payments pursuant to CMS-approved directed payment programs and pass- through payments pursuant to 42 CFR 438.6. Directed payments must be made directly to an account of the Provider and cannot be made to an intermediary.

  • Directed payments (for Proposition 56) are over budget by $8.5 million.

  • Directed payments (for Proposition 56) are over budget by $10.8 million.

  • Directed payments are payments received with specific instructions on how to apply the payment.


More Definitions of Directed payments

Directed payments means the Medicaid managed care rate increase payments distributed by DMAHS through the Managed Care Organizations to hospitals as authorized under the County Option Program.
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Directed payments is defined in SECTION 5.11.
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Related to Directed payments

  • Restricted Payments as defined in Section 7.6.

  • Required Payments means each of the items described in (i) through (xii) of Section 3.4 of the Indenture.

  • Restricted Payment means any dividend or other distribution (whether in cash, securities or other property) with respect to any capital stock or other Equity Interest of the Borrower or any Subsidiary, or any payment (whether in cash, securities or other property), including any sinking fund or similar deposit, on account of the purchase, redemption, retirement, acquisition, cancellation or termination of any such capital stock or other Equity Interest, or on account of any return of capital to the Borrower’s stockholders, partners or members (or the equivalent Person thereof).

  • Prior Period Investments means investments made in a previous evaluation period that are outstanding as of the examination date.