MCO Administrative Services definition

MCO Administrative Services means the performance of services or functions, other than the direct delivery of Covered Services, necessary for the management of the delivery of and payment for Covered Services, including but not limited to Network, utilization, clinical and/or quality management, service authorization, claims processing, management information systems operation, and reporting. MCO’s Service Area means all the counties included in any HHSC-defined Service Area, as applicable to each MCO Program and within which the MCO has been selected to provide MCO services.
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Examples of MCO Administrative Services in a sentence

  • The MCO must submit a revised HSP to the HHSC HUB Office when it: changes the dollar amount of, terminates, or modifies an existing Subcontract for MCO Administrative Services; or enters into a new Subcontract for MCO Administrative Services.

  • HHSC has determined that subcontracting opportunities are probable for this RFP for MCO Administrative Services.

  • MCO Administrative Services are those services or functions other than the direct delivery of medical Covered Services necessary to manage the delivery of and payment for such services.

  • MCO Administrative Services include Network, utilization, clinical or quality management, service authorization, claims processing, Management Information System (MIS) operation, and reporting.

  • This goal applies to MCO Administrative Services, as defined below.

  • The Respondent must submit an HSP (see the Procurement Library) with its proposal for these MCO Administrative Services.

  • The address of the Bank’s registered office is: 40 Al-Farabi Avenue, Almaty, 050059, Republic of Kazakhstan.

  • Managed Care Organizations (MCO), Administrative Services Only (ASO), DMAS Non- Emergency Transportation (NEMT) Broker, Providers, Provider Groups and Billing Agents/Clearinghouses wishing to submit electronic transactions directly to the Department of Medical Assistance Services (DMAS) must complete the Service Center EDI Trading Partner Agreement.

  • Managed Care Organizations (MCO), Administrative Services Only (ASO), DMAS Non- Emergency Transportation (NEMT) Broker, Providers, Provider Groups and Billing Agents/Clearinghouses complete the Service Center Service Account Agreement to receive a machine to machine Service Account for uploading and downloading EDI files to the DMAS Managed File Transfer (MFT) Server.

  • Managed Care Organizations (MCO), Administrative Services Only (ASO), DMAS Non- Emergency Transportation (NEMT) Broker, Providers, Provider Groups and Billing Agents/Clearinghouses wishing to submit electronic transactions directly to the Department of Medical Assistance Services (DMAS) must complete the Service Center Operational Information.

Related to MCO Administrative Services

  • Administrative Services means the provision to the Fund, by or at the expense of the Manager, of the following:

  • PJM Administrative Service means the services provided by PJM pursuant to Tariff, Schedule 9. PJM Board:

  • Administrative Services Agreement has the meaning set forth in Section 2.1(d).

  • Supportive services means those services and activities provided in con- nection with minority business enter- prise programs which are designed to increase the total number of minority businesses active in the highway pro- gram and contribute to the growth and eventual self-sufficiency of individual minority businesses so that such busi- nesses may achieve proficiency to com- pete, on an equal basis, for contracts and subcontracts.

  • Protective services means expedited services that are provided:

  • Child protective services means the identification, receipt and immediate response to complaints

  • Administration Services means the services required for the effective and efficient administration of Bonitas and includes, but are not necessarily limited to, member record management, contribution management, benefit option management, claims processing and management, management of members’ personal, claims and financial information and any other services that are required for the administration of Bonitas;

  • Habilitative services means those services provided by

  • Preventive services means preservation services, as defined

  • Sensitive Services means those services that (i) require access to Customer/Consumer Information, (ii) relate to the State’s computer networks, information systems, databases or secure facilities under circumstances that would permit modifications to such systems, or (iii) involve unsupervised access to secure facilities (“Sensitive Services”).

  • Corporate Services Provider means Computershare Trust Company of Canada, a trust company formed under the laws of Canada, as corporate services provider to the Liquidation GP under the Corporate Services Agreement, together with any successor corporate services provider appointed from time to time;

  • Family support services means providing opportunities for

  • Company Services means any services (including but not limited to technical and product support, technical advice, underwriting and customer services) supplied by the Company or its Affiliates in the specialty property and/or casualty insurance business.

  • Adult protective services means services provided by the local department that are necessary to

  • Core Services means the services described in the Main Agreement that BNYM is obligated to perform for Company (for clarification: excluding the products and services provided pursuant to this Schedule C).

  • Competitive Services means engaging in the business of community banking or commercial banking, including, without limitation, originating, underwriting, closing and selling loans, receiving deposits and otherwise engaging in the business of banking, as well as the business of providing any other activities, products, or services of the type conducted, authorized, offered, or provided by the Bank as of Executive’s Termination Date, or during the two (2) years immediately prior to Executive’s Termination Date.

  • Free Services means the Subscription Service or other products or features made available by us to you on an unpaid trial or free basis.

  • Extra Services means those services set forth in Schedule “B” that are requested by the Municipality for itself or on behalf of its citizens and provided by the Company in accordance with paragraph 7 of this Agreement;

  • Education Services means education and hostel facilities for students and scholars provided by -

  • BPO Services means Provider’s business process outsourcing services described in the applicable Solution Exhibit, whereby Provider assumes responsibility for Customers’ business processes.

  • Investment Management Services means any services which involve: (i) the management of an investment account or Fund (or portions thereof or a group of investment accounts or Funds); (ii) the giving of advice with respect to the investment and/or reinvestment of assets or funds (or any group of assets or funds); or (iii) otherwise acting as an “investment adviser” within the meaning of the Investment Advisers Act of 1940, as amended, including, without limitation, in each of the foregoing cases, performing activities related or incidental thereto.

  • Child support services means any civil, criminal or administrative action taken by the Division of

  • Administrative Staff means all persons employed by the University who are categorised in terms of the Statutes as members of the administrative staff;

  • Transitional Services means services involving technical or specialized knowledge required to complete a project or to provide temporary consulting services to the City.

  • Hospice services means palliative and supportive care and other services provided by an interdisciplinary team under the direction of an identifiable hospice administration to terminally ill hospice patients and their families to meet the physical, nutritional, emotional, social, spiritual, and special needs experienced during the final stages of illness, dying, and bereavement, as defined in Minnesota Statutes, § 144A.75, subd. 8, and includes the set of services as determined by the Medicare program under §1861(dd) of the Social Security Act and defined in 42 CFR § 418.3.

  • Information Services means the Municipal Securities Rulemaking Board’s Electronic Municipal Market Access System; or, such other services providing information with respect to called municipal obligations as the District may specify in writing to the Paying Agent or as the Paying Agent may select.