Medicaid managed care organization definition

Medicaid managed care organization means a medicaid contracted health plan or a specialty prepaid health plan.

Medicaid managed care organization means a managed care organization under contract with the department of medicaid pursuant to section 5167.10 of the Revised Code.

Medicaid managed care organization means an entity for which the Department for Medicaid Services has contracted to serve as a managed care organization as defined in 42 C.F.R. sec. 438.2; and

Examples of Medicaid managed care organization in a sentence

• Section 1902(a)(23) of the Act pro- vides that a beneficiary enrolled in a primary care case management system or Medicaid managed care organization (MCO) may not be denied freedom of choice of qualified providers of family planning services.

• Our plan is a Massachusetts licensed health maintenance organization and a not-for-profit Medicaid managed care organization.

• State supplemental rebate agreements would apply to beneficiaries, including those made eligible under the Affordable Care Act receiving fee-for-service benefits and those that are enrolled under a Medicaid managed care organization agreement.

• Total capitated payments a Medicaid managed care organization receives from the division for providing, or arranging for the provision of, health care services to its mem- bers or enrollees.

• Each day that a Medicaid managed care organization fails to pay a claim may count as a separate violation.

More Definitions of Medicaid managed care organization

Medicaid managed care organization means a managed care organization that contracts with the commission under this chapter to provide health care services to recipients.

Medicaid managed care organization means a managed care organization as defined by Section 533.001, Government Code, that contracts with the commission under Chapter 533, Government Code, to provide health care services to medical assistance program recipients.

Medicaid managed care organization means a managed care organization under contract with the Department of Job and Family Services to provide, or arrange for the provision of, health care services to Medicaid recipients who are required or permitted to obtain health care services through managed care organizations as part of the care management system.

Medicaid managed care organization means a Medicaid managed

Medicaid managed care organization or "Medicaid MCO" means a Managed Care Organization under contract with the Department to provide services to recipients of benefits in the Medical Assistance Program under Article V of the Public Aid Code, the Children's Health Insurance Program Act [215 ILCS 106], and the Covering ALL KIDS Health Insurance Act [215 ILCS 170]. It does not include contracts the same entity or an affiliated entity maintains for other business.

Medicaid managed care organization means the term as defined in 42 U.S.C., Section 1396b(m).

Medicaid managed care organization means an entity acting pursuant to a contract with the department of health and human services to administer the medical assistance program under chapter 249A, and that meets the definition of “health maintenance organization” under section 514B.1.