Institution for Mental Disease (IMD) Stays. If a member aged 21 through 64 has an IMD stay exceeding 15 days per calendar month, ODM will recover a percentage of the plan’s monthly capitation payment based on the total number of days the member was in the IMD.
Appears in 11 contracts
Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan
Institution for Mental Disease (IMD) Stays. If a member aged 21 through 64 has an IMD stay exceeding 15 days per calendar month, ODM will recover a percentage of the plan’s monthly capitation payment based on the total number of days the member was in the IMD; e.g., if the member is in the community for 10 days and admitted to an IMD for the remainder of the month, ODM will reconcile 20 days.
Appears in 3 contracts
Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan
Institution for Mental Disease (IMD) Stays. If a member aged 21 through 64 has an IMD stay exceeding 15 days per calendar month, ODM will recover a percentage of the plan’s monthly capitation payment based on the total number of days the member was in the IMD; e.g., if the member is in the community for 10 days and admitted to an IMD for the remainder of the month, ODM will reconcile 20 days.
Appears in 1 contract
Samples: The Ohio Department
