AHCCCS means the Arizona Health Care Cost Containment System.
HHSC means the administrative agency established under Chapter 531, Texas Government Code, or its designee.
ODJFS means the Ohio Department of Job and Family Services.
HMO means any health maintenance organization, managed care organization, any Person doing business as a health maintenance organization or managed care organization, or any Person required to qualify or be licensed as a health maintenance organization or managed care organization under applicable federal or state law (including, without limitation, HMO Regulations).
HSD means the New Mexico human services department.
DSHS means the Department of State Health Services.
Enrollee means any person entitled to health care services from a carrier.
Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.
MCO means an organization having a certificate of authority or certificate of registration from the 11 Washington State Office of Insurance Commissioner that contracts with HCA under a comprehensive 12 risk contract to provide prepaid health care services to eligible HCA Enrollees under HCA managed 13 care programs.
RHS means the Rural Housing Service of the U.S. Department of Agriculture or any successor.
HCFA means the United States Health Care Financing Administration.
Encounter means a record of a medically-related service rendered by an AHCCCS-registered provider to a member enrolled with a contractor on the date of service.
Disenrollment means either voluntary or involuntary termination of a participant from the Independent Choices Program.
MCP means a Material Change Proposal for the Station issued on [ ];
DHS means the Department of Human Services.
Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.
Contract Awarding Authority means the Board of Supervisors or the individual authorized by the Board of Supervisors to enter into contracts on behalf of the County.
Contractor means the individual or entity, that has entered into this contract with the Commonwealth.
The Contractor means the individual or firm or company whether incorporate not, undertaking the works and shall include legal personal representative of individual or the composing the firm or company and the permitted assignees of individual or firms of company.
QAP shall have the meaning set forth in Clause 11.2;
Encounter Data Any Contractor accessing payments for services through the Global Commitment to Health Waiver and Vermont Medicaid programs must provide encounter data to the Agency of Human Services and/or its departments and ensure that it can be linked to enrollee eligibility files maintained by the State.
ICD means Inland Container Depot.
SFDR means Regulation (EU) 2019/2088 of the European Parliament and of the Council of 27 November 2019 on sustainability‐related disclosures in the financial services sector;
CMS means the Centers for Medicare and Medicaid Services.
Contractor Project Manager means the employee identified in a Statement of Work as the Contractor project manager.
EPSDT means early and periodic screening, diagnosis, and treatment.