BMHC definition
Examples of BMHC in a sentence
A detailed description of the methodologies for each measure can be found on the BMHC page of the ODJFS website.
Within the BMHC, a specific Contract Administrator (CA) has been assigned to each MCP.
The Financial Statements must be submitted to BMHC even if the Ohio Department of Insurance (ODI) does not require the MCP to submit these statements to ODI.
MCP agrees to report to the Chief of Bureau of Managed Health Care (hereinafter referred to as BMHC) or their designee as necessary to assure understanding of the responsibilities and satisfactory compliance with this provider agreement.
The Bureau of Managed Health Care (BMHC) is responsible for the oversight of the MCPs’ provider agreements with ODJFS.
Any revisions to the tool must also be submitted to BMHC prior to use.
The Health Plan shall submit the survey tool for approval to BMHC prior to use.
In this circumstance, the Health Plan must notify the Agency’s BMHC of such in writing.
In that MCPs are ultimately responsible for meeting program requirements, the BMHC will not discuss MCP issues with the MCPs’ delegated entities unless the applicable MCP is also participating in the discussion.
If at the conclusion of the transplant evaluation, the enrollee is listed with the United Network for Organ Sharing (UNOS) as a level 1A, 1B, or 2 candidate for a heart or lung transplant, or with a Model End Stage Liver Disease (MELD) score of 11-25 for a liver transplant, then the Health Plan must submit a copy of the UNOS form to BMHC with a request to disenroll the member from the Health Plan.