CICO definition
Examples of CICO in a sentence
The content in this Agreement is neither obligatory nor legally binding but is provided as reference only for the members of each CICO for the implementation of ARECs obligations and negotiations for joint submission of Registration Documents.
If the disruptive behavior ceases after the member receives notice and then later resumes, the CICO must begin the process again.
The CICO shall have a mechanism for receiving timely information about all Disenrollments from the CICO’s plan, including the effective date of Disenrollment, from CMS and SCDHHS or its authorized agent.
Disenrollment requests received by SCDHHS or its authorized agent, or by CMS or its CICO, either orally or in writing, by the last calendar day of the month will be effective on the first calendar day of the following month.
The CICO shall have sixty (60) days to review the MLR calculation.
In order to operate as a CICO, all managed care health insurance plan licensees must obtain Service Area approval certification from SCDHHS and remain certified by the SCDOI.
Any and all costs incurred by the CICO in excess of a capitation payment shall be born in full by the CICO.
The CICO must include a copy of this notice and the date it was provided to the member in any information forwarded to CMS and the State.
The CICO will adhere to all transition requirements for services, as outlined in Section 2.6.9.
For the purposes of the Demonstration, this system will be modified to bill each CICO directly for Demonstration related claims.