Dental Care Organization (DCO definition

Dental Care Organization (DCO means a PHP that provides and coordinates dental services as capitated services under OHP.
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Dental Care Organization (DCO means an MCE that provides and coordinates dental services as capitated services under OHP.
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Dental Care Organization (DCO means a prepaid managed care health services organization that contracts, on a capitated basis, with the Authority under ORS 414.654 or with a coordinated care organization, or both with the Authority and a coordinated care organization, to provide dental services to medical assistance recipients. Dental Care Organization also meets the definition of a Prepaid Ambulatory Health Plan as defined under 42 CFR § 438.2.
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Examples of Dental Care Organization (DCO in a sentence

  • These services are handled through the Member’s assignment to a Dental Care Organization (DCO).

  • The state’s contracting with the CCO will result in the phase out of new Fully Capitated Health Plan (FCHP), Physician Care Organization (PCO), and Mental Health Organization (MHO) contracts by July 1, 2014 and CCOs must have a formal contractual relationship with any Dental Care Organization (DCO) in its service area by July 2014.

  • The Member’s ID card will reflect which DCO they have been assigned to.Members should contact UHA Member Services or the Dental Care Organization (DCO) listed on their Member ID card.

  • The Member’s ID card will reflect which DCO they have been assigned to.Members should contact UHA Customer Care or the Dental Care Organization (DCO) listed on their Member ID card.

  • All CAWEM clients are exempt from enrollment in a Dental Care Organization (DCO) or Coordinated CareOrganization (CCO).

  • The State’s contracting with the CCO will result in the phase out of new Fully Capitated Health Plan (FCHP), Physician Care Organization (PCO), and Mental Health Organization (MHO) contracts by July 1, 2014 and CCOs must have a formal contractual relationship with any Dental Care Organization (DCO) in its service area by July 2014.

  • With the KD BLR model, high values of both WCI and RBI are generated.

  • CCOs were required to contract with every Dental Care Organization (DCO), Oregon’s term for a dental plan, which previously contracted directly with the state in a given region.

  • An MCO may be a Chemical Dependency Organization (CDO), Fully Capitated Health Plan (FCHP), Dental Care Organization (DCO), Mental Health Organization (MHO), or Physician Care Organization (PCO).

  • Replacement of dentures and partials is limited to once every five years when dentally appropriate; (B) The limitation of once every five years applies to the client regardless of Dental Care Organization (DCO) or Fee-for-Service (FFS) enrollment status.


More Definitions of Dental Care Organization (DCO

Dental Care Organization (DCO means an MCE that provides and coordinates oral health services as capitated services under OHP.¶
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Dental Care Organization (DCO means an MCE that provides and coordinates dental services as
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Dental Care Organization (DCO means a prepaid managed care health services organization that contracts, on a
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Dental Care Organization (DCO means a Prepaid Health Plan that provides dental services, including routine dental care, dental case management and emergency dental services as Capitated Services under the Oregon Health Plan. All dental services covered under the Oregon Health Plan are covered as Capitated Services by the Dental Care Organization; no dental services are paid by Office of Medical Assistance Programs (OMAP) on a fee-for-service basis for Oregon Health Plan clients enrolled with a Dental Care Organization provider.
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Dental Care Organization (DCO means an MCE that provides and coordinates
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Related to Dental Care Organization (DCO

  • Managed Care Organization (MCO) means a contracted health delivery system providing capitated or prepaid health services, also known as a Prepaid Health Plan (PHP). An MCO is responsible for providing, arranging, and making reimbursement arrangements for covered services as governed by state and federal law. An MCO may be a Chemical Dependency Organization (CDO), Dental Care Organization (DCO), Mental Health Organization (MHO), or Physician Care Organization (PCO).

  • Health care organization ’ means any person or en-

  • Managed care organization means an entity that (1) is under contract with the department to provide services to Medicaid recipients and (2) meets the definition of “health maintenance organization” as defined in Iowa Code section 514B.1.

  • Provider Organization means a group practice, facility, or organization that is:

  • Review organization means a disability insurer regulated

  • Employee organization means any organization, union, or

  • Independent review organization means an entity that is accredited to conduct independent external reviews of adverse benefit determinations.

  • Accountable care organization or “ACO” means an organization of health care providers that has a formal legal structure, is identified by a federal Taxpayer Identification Number, and agrees to be accountable for the quality, cost, and overall care of the patients assigned to it.

  • Domestic organization means an organization created under the laws of this state.

  • Credit union service organization means an organization, corporation, or association whose membership or ownership is primarily confined or restricted to credit unions or organizations of credit unions and whose purpose is primarily designed to provide services to credit unions, organizations of credit unions, or credit union members.

  • Stewardship organization means an organization, association, or

  • Member organization means any individual, corporation, limited liability company, partnership, or association that belongs to an association.

  • Utilization review organization means an entity that conducts utilization review, other than a health carrier performing a review for its own health benefit plans.

  • Eligible organization means a veterans, charitable, educational, religious, fraternal,

  • Qualified long-term care services means services that meet the requirements of Section 7702(c)(1) of the Internal Revenue Code of 1986, as amended, as follows: necessary diagnostic, preventive, therapeutic, curative, treatment, mitigation and rehabilitative services, and maintenance or personal care services which are required by a chronically ill individual, and are provided pursuant to a plan of care prescribed by a licensed health care practitioner.

  • Designated chemical dependency specialist means a person

  • Professional employer organization means an employee leasing

  • 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.

  • ADR Organization means The American Arbitration Association or, if The American Arbitration Association no longer exists or if its ADR Rules would no longer permit mediation or arbitration, as applicable, of the dispute, another nationally recognized mediation or arbitration organization selected by the Sponsor.

  • Educational organization means a nonprofit public or private elementary or

  • Procurement organization means an eye bank, organ procurement organization, or tissue bank.

  • Business organization means an individual, partnership, association, joint stock company, trust, corporation or other legal business entity or successor thereof.

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • Supervised financial organization means a person, other than an insurance company or other organization primarily engaged in an insurance business:

  • Religious organization means a church, ecclesiastical corporation, or group, not organized for pecuniary profit, that gathers for mutual support and edification in piety or worship of a supreme deity.

  • Foreign organization means an organization created under laws other than the laws of this state for a purpose for which an organization may be created under the laws of this state.