Enrollee - A Medicaid definition
Enrollee - A Medicaid beneficiary who is currently enrolled in an MCO, PIHP, PAHP, or PCCM in a given managed care program. FFP (Federal Financial Participation) - Any funds, either title or grant, from the Federal Government. GAO – Government Accountability Office. Group Practice/Center - A Medicaid participating primary care provider structured as a group practice/center which (1) is a legal entity (e.g., corporation, partnership, etc.), (2) possesses a federal tax identification (employer) number, and (3) is designated as a group by means of a Medicaid Group Provider number. HIPAA - Health Insurance Portability and Accountability Act of 1996. Managed Care Organization - An entity that has, or is seeking to qualify for, a comprehensive risk contract that is—(1) A Federally qualified HMO that meets the advance directive requirements of subpart I of 42 CFR