FCMH definition
Examples of FCMH in a sentence
All legal guardians for members enrolled in FCMH shall have the right to disenroll their child from the PIHP at any time for any reason.
These rosters will provide the PIHP with ongoing information about its FCMH members and will be used as the basis for the monthly PIHP nonrisk payments as described in this contract.
Examples of services or items the PIHP may include are: o HealthCheck Services o Lead Screening and Testing o Immunizations Services or items as used above include those services and items not covered by FCMH Program, but which the PIHP chooses to provide as part of its product.
A FCMH member who voluntarily disenrolled from the PIHP can re-enroll if s/he meets the covered population eligibility criteria as specified in the contract and remains in an eligible out-of-home care setting.
A FCMH member who disenrolled from the PIHP after discharge from an out-of-home care setting is not eligible to re-enroll.
The PIHP must provide FCMH services to the extent outlined below, but it is not restricted to only providing Medicaid services.
Non-Participating Provider: Facility or provider that the PIHP does not have a contract with to provide services to a member of the FCMH.
The PIHP must continue to comply with all existing FCMH health care management activities as defined in Article III A-F.
The PIHP must provide medical care to its FCMH members that are accessible to them, in terms of timeliness, amount, duration, and scope, as those services to non-enrolled BadgerCare Plus and/or Medicaid SSI members within the area served by the PIHP.
Communication Materials: Communication materials designed to provide members or potential members with clear and concise information about the PIHP’s program, the PIHP’s network, and resources about the FCMH program.