IMCE definition

IMCE means a Contractor that is controlled (within the meaning of the last sentence of section 1903(m)(1)(C) of the Social Security Act) by the Indian Health Service, a Tribe, Tribal Organization, or Urban Indian Organization, or a consortium, which may be composed of one or more Tribes, Tribal Organizations, or Urban Indian Organizations, and which also may include the Indian Health Service.
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Examples of IMCE in a sentence

  • Prohibit a Participating Provider from entering into a contractual relationship with another PAHP, MCO or IMCE (i.e., no covenant-not-to-compete) or include any compensation terms (i.e., incentive or disincentive) that encourages a Participating Provider not to enter into a contractual relationship with another PAHP, MCO or IMCE.

  • Indian Managed Care Entity (IMCE) - The IMCE is referred to as the Tribal Option in North Carolina.

  • Indian Managed Care Entity (IMCE): Means an ICME as defined by 42 C.F.R. § 438.14(a).

  • In North Carolina, the IMCE is referred to as the Eastern Band of Cherokee Indian Tribal Option.

  • The EBCI Tribal Option will be established as an IMCE as defined below.

  • The EBCI Tribal Option, through CIHA, serving as an IMCE, is responsible for administering the EBCI Tribal Option as a fee-for- service PCCM entity.