Indian Managed Care Entities definition

Indian Managed Care Entities. (IMCE) means a CCO, MCO, PIHP, PAHP, PCCM, or PCCM entity that is controlled (section 1903(m)(1)(C) of the 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 Service.
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Examples of Indian Managed Care Entities in a sentence

  • The MCO must follow the requirements related to Indians, Indian Health Care Providers, and Indian Managed Care Entities in accordance with the terms of 42 CFR 438.14.

  • In the latter,the stakeholders may be readily identifiable, while in the former identification of the relevant or legitimate beneficiaries may be more complicated.

  • ICRs Regarding Requirements That Apply to MCO, PIHP, PAHP, and PCCM Contracts Involving Indians, Indian Health Care Providers, and Indian Managed Care Entities (§ 457.1208)Section 457.1208 would apply the requirements of § 438.14 to CHIP.

  • New Statutory Requirements Regarding Indians, Indian Health Care Providers, Indian Managed Care Entities in Medicaid, and CHIP Managed Care Programs Section 5006(d) of the Recovery Act adds a new section 1932(h) to the Medicaid statute and section 2107(e)(1)(J) to the CHIP statute, which will apply consistent rules governing the treatment of Indians, Indian health care providers–I/T/Us, and Indian Managed Care Entities (IMCEs) in a State Medicaid or CHIP managed care program.

  • OHA and Tribes have engaged in discussions about one or more Tribes becoming Indian Managed Care Entities under federal law.

  • Recycle bins will be delivered shortly after refuse bins have been installed within the bin chamber.

  • Wuest, K., Romans in theGreek New Testament, Eerdman’s, Grand Rapids, MI, p.

  • This planning obligations approach will need to continue in order to retain the City‟s predominantly commercial character, while also ensuring that commercial development in the City continues to contribute to affordable housing delivery in London.

  • AAG Ted Falk assisted OHA in its work to create Indian Managed Care Entities with four tribes and NARA NW.

  • The special provisions applicable to MCO, PIHP, PAHP, PCCM, AND PCCM entity contracts involving AI/ANs, IHCPs and Indian Managed Care Entities (IMCEs) are found in § 438.14.

Related to Indian Managed Care Entities

  • 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.

  • Health care entity means any health care provider, health plan or health care clearinghouse.

  • CMS means the Centers for Medicare and Medicaid Services.

  • 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 Operations shall have the meaning given to such term under the HIPAA 2 Privacy Rule in 45 CFR § 164.501.

  • Indian Health Care Provider means a health care program operated by the Indian Health Service (IHS) or by an Indian Tribe, Tribal Organization, or Urban Indian Organization (otherwise known as an I/T/U) as those terms are defined in § 4 of the Indian Health Care Improvement Act (25 USC § 1603). Indian Health Care Provider includes a 638 Facility and provision of Indian Health Service Contract Health Services (IHS CHS).

  • Child care services means the range of activities and programs provided by a certificate holder to an enrolled child, including personal care, supervision, education, guidance, and transportation.

  • Health care services means services for the diagnosis, prevention, treatment, cure, or relief of a health condition, illness, injury, or disease.