Integrated Managed Care definition
Examples of Integrated Managed Care in a sentence
Upon completing the PMPM recoupment reconciliation for Enrollees who have stayed in an (IMD) for sixteen (16) calendar days or more, within a single calendar month, as outlined in the Apple Health Integrated Managed Care Medicaid contract, the Contractor shall invoice HCA for all physical health claims for Enrollees that have had a PMPM recouped by HCA.
For the purposes of this Contract, MCO refers to those businesses identified by contract with the state as designated Medicaid Managed Care Organizations for Integrated Managed Care in the Salish Regional Service Area.
All remedies afforded by this Purchase Agreement for a breach hereof shall be cumulative; that is, in addition to all other remedies provided for herein or by law or in equity.
For the purposes of this Contract, MCO refers to those businesses identified by contract with the state as designated Medicaid Managed Care Organizations for Integrated Managed Care.
In any subcontracts and in any other documents that relate to this Contract, the Contractor shall use the definitions as they appear in this Contract and as incorporated by reference from the Integrated Managed Care contract.
All of the terms and conditions of the Washington Apple Health Integrated Managed Care Contract between HCA and the Contractor (HCA Contract No. xxxx, with a start date of July 1, 2020 and an end date of December 31, 2022) (“IMC contract”) shall apply with equal force and effect to this Contract, unless otherwise explicitly stated in this Contract.
MA Health Plan (or another organization under same parent company) and HCA have a current Apple Health Medicaid Integrated Managed Care (IMC) Contract (HCA Contract Number «IMC_K»).
MA Health Plan holds an agreement with CMS to provide a Dual Special Needs Plan covered under this SMAC (or another organization under same parent company) and receives direct capitation from HCA to provide coverage of the Medicaid benefits described in the Integrated Managed Care (IMC) Contract including BH Services listed in Exhibit 5.
RFP Documents Attachment 1, RFP 15-008 – Integrated Managed Care – (incorporated by reference, available upon request); Attachment 3, RFP 1812 – Integrated Managed Care (incorporated by reference, available upon request); and Attachment 5, RFP 2567 – Integrated Managed Care (incorporated by reference, available upon request).
All of the terms and conditions of the Washington Apple Health Integrated Managed Care Contract between HCA and the Contractor (HCA Contract No. xxxx, with a start date of July 1, 2020 and an end date of December 31, 2020) (“IMC contract”) shall apply with equal force and effect to this Contract, unless otherwise explicitly stated in this Contract.