Managed Care Organization (MCO definition

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).

Managed Care Organization (MCO means an organization having a certificate of authority or certificate of registration from the Washington State Office of Insurance Commissioner that contracts with HCA under a comprehensive risk contract to provide prepaid health care services to eligible HCA Enrollees under HCA managed care programs.

Managed Care Organization (MCO means an entity that (1) is under contract with the department to provide services to Medicaid recipients and (2) meets the definition of “health maintenance organization” in Iowa Code section 514B.1.

Examples of Managed Care Organization (MCO in a sentence

• If your services are provided through a Managed Care Organization (MCO), you must follow the procedures within the MCO’s own appeal process before filing a request for a Fair Hearing.

• Physical and mental health needs shall be coordinated with assigned CMP Case Manager and the child’s assigned Managed Care Organization (MCO).

• Physical and mental health needs shall be coordinated with assigned CMP Case Manager and youth’s assigned Managed Care Organization (MCO).

• Plan types were categorized into fee-for-service (FFS) (coded as 1) and Managed Care Organization (MCO) (coded as 2, including the STAR and STAR PLUS programs).

• ELIGIBLE POPULATIONS AFFECTED AND ELIGIBILITY UNDER THE DEMONSTRATION Under the Maryland HealthChoice demonstration, state plan beneficiaries are enrolled in a Managed Care Organization (MCO) or in the REM program.

More Definitions of Managed Care Organization (MCO

Managed Care Organization (MCO means an organization licensed to manage, coordinate and assume financial risk on a capitated basis for the delivery of specified services to enrolled members from a certain geographic area. Also referred to as a managed care plan and managed care program.

Managed Care Organization (MCO means an entity under contract with the Department receiving capitated payments and at risk for providing reimbursement for enrollees.

Managed Care Organization (MCO means, for the purposes of this Contract, an entity that has, or is seeking to qualify for, a comprehensive risk contract with the Department to provide Covered Services under the HFS Medical Program, as provided in 42 CFR §438.2. MCOs include HMOs and MCCNs.

Managed Care Organization (MCO means the network of participating health care organizations that provide services to Medicaid participants in the Maryland HealthChoice Program.

Managed Care Organization (MCO means an HMO contracted with the Department of Human Services to provide Iowa Medicaid members with comprehensive health care services, including physical health, behavioral health, and long-term services and supports.

Managed Care Organization (MCO means a public or private organization, organized under the laws of any state, which:

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