Examples of PCCM in a sentence
If this is an initial waiver, the State assures that contracts that comply with these provisions will be submitted to the CMS Regional Office for approval prior to enrollment of beneficiaries in the MCO, PIHP, PAHP, or PCCM.
If the 1915(b) Waiver Program does not include a PCCM component, please continue with Part II, C.
If the 1915(b) Waiver Program does not include a PCCM component, please continue with Part II.B. Capacity Standards.
This would apply to PCCM enrollees and to PAHP, PIHP or MCO enrollees if the institutional services were provided as FFS wrap around.
The State assures that it prohibits an MCO, PCCM, PIHP, or PAHP from knowingly having a relationship listed below with:1.
A director, officer, or partner of the MCO, PCCM, PIHP, or PAHP;2.
The CMS Regional Office has reviewed and approved the MCO, PIHP, PAHP, or PCCM contracts for compliance with the provisions of 42 CFR 438.210(a)(2), 438.114, and 431.51 (Coverage of Services, Emergency Services, and Family Planning) as applicable.
The disenrollment/transfer is effective no later than the first day of the second month following the request.The State permits MCOs/PIHPs/PAHPs and PCCMs to request disenrollment of enrollees.i. MCO/PIHP/PAHP and PCCM can request reassignment of an enrollee.
For PCCM providers, the amount listed should match information provided in D.I.D Reimbursement of Providers.
If this is an initialwaiver, the State assures that contracts that comply with these provisions will be submitted to the CMS Regional Office for approval prior to enrollment of beneficiaries in the MCO, PIHP, PAHP, or PCCM.