PIHP definition
PIHP means a specialty prepaid inpatient health plan for Medicaid mental health services, services to persons with developmental disabilities, and substance abuse services as described in section 232b of the mental health code, 1974 PA 258, MCL 330.1232b.
PIHP means Prepaid Inpatient Health Plan as described in 42 C.F.R. § 438.2. A PIHP is an entity that:
1) Provides medical services to beneficiaries under contract with the Department of Health Care Services, and on the basis of prepaid capitation payments, or other payment arrangement that does not use state plan rates;
2) Provides, arranges for, or otherwise has responsibility for the provision of any inpatient hospital or institutional services for its beneficiaries; and
3) Does not have a comprehensive risk contract.
PIHP means an entity designated by the department as a regional entity or a specialty prepaid inpatient health plan for Medicaid mental health services, services to individuals with developmental disabilities, and substance use disorder services. Regional entities are described in section 204b of the mental health code, 1974 PA 258, MCL 330.1204b. Specialty prepaid inpatient health plans are described in section 232b of the mental health code, 1974 PA 258, MCL 330.1232b.
Examples of PIHP in a sentence
Receive information regarding the Contractor’s PIHP and plan in accordance with 42 CFR §438.10.
That is, beneficiaries enrolled in this program shall receive DMC-ODS services through the Contractor, operating as a PIHP.
A review by an MCO, PIHP, or PAHP of an adverse benefit determination, that is in accordance with 42 C.F.R. §438.400.
In accordance with 42 C.F.R. §438.400.,the processes the MCO, PIHP, or PAHP implements to handle appeals of an adverse benefit determination and grievances, as well as the processes to collect and track information about grievances and appeals.
Choice counseling does not include making recommendations for or against enrollment into a specific MCO, PIHP, or PAHP.
More Definitions of PIHP
PIHP means Prepaid Inpatient Health Plan.
PIHP means the capitated Prepaid Inpatient Health Plan as defined in 42 CFR § 438.2 and operated by Partners Behavioral Health Management in accordance with the North Carolina Mental Health, Developmental Disabilities, and Substance Abuse Services (MH/DD/SA) health plan waiver authorized by the Centers for Medicare and Medicaid Services (CMS) pursuant to section 1915(b) of the Act, the N.C. Home and Community Based Services Innovations waiver authorized by CMS pursuant to section 1915(c) of the Act, and Part 438 of Title 42 of the Code of Federal Regulations.
PIHP means an entity designated by the department as a
PIHP means an entity that;
PIHP means the capitated Prepaid Inpatient Health Plan as defined in 42 CFR § 438.2 and operated by LME in accordance with the Department health plan waiver authorized by the Centers for Medicare and Medicaid Services (CMS) pursuant to section 1915(b) of the Social Security Act, the N.C. Home and Community Based Services Innovations waiver authorized by CMS pursuant to section 1915(c) of the Social Security Act, and Part 438 of Title 42 of the Code of Federal Regulations.
PIHP means an entity contracting with the state department that meets
PIHP means a Prepaid Inpatient Health Plan as the term is used in federal regulations and State of Michigan law.