Prepaid health plan definition

Prepaid health plan or “prepaid plan” means a contractual arrangement between the Agency department and a contractor for the provision of Medicaid care, goods, or services on a prepaid basis.

Prepaid health plan. A Health Plan reimbursed on a prepaid basis. (see Health Plan) Primary Care — Comprehensive, coordinated and readily-accessible medical care including: health promotion and maintenance; treatment of illness and injury; early detection of disease; and referral to specialists when appropriate.

Prepaid health plan means managed care plans and county-based purchasing plans.

Examples of Prepaid health plan in a sentence

• Prepaid health plan appeals.(a) All prepaid health plans under contract to the commissioner under chapter 256B or 256D must provide for a complaint system according to section 62D.11.

• DHHS has full authority to manage NC Medicaid and NC Health Choice; DHB is responsible for planning and implementing Medicaid transformationYes4.2 Prepaid health plan.

• Prepaid health plan qualified as a community or migrant health center pursuant to section 1903 (m) of Title XIX of the federal "Social Security Act".

• Prepaid health plan: A health plan contracted with DHS to provide health care services to recipients of Prepaid Minnesota Health Care Programs (PMHCP).

• Other services excluded from cost sharing by federal law or regulation.(3)[ Prepaid health plan programs, such as health maintenance organizations and health insuringorganizations under contract with the cabinet to provide services to medical assistancerecipients, shall not be subject to the requirements of this section.(4)] Standard nominal copayments per service, not to exceed amounts allowable under Section 1916 of Title XIX of the Federal Social Security Act, 42 U.S.C. sec.

More Definitions of Prepaid health plan

Prepaid health plan or “PHP” means a plan made available by a provider, other than a health maintenance organiza- tion, that provides medical services to enrolled recipients under contract with the department on a capitation fee basis.

Prepaid health plan or “PHP” means a managed health, dental or mental health care organization that contracts with OHA on a case managed, prepaid, capitated basis under the OHP prior to amendment by 2011 HB 3650, Chapter 602 of 2011 Laws (“HB 3650”). A PHP may be a Dental Care Organization (DCO), Fully Capitated Health Plan (FCHP), Mental Health Organization (MHO) or Physician Care Organization (PCO).

Prepaid health plan or “PHP” means a managed health, dental, chemical dependency, or mental health care organization that contracts with DHS on a case managed, prepaid, capitated basis under the OHP. PHPs may be Dental Care Organizations (DCO), FCHPs, Chemical Dependency Organizations (CDO), or MHO.

Prepaid health plan or “PHP” means a person that has entered into a capitated contract with the North Carolina Department of Health and Human Services through the Division of Health Benefits to deliver Medicaid and NC Health Choice services.

Prepaid health plan means an agreement where the plan contractor agrees to:

Prepaid health plan means a plan under contract with the commissioner according to section 256B.69.

Prepaid health plan means any organization, subject to the provisions of Section 2501 et seq. of this title, organized pursuant to the laws of this state, or the laws of another state or the District of Columbia, which provides, either directly, or through arrangements with others, or through reimbursement of claims, comprehensive health services to members enrolled with the plan on a fixed prepayment basis.;