Prepaid Health Plans definition

Prepaid Health Plans means any Health Care Plan to pay or make reimbursement for Health Care Services on a prepaid basis other than insured plans otherwise authorized and approved under A.R.S. Title 20.
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Examples of Prepaid Health Plans in a sentence

  • Relevant service and support descriptions are contained in the current MDHHS Medical Services Administration Policy for Prepaid Health Plans and these definitions are incorporated by reference into this agreement, to the extent they are consistent with the Board’s service obligations under MCL 330.1206(1), and the Children’s Waiver.

  • The method of reimbursing Prepaid Health Plans in the form of a separate one-time fixed payment for specific services.

  • Relevant service and support descriptions are contained in the current MDCH Medical Services Administration Policy for Prepaid Health Plans and these definitions are incorporated by reference into this agreement, to the extent they are consistent with the Board’s service obligations under MCL 330.1206(1), and the Children’s Waiver.

  • In accordance with federal law, the Department has implemented the Compatible Medicaid NCCI Methodologies into its FFS program, NC Medicaid Direct, and has opted to use the Compatible Medicaid NCCI Methodologies its Medicaid Managed Care program and share the Non-public State Medicaid NCCI Edit Files, provided by CMS to the Department, with the Prepaid Health Plans (PHPs) for processing claims that are paid by the PHPs on a FFS basis.

  • A5 With the onset of Medicaid Managed Care, local health departments are subcontracted by Prepaid Health Plans (PHP) to provide CMHRP services.

  • Relevant service and support descriptions are contained in the current MDCH Medical Services Administration Policy for Prepaid Health Plans and these definitions are incorporated by reference into this agreement, to the extent they are consistent with the Board’s service obligations under MCL 330.1206(1), the MIChild program and the Children’s Waiver.

  • Subcontractor’s Compliance Program and fraud, abuse, and waste prevention policies must comply with 42 C.F.R. § 438.610 and all relevant District and Federal laws, regulations, policies, procedures, and guidance (including CMS’ Guidelines for Constructing a Compliance Program for Medicaid Managed Care Organizations and Prepaid Health Plans) issued by DHCF, HHS, CMS, and the Office of Inspector General, including updates and amendments to these documents.

  • Only Providers, Prepaid Health Plans, Clinics or Allied Agencies with a currently valid Contract with OR-DHS may register as a Trading Partner.

  • Kick Payments are a method the Agency uses to reimburse Prepaid Health Plans in the form of a separate one-time fixed payment for specific services.

  • The method of reimbursing Prepaid Health Plans in the form of a separate one- time fixed payment for specific services.