RBMC definition
Examples of RBMC in a sentence
The Offices may rely on self-report RBMC experience to determine appropriate managed care utilization adjustments and other morbidity variation adjustments.
The historical experience has been adjusted to reflect anticipated trend in the Hoosier Healthwise program, cost containment initiatives, morbidity variations between the PCCM and RBMC enrollees, and anticipated managed care utilization adjustments.
In accordance with the First Amendment to the original contract between the parties dated April 1, 2002, the Contractor agrees that agreements with PMPs in mandatory RBMC counties shall include a provision allowing the PMP to terminate the agreement for any reason upon written notice to the Contractor.
Tanager Prospect showing structural contours (dashed lines) and ▇▇▇ sand thickness (color) [From RBMC 3-D].
For example, while the PMP's practice is open for PrimeStep member enrollment, it will be closed for new RBMC member enrollment, and vice versa.
This section of the BAA provides a description of the general characteristics of a fully-capitated prepayment managed care system and sets out the minimum requirements of MCOs who are qualified to contract with the State as an MCO for the Hoosier Healthwise RBMC delivery system.
In addition to maintaining a network with PMP specialties, the MCO must provide and maintain a comprehensive network of IHCP provider specialists and ancillary providers for all its members in the mandatory RBMC counties.
By: Name: Its: PURCHASER: RBMC ADVISORS, LLC, a Delaware limited liability company By: Name: Its: An original, fully executed copy of this Agreement, together with the Deposit, has been received by the Title Company this ___ day of _________, 2016, and by execution hereof the Title Company hereby covenants and agrees to be bound by the terms of this Agreement.
In addition, this section includes an overview of other major State functions and federal Medicaid managed care and CHIP requirements, and provisions that must be considered when contracting with OMPP as an MCO for the Hoosier Healthwise RBMC delivery system.
PMPs will be allowed to enroll in both PrimeStep and RBMC, although they may only accept new members in one delivery system at a time.