Coordinated Care Organizations definition

Coordinated Care Organizations or “CCO” means a corporation, governmental agency, public corporation, or other legal entity that is certified as meeting the criteria adopted by the Oregon Health Authority under ORS 414.625 to be accountable for care management and to provide integrated and coordinated health care for each of the organization’s members.
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Coordinated Care Organizations or “CCO” means a corporation, governmental agency, public corporation, or other legal entity that is certified as meeting the criteria adopted by the Oregon Health Authority under ORS 414.572 to be accountable for care management and to provide integrated and coordinated health care for each of the organization’s members.
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Examples of Coordinated Care Organizations in a sentence

  • The provision of information and services designed to assist Members in making enrollment decisions; it includes answering questions and identifying factors to consider when choosing among Coordinated Care Organizations and Primary Care Providers.

  • One important strategy, improving utilization of effective contraceptive use among women at risk of pregnancy, has been recognized as a key metric among Coordinated Care Organizations serving Oregon’s Medicaid population.

  • The State of Oregon delegated Coordinated Care Organizations to manage the Medicaid-Funded Oregon Health Plan.

  • This includes but is not limited to Coordinated Care Organizations (CCOs) and their affiliated entities, individual practitioners, facilities, and hospitals • Entities that participate in statewide health information exchange and submit health information exchange endpoints for its providers as a Data Contributor • Entities that have been pre-approved by OHA to supply Provider Data as a Data Contributor to improve Provider Data quality Entities that are selected by OHA to participate in soft launch.

  • On July 9th, 2019, pursuant to ORS 414.651, PacificSource Community Solutions (PSCS) was awarded the Coordinated Care Organizations (CCO) contract by OHA to serve OHP Medicaid Members in the Xxxxxx and Xxxx county region.

  • Maintain and consider input from an advisory board that: Includes stakeholders from the identified community with representation from the following where applicable: parents, medical providers, hospitals, social service providers serving families, WIC, child protective services, Early Learning Hubs, tribal leadership, LPHA, Coordinated Care Organizations, insurers that offer health benefit plans, newborn nurse home visiting services providers and other home visiting providers.

  • Driven by principles of equity, prevention, local community empowerment, accountability, and innovation, our coalition believes that by giving our Coordinated Care Organizations (CCOs) and communities the tools to achieve healthier outcomes and our children the foundation they need for a healthy and successful life, we can fundamentally transform Oregon’s health care system.

  • Medicare guidelines and the Oregon Administrative Rules (OARs) require Coordinated Care Organizations (CCOs) to submit encounter dates for the purpose of the development of actuarially sound rates for the Oregon Health Plan (OHP).

  • OAR 000-000-000 to 410-141-3430 govern Coordinated Care Organizations (CCO) and their roles and responsibilities related to managing and providing integrated and coordinated health care (physical, behavioral and dental care) for their members.

  • The delegated activities agreements with Coordinated Care Organizations (CCOs) require Xxxxxxx County provide Oregon Health Plan members assigned by the CCOs access to mental health provider services, including, but not limited to, psychiatric services.

Related to Coordinated Care Organizations

  • Managed care organization means an entity that (1) is under contract with the department to provide services to Medicaid recipients and (2) meets the definition of “health maintenance organization” as defined in Iowa Code section 514B.1.

  • Managed Care Organization (MCO) means a contracted health delivery system providing capitated or prepaid health services, also known as a Prepaid Health Plan (PHP). An MCO is responsible for providing, arranging, and making reimbursement arrangements for covered services as governed by state and federal law. An MCO may be a Chemical Dependency Organization (CDO), Dental Care Organization (DCO), Mental Health Organization (MHO), or Physician Care Organization (PCO).

  • Health care organization ’ means any person or en-

  • Provider Organization means a group practice, facility, or organization that is:

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

  • Procurement organization means an eye bank, organ procurement organization, or tissue bank.

  • Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

  • Independent review organization means an entity that is accredited to conduct independent external reviews of adverse benefit determinations.

  • Designated chemical dependency specialist means a person

  • Utilization review organization means an entity that conducts utilization review, other than a health carrier performing a review for its own health benefit plans.

  • Coordinated licensure information system means an integrated process for collecting, storing, and sharing information on nurse licensure and enforcement activities related to nurse licensure laws that is administered by a nonprofit organization composed of and controlled by licensing boards.

  • Medicaid program means the medical assistance

  • Organ procurement organization means a person designated by the Secretary of the United States Department of Health and Human Services as an organ procurement organization.

  • Managed Care Program means the process that determines Medical Necessity and directs care to the most appropriate setting to provide quality care in a cost-effective manner, including Prior Authorization of certain services.

  • Child Care Program means a person or business that offers child care.

  • Child care services means the range of activities and programs provided by a certificate holder to an enrolled child, including personal care, supervision, education, guidance, and transportation.

  • Child welfare services means social services including

  • Review organization means a disability insurer regulated

  • Accountable care organization or “ACO” means an organization of health care providers that has a formal legal structure, is identified by a federal Taxpayer Identification Number, and agrees to be accountable for the quality, cost, and overall care of the patients assigned to it.

  • Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Quality improvement organization or “QIO” shall mean the organization that performs medical peer review of Medicaid claims, including review of validity of hospital diagnosis and procedure coding information; completeness, adequacy and quality of care; appropriateness of admission, discharge and transfer; and appropriateness of prospective payment outlier cases. These activities undertaken by the QIO may be included in a contractual relationship with the Iowa Medicaid enterprise.

  • Credit union service organization means an organization, corporation, or association whose membership or ownership is primarily confined or restricted to credit unions or organizations of credit unions and whose purpose is primarily designed to provide services to credit unions, organizations of credit unions, or credit union members.

  • Primary care physician means a physician who is a family

  • Employee organization means any organization, union, or

  • Employment services organization means an organization that provides community-based employment services to individuals with disabilities that is an approved Commission on Accreditation of Rehabilitation Facilities (CARF) accredited vendor of the Department of Aging and Rehabilitative Services.

  • Supplier’s Team means the Supplier and, where applicable, any Relevant Person, and all other employees, consultants, agents and sub-contractors which the Supplier engages in any way in relation to the supply of the Services or the Goods; and