Managed health care plan means a health care delivery system that manages the provision of health care and receives prepaid capitated payments from the state in return for providing services to Medi-Cal beneficiaries.
Managed health care plan means a health
Managed health care plan means a plan that establishes, operates, or maintains a network of health care providers that have entered into agreements with the plan to provide health care services to injured workers to whom the plan has the ultimate obligation to arrange for the provision of or payment for services through organizational arrangements for ongoing quality assurance, utilization review programs, or dispute resolution.
Examples of Managed health care plan in a sentence
Managed health care plan changes will become effective on the first day of the following month, if all required actions have been completed on or before the 15th day of the prior month.
Medicaid covered services rules § 7101.2. Managed health care plan.
More Definitions of Managed health care plan
Managed health care plan or "plan" means a health care insurer or a provider service network when offering a benefit 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 care insurer or provider service network. "Managed health care plan" or "plan" does not include a health care insurer or provider service network offering a traditional fee-for-service indemnity benefit or a benefit that covers only short-term travel, accident-only, limited benefit [student health plan] or specified disease policies;
Managed health care plan or "plan" means a health care insurer or a provider service network when offering a benefit 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 care insurer or provider service network. "Managed health care
Managed health care plan means a plan that establishes, operates, or maintains a network of health care providers that have entered into agreements with the plan to provide health care services to injured workers to whom the plan has the ultimate obligation to arrange
Managed health care plan means any organization or entity including, but not limited to, a health maintenance organization, prepaid health plan, preferred provider organization, or provider
Managed health care plan means any organization or entity
Managed health care plan means any organization or entity including, but not limited to, a health maintenance organization, prepaid health plan, preferred provider organization, or provider service network, that offers to provide health care services or that contracts with health care providers to provide health care services to enrollees through a system of care that:
Managed health care plan means any organization or entity, including but not limited to health maintenance organizations and prepaid health plans, that offers or provides health care services or contracts with health care providers to provide health care