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 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.

Examples of Prepaid health plan in a sentence

  • 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".

  • 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 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.

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

  • Prepaid health plan (PHP) is a term used almost exclusively in the Medicaid program.


More Definitions of Prepaid health plan

Prepaid health plan means managed care plans and county-based purchasing plans.
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 and “PHP” each means has the meaning provided for in OAR 410-120-0000.
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 a plan which offers a specified scope of benefits to an enrolled population for a predetermined prepaid annual rate.
Prepaid health plan and “PHP” each means has the meaning as provided in OAR 410-120-0000.