Prepaid Ambulatory Health Plan Pahp

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42 CFR § 438.2 - Definitions. - LII / Legal Information Institute

(5 days ago) WEBPrepaid ambulatory health plan (PAHP) means an entity that— (1) Provides services to enrollees under contract with the State, and on the basis of capitation payments, or other payment arrangements that do not use State plan payment rates.

https://www.law.cornell.edu/cfr/text/42/438.2

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Medicaid Delivery System and Payment Reform: A Guide to …

(2 days ago) WEBPrepaid Ambulatory Health Plan (PAHP): A PAHP is a non-comprehensive prepaid health plan that provides only certain outpatient services, such as dental services or …

https://files.kff.org/attachment/issue-brief-medicaid-delivery-system-and-payment-reform-a-guide-to-key-terms-and-concepts

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Prepaid Ambulatory Health Plan (PAHP) Onboarding

(9 days ago) WEBIowa Medicaid currently operates with two Prepaid Ambulatory Health Plans (PAHP), also known as the Dental plans: Delta Dental of Iowa and MCNA of Iowa The PAHPs' …

https://hhs.iowa.gov/media/10952/download?inline=

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Managed Care Entities Medicaid

(9 days ago) WEBPrepaid Inpatient Health Plan (PIHP) Limited benefit package that includes inpatient hospital or institutional services (example: mental health) Payment may be risk or non …

https://www.medicaid.gov/medicaid/managed-care/managed-care-entities/index.html

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Medicaid Delivery System and Payment Reform: A Guide to Key …

(8 days ago) WEBPrepaid Ambulatory Health Plan (PAHP) 42 C.F.R. § 438.2. CMS regulation regarding prepaid ambulatory health plans.. 42 CFR Parts 431, 433, 438, …

https://www.kff.org/medicaid/fact-sheet/medicaid-delivery-system-and-payment-reform-a-guide-to-key-terms-and-concepts/

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eCFR :: 42 CFR 438.2 -- Definitions.

(4 days ago) WEBPrepaid ambulatory health plan (PAHP) means an entity that—. ( 1) Provides services to enrollees under contract with the State, and on the basis of capitation payments, or …

https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-C/part-438/subpart-A/section-438.2

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Center for Medicaid and CHIP Services - HHS.gov

(4 days ago) WEBStates may include Prepaid Ambulatory Health Plans (PAHP) and Prepaid Inpatient Health Plans (PIHP) when 3 With respect to a managed care organization, prepaid …

https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/cib080519-1004_127.pdf

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§438.6 42 CFR Ch. IV (10–1–13 Edition) - GovInfo

(6 days ago) WEBPrepaid ambulatory health plan (PAHP) means an entity that— (1) Provides medical services to en-rollees under contract with the State agency, and on the basis of prepaid …

https://www.govinfo.gov/content/pkg/CFR-2013-title42-vol4/pdf/CFR-2013-title42-vol4-sec438-6.pdf

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Definition: PAHP from 42 CFR § 438.2 LII / Legal Information …

(4 days ago) WEBPAHP Prepaid ambulatory health plan (PAHP) means an entity that Source. 42 CFR § 438.2. Scoping language As used in this part

https://www.law.cornell.edu/definitions/index.php?height=800&def_id=a1510460209634314f9c22ffafc5a413

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers …

(2 days ago) WEBThe Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Final Rule (CMS-2390-F, 81 FR 27498) published on May 6, 2016 (“final rule”), extends annual …

https://www.medicaid.gov/federal-policy-guidance/downloads/cib061016.pdf

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Reporting Non-Emergency Medical Transportation (NEMT) …

(2 days ago) WEBThis best practice document outlines how states should approach reporting transportation Prepaid Ambulatory Health Plans (PAHPs) in the T‐MSIS Managed Care file, Claims …

https://www.medicaid.gov/tmsis/dataguide/t-msis-coding-blog/reporting-nonemergency-medical-transportation-nemt-prepaid-ambulatory-health-plans-pahps-in-the-tmsis-managed-care-filemanaged-care/

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Final Medicaid Managed Care Rule Explained

(1 days ago) WEBFirst, current regulations require that the state Medicaid agency operate a website that provides certain specified information, either directly or by linking to …

https://ccf.georgetown.edu/2024/05/03/final-medicaid-managed-care-rule-explained/

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Accreditation-Status - DHCS

(7 days ago) WEBAccreditation Status The Centers for Medicare and Medicaid Services (CMS) reviews state websites for compliance with the managed care plan accreditation regulations as set …

https://www.dhcs.ca.gov/provgovpart/Pages/Accreditation-Status.aspx

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Ohio Medicaid Next Generation Pharmacy Program

(5 days ago) WEB•Prepaid Ambulatory Health Plan (PAHP) •OMES Integration •CMS Certification ODM is responsible for oversight of SPBM (requirements, SLAs, KPIs), in collaboration with …

https://managedcare.medicaid.ohio.gov/wps/wcm/connect/gov/6d58e884-a7e2-484a-8308-9bc7d44ce34e/SPBM+PPAC+Stakeholder+Review+03112022.pdf?MOD=AJPERES&CVID=nZVZvGy

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State of California—Health and Human Services Agency

(3 days ago) WEBALL MEDI-CAL MANAGED CARE HEALTH PLANS. 1. SUBJECT: PUBLIC AND PRIVATE HOSPITAL DIRECTED PAYMENT PROGRAMS FOR STATE FISCAL YEARS 2017-18 …

https://www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2021/APL21-018.pdf

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State of California Health and Human Services Agency …

(1 days ago) WEBprepaid ambulatory health plan(s) (PAHP) under the provisions of §1915(a)(1) of the Act for the delivery of 1915(i) State plan HCBS. Participants may voluntarily elect to receive …

https://www.dds.ca.gov/wp-content/uploads/2021/03/SPA_21_0002_Pending_Renewal.pdf

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Reporting Non‐Emergency Medical Transportation (NEMT) …

(6 days ago) WEBThis best practice document outlines how states should approach reporting transportation Prepaid Ambulatory Health Plans (PAHPs) in the T‐MSIS Managed Care file, Claims …

https://www.medicaid.gov/medicaid/data-and-systems/macbis/tmsis/tmsis-blog/entry/47540

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Definition: PAHP from 42 CFR § 457.10 - LII / Legal Information …

(4 days ago) WEBPrepaid ambulatory health plan (PAHP) means an entity that Source. 42 CFR § 457.10. Scoping language For purposes of this part the following definitions apply: Is this …

https://www.law.cornell.edu/definitions/index.php?height=800&def_id=7e90b9c5b9804ec05721bba0d20ceec0

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Prepaid Ambulatory Health Plan (PAHP) Definition Law Insider

(3 days ago) WEBBased on 2 documents. Prepaid Ambulatory Health Plan (PAHP) means an entity that provides medical services to enrollees under contract with the state agency, and on the …

https://www.lawinsider.com/dictionary/prepaid-ambulatory-health-plan-pahp

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IOWA MEDICAID PRE-PAID AMBULATORY HEALTH PLAN …

(8 days ago) WEBbehavioral health members. n2012 Meridian Health Plan began providing healthcare services to members in select counties. The plan provided ambulatory health services, …

https://hhs.iowa.gov/media/9022/download?inline=

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Utah Medicaid Dental Model Contract Prepaid Ambulatory …

(5 days ago) WEBPrepaid Ambulatory Health Plan (PAHP) Effective: January 1, 2022 (SFY 2022) Attachment A - Utah Department of Health General Provisions Attachment B – Special …

https://medicaid.utah.gov/Documents/pdfs/SFY22-MCNA%20Dental%20Medicaid%20Dental%20Contract.pdf

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