WebPrepaid ambulatory health plan (PAHP) means an entity that - (1) Provides services to enrollees under contract with the State, and on the basis of prepaid capitation payments, … WebPAHP means Prepaid Ambulatory Health Plan as defined in Title 42, Code of Federal Regulations ( CFR ), Section 438.2. Sample 1 Based on 1 documents Related to PAHP

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WebPIHP means Prepaid Inpatient Health Plan. In Michigan and for the purposes of this contract, a PIHP is defined as an organization that manages Medicaid specialty services under the state 's approved Concurrent 1915 (b)/1915 (c) Waiver Program, on a prepaid, shared - risk basis, consistent with the requirements of 42 CFR Part 438. WebDEFINITION AND CLASSIFICATION OF BENEFITS FOR PARITY ANALYSIS CMS proposes that the state Medicaid agency define medical/surgical and behavioral health benefits for purposes of analyzing parity. ... In addition, prescription drugs may be assigned to different tiers."° The MCO, PIHP, or PAHP is responsible for classifying the benefits … shophouse locations

42 CFR § 438.210 - Coverage and authorization of services.

WebPIHP, PAHP, NEMT PAHP, PCCM, PCCM entity) to which a federal requirement applies. 3. ... the applicable federal regulatory citations for each definition. This guide is designed … WebThe definition this site uses – and one that is most commonly referred to by the federal government – is the comprehensive-service TPA. This refers to a benefits administrator who offers a wide range of services under client-focused, self … shophouse in chinese