Prepaid Inpatient Health Plan Definition

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PIHP • CMHAM - Community Mental Health Association of Michigan

(4 days ago) WebPIHP is an acronym for Prepaid Inpatient Health Plan, a term contained in federal regulations from the Centers for Medicare & Medicaid Services. It means an entity that 1) provides medical services to enrollees under contract with the state Medicaid agency on …

https://cmham.org/membership/pihp/

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eCFR :: 42 CFR Part 438 -- Managed Care

(Just Now) WebFor inpatient and outpatient hospital services, calculate the product of the actual supplemental payments paid and the ratio achieved by dividing the amount paid through …

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

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

(5 days ago) WebPrepaid inpatient health plan (PIHP) means an entity that— (1) Provides services to enrollees under contract with the State, and on the basis of capitation payments, or other …

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

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Managed care - Health, United States - Centers for Disease …

(5 days ago) WebManaged care. A term originally used to refer to prepaid health plans (generally, health maintenance organizations [HMOs]) that furnish care through a …

https://www.cdc.gov/nchs/hus/sources-definitions/managed-care.htm

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

(8 days ago) WebPrepaid Inpatient Health Plan (PIHP): A PIHP is a non-comprehensive prepaid health plan that provides only inpatient hospital or institutional services, such …

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

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Pre-Paid Inpatient Health Plans (PIHP's)

(3 days ago) WebIf you live outside of MSHN’s region (Region 5) and need mental health or substance use disorder treatment services, please contact the appropriate PIHP based on your county …

https://midstatehealthnetwork.org/stakeholders-resources/about-us/pre-paid-inpatient-health-plans-pihps

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Medicaid Delivery System and Payment Reform: A Guide to …

(2 days ago) Webcontract with a prepaid health plan (see definition below) or on a FFS basis. Alternatively, some MCOs may A PIHP is a non-comprehensive prepaid health plan that provides …

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

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

(4 days ago) WebPIHP Prepaid inpatient health plan (PIHP) means an entity that - (1) Provides services to enrollees under contract with the State, and on the basis of prepaid capitation payments, …

https://www.law.cornell.edu/definitions/index.php?height=800&def_id=4b3be8fe30f4f211fc6947eadee3bc17

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Definition: PIHP from 42 CFR § 438.2 LII / Legal Information Institute

(4 days ago) WebPIHP Prepaid inpatient health plan (PIHP) 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=04b13365cdf0c37f21582e1c74c6bf02

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Health Care Prepayment Plans (HCPPs) CMS

(1 days ago) WebHealth Care Prepayment Plans (HCPPs) A Health Care Pre-Payment Plan (HCPP) is an organization is a union or employer sponsored plan that provides or …

https://www.cms.gov/medicare/enrollment-renewal/health-plans/prepayment

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Understanding health plan types: What’s in a name?

(7 days ago) WebToday, BLS classifies medical plans into six types: Fee-for-service plan. A plan that gives participants the same reimbursement no matter what hospital or care provider they …

https://www.bls.gov/opub/btn/volume-4/pdf/understanding_health_plan_types.pdf

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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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Prepaid Inpatient Health Plans - State of Michigan

(3 days ago) Webfurnished by the states’ managed care organizations (MCOs) and prepaid inpatient health plans (PIHPs). The report of results must also contain an assessment of the strengths …

https://www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Folder2/Folder9/Folder1/Folder109/MI2008-9_MH-PIHP_EQR-TechReport_F1.pdf?rev=1af1f9aaaba047959ad418838372a3f3&hash=9D70FAEDDFEE65663B26C6284F61A612

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Pass-through payment guidance in final Medicaid managed care

(4 days ago) WebIn this paper, we use the term “managed care plan” to mean a managed care organization (MCO), prepaid inpatient health plan (PIHP), or prepaid ambulatory …

https://us.milliman.com/en/insight/pass-through-payment-guidance-in-final-medicaid-managed-care-regulations-transitioning-to

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What are Prepaid Health Plans? - NCIOM

(8 days ago) WebMedicaid Prepaid Health Plans (PHPs) are coming to North Carolina as soon as November of 2019. [1] Under Medicaid transformation, the North Carolina …

https://nciom.org/what-are-prepaid-health-plans/

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Michigan Department of Community Health

(6 days ago) WebDistribution: Prepaid Inpatient Health Plans (PIHP), Community Mental Health Services Programs (CMHSP) Issued: December 29, 2014. In addition to the definition of terms …

https://www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Folder3/Folder2/Folder2/Folder102/Folder1/Folder202/MSA-14-63.pdf?rev=795a00a6967d459bbf1c65f6ca107a63&hash=50338FF759E93597221AFF89E2E27B3D

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Prepaid Inpatient Health Plan Definition Law Insider

(7 days ago) WebRelated to Prepaid Inpatient Health Plan. Inpatient care means treatment for which the insured person has to stay in a hospital for more than 24 hours for a covered event.. …

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

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Prepaid Inpatient Health Plan (PIHP) Definition Law Insider

(2 days ago) WebAn entity that: Prepaid Inpatient Health Plan (PIHP) means an entity that:41.1. Provides medical services to enrollees under contract with the State agency, and on the basis of …

https://www.lawinsider.com/dictionary/prepaid-inpatient-health-plan-pihp

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Horizon Blue Cross Blue Shield of New Jersey 2017 Managed …

(4 days ago) WebIf you have questions about enrollment, benefits or claims, visit NaviNet.net or call 1-800-624-1110 to use our Interactive Voice Response system, available 24 hours a day, …

https://www.horizonblue.com/sites/default/files/2017-04/2017_Managed_Care_Benefits_at_a_Glance_Reference_Guide.pdf

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Financial Assistance Policy Hackensack Meridian Health

(1 days ago) WebIf a patient/guarantor has facility health care coverage one should use the following guidelines for determining and/or collecting self-pay balances: Medicare Inpatient …

https://www.hackensackmeridianhealth.org/en/pay-bill/financial-assistance/financial-assistance-policy

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Information for All Providers - Third Party - eMedNY

(9 days ago) WebP Home Health Some home health benefits are provided. Continue to bill until benefits are exhausted. Q Psychiatric Services All psychiatric services, inpatient and outpatient, are …

https://www.emedny.org/ProviderManuals/AllProviders/PDFS/Information_for_All_Providers-Third_Party-2008-4.pdf

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Final Medicaid Managed Care Rule Explained

(1 days ago) WebThe rule requires that each managed care plan submit a “payment analysis” to the state Medicaid agency that compares the total amount paid by the plan for primary …

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

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Federal Register :: Medicaid Program; Medicaid and Children's …

(1 days ago) WebThe authority for our proposals is extended to prepaid inpatient health plans (PIHPs) and prepaid ambulatory health plans (PAHPs) through Start Printed Page …

https://www.federalregister.gov/documents/2024/05/10/2024-08085/medicaid-program-medicaid-and-childrens-health-insurance-program-chip-managed-care-access-finance

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Private Health Plans During 2022 Paid Hospitals 254 Percent of …

(7 days ago) WebFor Release. Monday May 13, 2024. Prices paid to hospitals during 2022 by employers and private insurers for both inpatient and outpatient services averaged 254 …

https://www.rand.org/news/press/2024/05/13.html

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