PART 438—MANAGED CARE - GovInfo?

PART 438—MANAGED CARE - GovInfo?

WebIn order to comply with federal rule 42 CFR 438.602, effective Jan. 1, 2024, providers are required to be fully enrolled with the Ohio Department of Medicaid (ODM) with an active Medicaid ID to receive payment for submitting clean claims to Molina Healthcare. To allow time to enroll with ODM, providers will have a 120 day colorado springs hot tub service WebDec 31, 2024 · Section 438.602 - State responsibilities (a) Monitoring contractor compliance. Consistent with §438.66, the State must monitor the MCO's, PIHP's, PAHP's, PCCM's or PCCM entity's compliance, as applicable, with §§438.604, 438.606 , 438.608 , 438.610, 438.230 , and 438.808 . (b) Screening and enrollment and revalidation of providers. (1) … WebDec 31, 2024 · Section 438.602 - State responsibilities (a) Monitoring contractor compliance. Consistent with §438.66, the State must monitor the MCO's, PIHP's, PAHP's, PCCM's or … colorado springs hot tubs WebAs required by 42 CFR 438.602(e), the HCA completed an encounter data validation review of each managed care organization in July 2024. The final audit notice and … WebMay 6, 2016 · 42 CFR Subpart H - Additional Program Integrity Safeguards . CFR ; prev next § 438.600 Statutory basis, basic rule, and applicability. § 438.602 State … drivers pinnacle dc10 plus windows 7 WebConsistent with § 438.66, the State must monitor the MCO's, PIHP's, PAHP's, PCCM's or PCCM entity's compliance, as applicable, with §§ 438.604, 438.606, 438.608, 438.610, …

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