407 Ind. Admin. Code 1-1-17

Current through December 4, 2024

Section 407 IAC 1-1-17 - "Risk-based managed care" or "RBMC" defined

Authority: IC 12-17.6-2-11

Affected: IC 12-17.6

Sec. 17.

"Risk-based managed care" or "RBMC" means a fully capitated prepayment plan where a managed care organization, under a contract with the office, is at risk to arrange for and administer the provision of a comprehensive set of covered services to CHIP members. Members are linked to a PMP who contracts directly with the MCO.

407 IAC 1-1-17

Office of the Children's Health Insurance Program; 407 IAC 1-1-17; filed May 3, 2000, 2:02 p.m.: 23 IR 2226; readopted filed May 22, 2006, 3:22 p.m.: 29 IR 3424; readopted filed Jun 18, 2012, 11:23 a.m.: 20120718-IR-407120202RFA