COORDINATED CARE PLAN

What is COORDINATED CARE PLAN?

COORDINATED CARE PLAN meaning A plan that includes a CMS-approved network of providers that are under contract or arrangement with the M+C organization to deliver the benefit package approved by CMS. Coordinated care plans include plans offered by health maintenance organizations (HMOs), provider-sponsored organizations (PSOs), preferred provider organizations (PPOs), as well as other types of network plans (except network MSA plans. See 42 C.F.R. 422.4(a)(1).

 

reference: Centers for Medicare & Medicaid Services

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