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Oregon Notice of Intent to Form a Managed Care Organization.

State:
Oregon
Control #:
OR-SKU-1770
Format:
Word
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Description

Notice of Intent to Form a Managed Care Organization.

The Oregon Notice of Intent to Form a Managed Care Organization (NOI) is a document that must be filed by healthcare organizations that wish to establish and operate a managed care organization (MCO) in Oregon. The NOI is a legal document that outlines the proposed MCO's structure and governance, outlines the services it will provide, and provides a detailed description of the healthcare services it will offer. The NOI must include the names of the proposed MCO's board of directors, the names of the proposed MCO's officers, and a description of the proposed MCO's organizational structure. The NOI must also include a description of the MCO's proposed services, a description of the MCO's proposed provider network, and a description of the MCO's proposed financial solvency. There are two types of Oregon Notice of Intent to Form a Managed Care Organization: a Pre-Organizational Notice of Intent and an Organizational Notice of Intent. The Pre-Organizational Notice of Intent is the first step in the process of forming an MCO and must be filed with the Oregon Department of Consumer and Business Services prior to the formation of the MCO. The Organizational Notice of Intent is the second step in the process of forming an MCO and must be filed with the Oregon Department of Consumer and Business Services after the formation of the MCO.

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FAQ

Stands for Managed Care Organization. The term generally includes HMOs, PPOs, and Point of Service plans.

CCOs were built on the foundation of Oregon's MCOs, but had multiple features that distinguished them from MCOs: CCOs were locally governed, with representation from Medicaid members, health care providers, and other local stakeholders.

A managed care organization (MCO) is a health care provider, or group of medical service providers, that contracts with insurers or self-insured employers to provide managed health care services to enrolled workers. Health care services are provided through participating panel providers.

An MCO is a health care company. It is often called a "health plan." It is a group of doctors, hospitals and other providers who work together to meet your health care needs.

While MCOs are the predominant form of Medicaid managed care, millions of other beneficiaries receive at least some Medicaid services, such as behavioral health or dental care, through limited-benefit risk-based plans, known as prepaid inpatient health plans (PIHPs) and prepaid ambulatory health plans (PAHPs).

Managed Care Organizations Sweeping the Nation: Top 10 MCOs 3.0 million. 994,000. Amerigroup. 1.9 million. 608,000. WellPoint. 1.7 million. 570,000. Molina Healthcare. 1.5 million. 484,000. Centene. 1.5 million. 480,000. WellCare. 1.3 million. NA. Aetna. 1.2 million. 346,000. HealthNet.

What is a managed care organization (MCO)? An MCO is a health care company. It is often called a "health plan." It is a group of doctors, hospitals and other providers who work together to meet your health care needs.

More info

The determination may be approval, intent to deny or denial. Submission of this completed Notice of Intent (NOI) constitutes notice that the entity in Section A intends to be authorized to discharge pollutants.Notice of Intent to Change Medicaid Coverage (Recipient Discharged From a Skilled Nursing. Facility and Enrolled in a Managed Long Term Care Plan). NOTICE. New contracts will advance health equity, quality, access, accountability, and transparency to improve the MediCal health care delivery system. (b) Completion of a notice of intent to apply. The notice of intent to award contracts does not complete the procurement process. Bureau of Substance Addiction Services (BSAS). Questions regarding the CMHRS transition into Medallion 4. Other institutional setting.

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Oregon Notice of Intent to Form a Managed Care Organization.