HAR §17-1746-2. Definitions

For the purpose of this chapter: "Capitation payment" means the negotiated prepaid fixed dollar amount the department pays each month on behalf of each PACE enrollee to PACE whether or not the PACE enrollee receives services during the month covered by the payment. "Medicaid reimbursement" means the payment made to Medicaid providers for Medicaid services rendered to eligible recipients. "PACE" means the PACE Hawaii Program which is a demonstration project to provide an array of health related services within a capitation payment. "PACE enrollee" means an individual who voluntarily elects to receive services through the PACE provider. "PACE provider" means the Maluhia Long Term Care Health Center under the state department of health. "Subcontractor" means an organization or individual who has entered into a contract with PACE to provide medical or health related services for PACE participants. [Eff 01/29/96 ] (Auth: SLH 1992, Act 211; HRS §346-59) (Imp: HRS §346-14; 42 C.F.R. §434.20) §17-1746-3 (Reserved) SUBCHAPTER 2 PACE PROVIDER REQUIREMENTS