PIHP

Prepaid inpatient health plan (PIHP) means an entity that -
(1) Provides services to enrollees under contract with the State, and on the basis of prepaid capitation payments, or other payment arrangements that do not use State plan payment rates.
(2) Provides, arranges for, or otherwise has responsibility for the provision of any inpatient hospital or institutional services for its enrollees.
(3) Does not have a comprehensive risk contract.

Source

42 CFR § 457.10

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Scoping language

For purposes of this part the following definitions apply:

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