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Accrediting Body means anybody which accredits health care facilities and other relevant institutions in the state, including but not limited to the state inspectorate department in the Ministry of Health
Administrative Charge”means not more than 10% of the funds from the Ondo State Private Health Plans and the Formal Sector Plan
Benefit means a benefit or advantage of any kind whatsoever derived from the Scheme
Board means the Governing Board established under Section 3 of this Law for the Commission
Capitation means a payment to a Health Care Provider in respect of covered services to be provided to an insured person registered with the health care provider, whether the person uses the services or not; global Capitation Prohibited
CBHP means Community Based Health Plan registered under section 5 of this Law to provide Health Care Services through Health Care Providers approved by the Commission
Clinical Social Franchise means a network of Private Sector Healthcare providers that are connected through formal agreements to provide Health Services under a special agreement in respect of specific communities
Commission means the Ondo State Contributory Health Commission established under Section 2 of this Law
Commissioner means the Commissioner charged with responsibility for matters relating to Health in the state
Contribution means a premium payable to HMOs, CBHPs, MHAs, Ondo State Health Fund and any other funds; under this Law
EHP means Equity Health Plan
Employee means any person who is ordinarily resident in Ondo State and is employed in the public service or private sector or an apprenticeship with an employer whether the contract is expressed or implied, oral or in writing
Employer means an employer with ten or more employees which includes the Federal, State and Local Government or any Extra-Ministerial Department or a person with whom an employee has entered into a contract of service or apprenticeship and who is responsible for the payment of the wages or salaries of the employee including the lawful representative, successor or assignee of that person
Fee-for-service means payment made directly by Health Maintenance Organisations, (HMOs), Community Based Health Plans, (CBHP), Mutual Health Associations, (MHAs), for completed health care services, not included in the capitation fees paid to health care providers following approved referrals and/or professional services (specialist consultation, pharmaceutical care services, laboratory and radiological investigations etc. under this Scheme
Health Care Provider means any public or private health care facility, hospital, maternity centre, community pharmacies and all other service providers registered by the Commission for the provision of prescribed health services for insured persons and their dependants under this Scheme
HMO means a Health Maintenance organization registered under this Law to ensure Health Care Services are adequately provided by Health Care Providers approved by the Commission
Insured Person means any person and eligible dependant who pays the required contribution under this Scheme
NHIS means National Health Insurance Scheme as defined in the National Health Insurance Act N42 of the Laws of the Federal Republic of Nigeria
Medical Practitioner means a person with a minimum degree in Medical and Dental Surgery registered with the Medical and Dental Council of Nigeria
MHA means a mutual health association registered under this Law to provide health care services through Health Care Providers approved by the Commission
Member of the board means any person, including the Chairman who serves on the Board
Scheme means Ondo State Contributory Health Scheme
Vulnerable as defined by the State Executive Councilas defined by the State Executive Council
Wage means remuneration in money paid to an employee under his contract of service or apprenticeship, as the case may be; and whether agreed to be paid at fixed or determined intervals of time.