Chronic Disease Management Program definition

Chronic Disease Management Program means a program defined in rule 12 of the Private Health Insurance (Health Insurance Business) Rules made under the Act.
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Chronic Disease Management Program means a program that:
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Examples of Chronic Disease Management Program in a sentence

  • Treatment which primarily takes the form of sport, recreation or entertainment, other than such treatment which is part of a Chronic Disease Management Program or a Health Management Program where the program has been approved by Westfund.

  • The County shall track compliance with the Chronic Disease Management Program requirements for timely provision of appointments, procedures, and medications.

  • The County shall develop and implement a Chronic Disease Management Program for the management of chronic conditions, including but not limited to diabetes mellitus, asthma and other respiratory conditions, hypertension, HIV, and hepatitis C.

  • E4 OTHER E4.1 Chronic Disease Management Program A Member covered by a product specified in Schedule J (hospital products or packaged products with exception of Schedule J12 FlexiSaver) may be in invited to participate in a Chronic Disease Management Program arranged by CBHS with an external party.

  • Part 5 - Chronic Disease Management Program (see the section on Guidance for insurers for eligible CDMP benefits for risk equalisation in these reporting instructions for further information on CDMPs).

  • Indiana Care Select was comprised of three major components: Care Management, Prior Authorization, and administration of the Indiana Chronic Disease Management Program.

  • The Larry Combest Center has a Chronic Disease Management Program for individuals with Hypertension.

  • E3 Chronic Disease Management ProgramA Member covered by a Product specified in Product Schedule Part 2 may be invited to participate in a Chronic Disease Management Program arranged by CBHS International Health with an external party.

  • The grant will be used to study and improve GAMP’s Chronic Disease Management Program.

  • The Chronic Disease Management Program shall include provision of written individual treatment plans, case tracking, adherence to community standards, and routine scheduled follow up with Qualified Health Professionals including specialists.

Related to Chronic Disease Management Program

  • Case management means a care management plan developed for a Member whose diagnosis requires timely coordination. All benefits, including travel and lodging, are limited to Covered Services that are Medically Necessary and set forth in the EOC. KFHPWA may review a Member's medical records for the purpose of verifying delivery and coverage of services and items. Based on a prospective, concurrent or retrospective review, KFHPWA may deny coverage if, in its determination, such services are not Medically Necessary. Such determination shall be based on established clinical criteria and may require Preauthorization.

  • Management Plan means a plan to manage the activities and protect the special value or values in an Antarctic Specially Protected Area or an Antarctic Specially Managed Area.

  • Case management services means planned referral, linkage, monitoring and support, and advocacy provided in partnership with a consumer to assist that consumer with self sufficiency and community tenure and take place in the individual’s home, in the community, or in the facility, in accordance with a service plan developed with and approved by the consumer and qualified staff.