Assessment and Care Plan Sample Clauses

Assessment and Care Plan. All participants receive an initial comprehensive assessment and care plan at the time of enrollment and are reassessed on a semi-annual basis or more often if a participant’s condition requires it. The care plan is revised and updated at the time of the reassessment. CHA PACE provides primary care services at the CHA PACE Center unless in-home primary care is approved. CHA PACE has a number of specialists and health care facilities for specialty care. A list of contracted service providers is available upon request. There may be times when you need to speak with a nurse or physician and receive advice or treatment for an injury or onset of an illness, which simply can’t wait until regular CHA PACE center hours.When you need non-emergency care after hours, there will always be a doctor and/ or nurse available 24 hours a day, 365 days a year. The doctor answering your call may not be your CHA PACE physician, but he/she is well qualified to give you the care you need. For after-hours non-emergency care: Call (000) 000-0000. The answering service will contact a nurse or physician for you.
Sample 1Sample 2
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Assessment and Care Plan. 1.1 An assessment of the Resident’s needs will be completed prior to moving in in order to establish the category of care that is appropriate for the Resident in the Home (Low/Medium/High). The level of fees that we will charge at commencement of the Resident's stay in the Home will depend upon the outcome of this assessment. 1.2 Following the pre-admission assessment, a care plan will be produced for the Resident setting out their assessed care needs and the care to be provided to them at the Home as a result. 1.3 Over the following few weeks, in discussion with the Resident, their family and/or significant others, we will review the Care Plan to ensure that the Resident’s needs will be met in accordance with the care and support required. 1.4 The Resident, or their family or significant other, is required to make the Home aware of and provide information about the Resident’s personal, emotional and health needs prior to moving in. 1.5 In consultation with the Resident, the Resident will be allocated a suitable key worker following their arrival at the Home. 1.6 The Resident or their family or significant other will need to provide evidence of funds to pay for the services requested before the Resident can move in.
Sample 1
Assessment and Care Plan. All participants receive an initial comprehensive assessment and care plan at the time of enrollment and are reassessed on a semi-annual basis or more often if a participant’s condition requires it. The care plan is revised and updated at the time of the reassessment. ESP provides primary care services at the ESP Center unless in-home primary care is approved. ESP has a number of specialists and health care facilities for specialty care. A list of contracted service providers is available upon request.
Sample 1
Assessment and Care Plan. All participants receive an initial comprehensive assessment and care plan at the time of enrollment and are reassessed on a semi-annual basis or more often if a participant’s condition requires it. The care plan is revised and updated at the time of the reassessment. ESP provides primary care services at the ESP Center unless in-home primary care is approved. ESP has a number of specialists and health care facilities for specialty care. A list of contracted service providers is available upon request. There may be times when you need to speak with a nurse or physician and receive advice or treatment for an injury or onset of an illness, which simply can’t wait until regular ESP center hours.When you need non-emergency care after hours, there will always be a doctor and/or nurse available 24 hours a day, 365 days a year. The doctor answering your call may not be your ESP physician, but he/she is well qualified to give you the care you need. For after-hours non-emergency care: Call (000) 000-0000. The answering service will contact a nurse or physician for you. ESP covers emergency care for an emergency medical condition. In an emergency, please call 911. An emergency medical condition is one that manifests itself by acute symptoms of sufficient severity (including severe pain) such that a prudent person, who possesses an average knowledge of health and medicine, could reasonably expect the absence of immediate medical attention to result in: • placing the health of the individual in serious jeopardy • serious impairment to bodily function • serious dysfunction of any bodily organ or part If you call 911, it is important that you have someone notify ESP as soon as possible. A physician will be called immediately to coordinate your care. If you are hospitalized or receiving care in a different location than Cambridge or Xxxxxxx Hospitals, we may arrange a transfer after you are stabilized to one of these hospitals. ESP covers urgent care for an urgent medical condition. Urgent Care includes medical services required to prevent impairment of health due to symptoms for which a prudent person would seek immediate attention, but that are not life-threatening and do not pose a high risk of permanent damage to an individual’s health. Urgent care may be pre-approved or it is deemed approved if ESP does not respond to a request for approval within one hour after being contacted. Urgent care is appropriately provided in a clinic, physician’s office or in a hospital e...
Sample 1
Assessment and Care Plan. 1.1 An assessment of the Resident’s needs will be completed prior to moving in. An initial Care Plan will be prepared and agreed with the Resident and/or their family when they move in. Over the following few weeks, in discussion with the Resident, their family and/or significant others, we will review the Care Plan to ensure that the Resident’s needs will be met in accordance with the care and support required. 1.2 The Resident, or their family or significant other, is required to make the home aware and provide information about the Resident’s personal, emotional and health needs prior to moving in. 1.3 In consultation with the Resident, the Resident will be allocated a suitable key worker following their arrival at the Home. 1.4 The Resident or their family or significant other will need to provide evidence of funds to pay for the service requested before the Resident can move in.
Sample 1

Related to Assessment and Care Plan

  • HEALTH CARE PLANS ‌ Notwithstanding the references to the Pacific Blue Cross Plans in this article, the parties agree that Employers, who are not currently providing benefits under the Pacific Blue Cross Plans may continue to provide the benefits through another carrier providing that the overall level of benefits is comparable to the level of benefits under the Pacific Blue Cross Plans.

  • Vision Care Plan The County agrees to provide a Vision Care Plan for all employees and dependents. The Plan will be the Vision Service Plan - Plan A with benefits at 12/12/24 month intervals and with twenty dollar ($20.00) deductible for examinations and twenty dollar ($20.00) deductible for materials. The County will fully pay the monthly premium for the employee and dependents and pick up inflationary costs during the term of the Agreement.

  • Dental Care Plan The Welfare Plan will include a Dental Care Plan which will reimburse members for expenses incurred in respect of the coverages summarized in Appendix "1". The Plan will not duplicate benefits provided now or which may be provided in the future by any government program.

  • Medicaid Program Parties (applicable to any Party providing services and supports paid for under Vermont’s Medicaid program and Vermont’s Global Commitment to Health Waiver):

  • Grievance and Appeals Unit See Section 9 for contact information. You may also contact the Office of the Health Insurance Commissioner’s Consumer Resource Program, RIREACH at 1-855-747-3224 about questions or concerns you may have. A complaint is an expression of dissatisfaction with any aspect of our operation or the quality of care you received from a healthcare provider. A complaint is not an appeal. For information about submitting an appeal, please see the Reconsiderations and Appeals section below. We encourage you to discuss any concerns or issues you may have about any aspect of your medical treatment with the healthcare provider that furnished the care. In most cases, issues can be more easily resolved if they are raised when they occur. However, if you remain dissatisfied or prefer not to take up the issue with your provider, you can call our Customer Service Department for further assistance. You may also call our Customer Service Department if you are dissatisfied with any aspect of our operation. If the concern or issue is not resolved to your satisfaction, you may file a verbal or written complaint with our Grievance and Appeals Unit. We will acknowledge receipt of your complaint or administrative appeal within ten (10) business days. The Grievance and Appeals Unit will conduct a thorough review of your complaint and respond within thirty (30) calendar days of the date it was received. The determination letter will provide you with the rationale for our response as well as information on any possible next steps available to you. When filing a complaint, please provide the following information: • your name, address, member ID number; • the date of the incident or service; • summary of the issue; • any previous contact with BCBSRI concerning the issue; • a brief description of the relief or solution you are seeking; and • additional information such as referral forms, claims, or any other documentation that you would like us to review. Please send all information to the address listed on the Contact Information section.

  • Grievances and Appeals a. If you have questions about any pediatric dental services received, please first discuss the matter with your Dental Provider. However, if you continue to have concerns, please call Delta Dental’s Customer Service Center. You can also email questions by accessing the “Contact Us” section of the dental plan website at xxx.xxxxxxxxxxxxxx.xxx.

  • Subcontracting for Medicaid Services Notwithstanding any permitted subcontracting of services to be performed under this Agreement, Party shall remain responsible for ensuring that this Agreement is fully performed according to its terms, that subcontractor remains in compliance with the terms hereof, and that subcontractor complies with all state and federal laws and regulations relating to the Medicaid program in Vermont. Subcontracts, and any service provider agreements entered into by Party in connection with the performance of this Agreement, must clearly specify in writing the responsibilities of the subcontractor or other service provider and Party must retain the authority to revoke its subcontract or service provider agreement or to impose other sanctions if the performance of the subcontractor or service provider is inadequate or if its performance deviates from any requirement of this Agreement. Party shall make available on request all contracts, subcontracts and service provider agreements between the Party, subcontractors and other service providers to the Agency of Human Services and any of its departments as well as to the Center for Medicare and Medicaid Services.

  • Complaints and Appeals As a Premera member, you have the right to offer your ideas, ask questions, voice complaints and request a formal appeal to reconsider decisions we have made. Our goal is to listen to your concerns and improve our service to you. If you need an interpreter to help with oral translation, please call us. Customer Service will be able to guide you through the service. We would like to hear from you. If you have an idea, suggestion, or opinion, please let us know. You can contact us at the addresses and telephone numbers found on the back cover. Please call us when you have questions about a benefit or coverage decision, our services, or the quality or availability of a healthcare service. We can quickly and informally correct errors, clarify benefits, or take steps to improve our service. We suggest that you call your provider of care when you have questions about the healthcare they provide.

  • Medicaid If and when the Resident’s assets/funds have fallen below the Medicaid eligibility levels, and the Resident otherwise satisfies the Medicaid eligibility requirements and is not entitled to any other third party coverage, the Resident may be eligible for Medicaid (often referred to as the “payor of last resort”). THE RESIDENT, RESIDENT REPRESENTATIVE AND SPONSOR AGREE TO NOTIFY THE FACILITY AT LEAST THREE (3) MONTHS PRIOR TO THE EXHAUSTION OF THE RESIDENT’S FUNDS (APPROXIMATELY $50,000) AND/OR INSURANCE COVERAGE TO CONFIRM THAT A MEDICAID APPLICATION HAS OR WILL BE SUBMITTED TIMELY AND ENSURE THAT ALL ELIGIBILITY REQUIREMENTS HAVE BEEN MET. THE RESIDENT, RESIDENT REPRESENTATIVE AND/OR SPONSOR AGREE TO PREPARE AND FILE AN APPLICATION FOR MEDICAID BENEFITS PRIOR TO THE

  • Office Visits (other than Preventive Care Services) This plan covers office and clinic visits to diagnose or treat a sickness or injury. Office visit copayments differ depending on the type of provider you see. This plan covers physician visits in your home if you have an injury or illness that: • confines you to your home; or • requires special transportation; and • because of this injury or illness, you are physically unable to travel to the provider’s

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