Autism Sample Clauses
Autism. Full-time paraprofessionals (6 hours or more) working in the District’s specially designed classes for children with autism (excluding those at ESE center schools) will receive a supplement of $535 to be paid in two equal installments. Those paraprofessionals working less than full-time will receive a prorated supplement amount based on the number of hours they work per day in a specially designed class for autism. The first installment will be paid the last check in December. The second installment will be paid in the final check of the school year. A. All educational support employees are paid an hourly rate according to the employee’s paygrade and years experience using Salary Schedule 3 & 3A.
Autism. Autism means a developmental neurological disorder, usually appearing in the first three years of life, which affects normal brain functions and is manifested by compulsive, ritualistic behavior and severely impaired social interaction and communication skills. This Contract shall provide benefits for the diagnosis of Autism in accordance with the conditions, limitations as to type and scope of treatment authorized for neurological disorders, exclusions, cost-sharing arrangements and Copayment requirements which exist in this Contract for neurological disorders.
Autism. Provide Autism awareness training for Trust staff who come into contact with people with autism; Ensure that staff of organisations and agencies commissioned by the Trust who come into contact with people with autism have appropriate training; Provide specialist training for key staff in the trust who come into contact with people with autism; Undertake assessments under the Care Act for adults; Key partner and in the development and delivery of the Joint Learning Disability and Autism Strategy and action plan, following the ADASS Peer Review. a sustainable supported living market for people with Autistic Spectrum Disorder diagnosis through procurement of Supported Living Shared Hours and Supported Living 1:1 Hours contract
Autism. A developmental dis- ability significantly affecting verbal and non-verbal communication and so- cial interaction generally evident be- fore age 3 that adversely affects edu- cational performance. Characteristics of autism include irregularities and impairments in communication, en- gagement in repetitive activities and stereotyped movements, resistance to environmental change or change in daily routines, and unusual responses to sensory experiences. The term does not include children with characteris- tics of the disability of serious emo- tional disturbance.
Autism. 7.7.9.1 The physical health services that the autism population need to access through specialists as gastroenterologists, neurologists, allergists, and dentists, will be offered through Special Coverage. The Uniform Guide for Special Coverage (Attachment 7 to this Contract) includes the procedures to follow for this condition. The MBHO will cover all Behavioral Health Services relating to autism, including collaboration and integration with any treatment plan developed by the Contractor. The Contractor shall submit, according to the timeframes set forth in Attachment 12 to this Contract, a plan for coordination with the MBHO to meet the integration requirement.
7.7.9.2 The Contractor shall require in its Provider Contracts with PCPs that the PCP carry out the M-CHAT screen to detect Autism in Enrollees under age eighteen (18) months, or in any other age range established by the Department of Health. Once the PCP diagnoses autism, the PCP will refer the patient to the mental health Provider. The M-CHAT test may be accessed through the Internet, and does not entail any cost, nor does it infringe any copyright.
7.7.9.3 The Contractor shall also require, through its Provider Contracts, that PCPs administer the Ages and Stages Questionnaire (ASQ) to the parents of child Enrollees. This questionnaire must be completed when the child is nine (9), eighteen (18), and thirty (30) months old, or at any other age established by the Department of Health. ASES acquired the license for the exclusive use child Enrollees in MiSalud and will provide the questionnaires to the Contract, which shall transmit the questionnaire to PCPs and mentor them in its use.
7.7.9.4 The Contractor shall audit PCPs’ use of the M-CHAT and ASQ as part of its Physician Incentive Plan.
Autism. Autism means a developmental neurological disorder, usually appearing in the first three years of life, which affects normal brain functions and is manifested by compulsive, ritualistic behavior and severely impaired social interaction and communication skills. This Contract shall provide benefits for the diagnosis of Autism in accordance with the conditions, limitations as to type and scope of treatment authorized for neurological disorders, exclusions, cost-sharing arrangements and Copayment requirements which exist in this Contract for neurological disorders. This Contract provides for habilitative or rehabilitative services and other counseling or therapy services necessary to develop, maintain, and restore the functioning of an individual with Autism Spectrum Disorder (ASD). BREAST CANCER PATIENT CARE Covered Services include Inpatient care following a mastectomy or lymph node dissection for an appropriate length of stay as determined by the attending Physician in consultation with the Member. Follow-up visits are also included and may be conducted at home or at the Physician’s office as determined by the attending Physician in consultation with the Member. Additional charges may apply. Mastectomy bras are covered, up to 3 per calendar year. BREAST CANCER SCREENING Covered services include imaging services annually including digital mammography, breast tomosynthesis, breast x-ray and breast MRI for women aged 40 and over, or 35 and over as recommended by a physician. Diagnostic and supplemental breast cancer screening is also a covered benefit BREAST RECONSTRUCTIVE CARE Covered Services include care following a mastectomy for reconstruction of the breast on which the mastectomy was performed, surgery and reconstruction of the other breast to produce a symmetrical appearance, and prostheses and treatment of physical complications, including lymphedemas. CHIROPRACTIC CARE Your plan may include spinal manipulation and is subject to cost sharing. A calendar year visit limit may apply as outlined in the Summary of Benefits and Coverage. CLINICAL TRIAL PROGRAMS FOR TREATMENT OF CHILDREN’S CANCER Covered Services include routine patient care costs incurred in connection with the provision of goods, services, and benefits to Members who are Dependent children in connection with approved clinical trial programs for the treatment of children’s cancer. “Routine patient care costs” means those Prior Authorized as Medically Necessary costs as provided in Georgia l...
Autism. Autism means a developmental neurological disorder, usually appearing in the first three years of life, which affects normal brain functions and is manifested by compulsive, ritualistic behavior and severely impaired social interaction and communication skills. This Contract shall provide benefits for the diagnosis of autism in accordance with the conditions, schedule of benefits, limitations as to type and scope of treatment authorized for neurological disorders, exclusions, cost-sharing arrangements and copayment requirements which exist in this contract for neurological disorders. This contract provides for habilitative or rehabilitative services (including applied behavior analysis) and other counseling or therapy services necessary to develop, maintain, and restore the functioning of an individual with ASD who is six years of age or under. There is an annual cap of $30,000 on claims paid for applied behavior analysis for the purpose of treating a person with ASD when applying the benefits required by Georgia House Bill 429. This cap only applies to applied behavior analysis and does not apply to the other treatments (such as counseling or therapy services) which may be required by HB 429. Covered Services are provided for Inpatient care following a mastectomy or lymph node dissection until the completion of an appropriate period of stay as determined by the attending Physician in consultation with the Member. Follow-up visits are also included and may be conducted at home or at the Physician’s office as determined by the attending Physician in consultation with the Member. Additional charges may apply. Mastectomy bras are covered; up to 2 per calendar year. Covered Services are provided following a mastectomy for reconstruction of the breast on which the mastectomy was performed, surgery and reconstruction of the other breast to produce a symmetrical appearance, and prostheses and treatment of physical complications, including lymphedemas Programs require prior authorization and individual case management. One of the Covered Services is for In-Network Spinal Manipulation. There is a limit to the number of visits. Call Customer Service at 800-811-4793 to verify any limitations.
Autism. Autism means a developmental neurological disorder, usually appearing in the first three years of life, which affects normal brain functions and is manifested by compulsive, ritualistic behavior and severely impaired social interaction and communication skills. This Contract shall provide benefits for the diagnosis of Autism in accordance with the conditions, limitations as to type and scope of treatment authorized for neurological disorders, exclusions, cost-sharing arrangements and Copayment requirements which exist in this Contract for neurological disorders. This Contract provides for habilitative or rehabilitative services and other counseling or therapy services necessary to develop, maintain, and restore the functioning of an individual with Autism Spectrum Disorder (ASD) who is twenty (20) years of age or under. BREAST CANCER PATIENT CARE Covered Services include Inpatient care following a mastectomy or lymph node dissection for an appropriate length of stay as determined by the attending Physician in consultation with the Member. Follow-up visits are also included and may be conducted at home or at the Physician’s office as determined by the attending Physician in consultation with the Member. Additional charges may apply. Mastectomy bras are covered, up to 3 per calendar year. BREAST RECONSTRUCTIVE CARE Covered Services include care following a mastectomy for reconstruction of the breast on which the mastectomy was performed, surgery and reconstruction of the other breast to produce a symmetrical appearance, and prostheses and treatment of physical complications, including lymphedemas. CLINICAL TRIAL PROGRAMS FOR TREATMENT OF CHILDREN’S CANCER
Autism. When prescribed by a Physician, autism services are provided, subject to the terms and Supplemental Charges in this benefit schedule (e.g. office visits will be subject to section A etc.).
a. Covered autism services are limited to:
(i) Diagnosis and treatment of autism for Members
(ii) Applied behavioral analysis services for Members under 14 years of age, up to a maximum benefit of $25,000 per Accumulation Period. (Member will be responsible for all charges after Health Plan has paid for $25,000 in services.)
Autism. This section is applicable to Primary Care Providers (“PCP”).
10.7.1 PROVIDER shall administer the Ages and Stages Questionnaire (“ASQ”) to the parents of Pediatric Enrollees. This questionnaire must be completed when the Pediatric Enrollee is nine (9), eighteen (18), and thirty (30) months old, or at any other age established by the Health Department.
10.7.2 PROVIDER shall carry out the Modified Checklist for Autism in Toddlers (“M-CHAT R/F”), in its last version, for the screening of autism spectrum disorders at eighteen