Care Plan the plan of care developed by the Enrollee and other individuals involved in the Enrollees care or Care Management, as described in Section 2.5.D.2, inclusive of Person-Centered Treatment Plans developed by BH CPs.
Care Plan the plan of care developed by the Enrollee and other individuals involved in the Enrollee’s care or Care Management, as described in Section 2.3.D.2. Chief Financial Officer – one of the Contractor’s Key Personnel roles, as described in Section 2.4.A. Chief Medical Officer/Medical Director – one of the Contractor’s Key Personnel roles, as described in Section 2.4.A. Child and Adolescent Needs and Strengths (CANS) Tool – a tool that provides a standardized way to organize information gathered during Behavioral Health Clinical Assessments and during the Discharge Planning process from Inpatient Mental Health Services and Community Based Acute Treatment Services as described in Appendix A. A Massachusetts version of the CANS Tool has been developed and is intended to be used as a treatment decision support tool for Behavioral Health Providers serving Enrollees under the age of 21. Clinical Advice and Support Line – a phone line that provides Enrollees with information to support access to and coordination of appropriate care, as described in Section 2.3.C.3. Clinical Quality Measures – clinical information from Enrollees’ medical records used to determine the overall quality of care received by Enrollees or Members. Clinical Quality Measures are a subset of Quality Measures and are set forth in Appendix B.
Care Plan. During the term of this Agreement and in consideration of the service fees referred in clause 6.1, Customer is entitled to receive, and Supplier shall have available the following Service for Equipment:
Care Plan. An Enrollee-centered, goal-oriented, culturally relevant, and logical, written plan of care with a service plan component, if necessary, that assures that the Enrollee receives, to the extent applicable, medical, medically-related, social, behavioral, and necessary Covered Services, including long-term services and supports, in a supportive, effective, efficient, timely and cost-effective manner that emphasizes prevention and continuity of care. Center for Medicare and Medicaid Innovation (CMMI) - Established by Section 3021 of the Affordable Care Act, CMMI was established to test innovative payment and service delivery models to reduce program expenditures under Medicare and Medicaid while preserving or enhancing the quality of care furnished to individuals under such titles. CMS - Centers for Medicare & Medicaid Services. Comprehensive Third Party Insurance - As defined by the State’s HFS Bureau of Collections, major medical coverage that at least includes physician and hospital services. Consumer Assessment of Healthcare Providers and Systems (CAHPS) - Beneficiary survey tool developed and maintained by the Agency for Healthcare Research and Quality to support and promote the assessment of beneficiary experiences with health care. Contract Management Team - A group of CMS and HFS representatives responsible for overseeing the Three-way Contract. Covered Services - The set of Medicare and Medicaid services the Demonstration Plans are required to offer. Cultural Competence - Understanding those values, beliefs, and needs that are associated with age, gender identity, sexual orientation, and/or racial, ethnic, or religious backgrounds. Cultural Competence also includes a set of competencies, which are required to ensure appropriate, culturally sensitive health care to persons with congenital or acquired disabilities. Demonstration Plan - A managed care organization that enters into a Three-way Contract with CMS and the State to provide Covered Services and any chosen flexible benefits and be accountable for providing integrated care to Medicare-Medicaid Enrollees. Disenrollment – The process by which an Enrollee’s participation in the Demonstration is terminated. Reasons for disenrollment include death, loss of eligibility for the Demonstration, or choice not to participate in the Demonstration. Disenrollment at the direction of the Enrollee may also be referred to as “opt-out.”
Care Plan. EIS Coordinator shall create a care plan for each Client which shall include:
(i) goals and objectives specific to the process of linking Client to care; (ii) identifying a responsible party for each goal and objective; (iii) regular monitoring and assessment of Client progress; and (iv) the signature of the individual providing the Service and/or the supervisor, as applicable (collectively referred to as the “Linkage Plan”).
Care Plan. The District shall provide all unit members, qualified retirees and their dependents with a vision care plan. The plan shall be Vision Service Plan B Composite Rate Non-deductible.
Care Plan. The participation agreement, these rules, and applicable provisions of law constitute the membership agreement between a public entity and the Missouri Consolidated Health Care Plan (MCHCP).
Care Plan i) Commencing September 1, 2008, the Board will contribute 50% towards the cost of the monthly premiums in effect on September 1, 2008 for a Vision Care Plan (reimbursement of vision care expenses up to a maximum of $225 in any two consecutive year period) for eligible employees who elect to participate in the plan.
ii) Commencing September 1, 2009 the Board will contribute 50% towards the cost of the premiums in effect on September 1, 2009 for a Vision Care Plan (reimbursement of vision care expenses up to a maximum of $225 in any two consecutive year period) for eligible employees who elect to participate in the plan.
iii) Commencing September 1, 2010 the Board will contribute 50% towards the cost of the premiums in effect on September 1, 2010 for a Vision Care Plan (reimbursement of vision care expenses up to a maximum of $225 in any two consecutive year period) for eligible employees who elect to participate in the plan.
iv) Commencing September 1, 2011 the Board will contribute 50% towards the cost of the premiums in effect on September 1, 2011 for a Vision Care Plan (reimbursement of vision care expenses up to a maximum of $225 in any two consecutive year period) for eligible employees who elect to participate in the plan.
Care Plan. 40:01 The parties agree to the continuation of the Vision Care Plan with the following changes:
(a) The basis for payment for covered services shall be the 2009 Optometric or Ophthalmological Fee Guide;
(b) The 2012 and 2013 Fee Guides will be implemented effective April 1 of each respective year;
(c) Changes to the Dental plan respecting Maternity Leave and pro-rated family coverage for part-time employees will also apply to the Vision Care Plan;
(d) Part-time employees are eligible for family coverage based on sixty percent (60%) of the annual maximum per claimant.
Care Plan. 8.1 The Council shall draw up a Care Plan for the child/young person within 5 working days of the child/young person’s admission. The care provided will be in accordance with the child’s Care Plan. The Care Plan will identify the purpose and objectives of the placement.
