Care Plan Requirements Sample Clauses

Care Plan Requirements. 4.4.9.1 The CONTRACTOR shall develop and implement CCPs for Members in Care Coordination levels two (2) and level three (3). 4.4.9.2 The CONTRACTOR shall develop and authorize the CCP within fourteen (14) Business Days of completion of the initial Comprehensive Needs Assessment, unless the Member is in a Treat First model of care. The CONTRACTOR shall authorize services in the CCP pursuant to section 4.12.12. 4.4.9.2.1 For Members in the Treat First model of care, the CCP shall be completed within fourteen (14) Business Days of the completion of four (4) therapeutic Encounters, but no later than thirty (30) Business Days of the CNA completion. 4.4.9.3 For Members in Care Coordination level two (2) and level three (3), the care coordinator shall ensure at a minimum that the Member and Representative participate in developing the CCP. 4.4.9.4 The CONTRACTOR shall ensure that care coordinators consult with the Member’s PCP, specialists, Behavioral Health Providers, other Providers and interdisciplinary team experts, as needed when developing the CCP. 4.4.9.5 The care coordinator shall verify that all decisions made regarding the Member’s needs and services, including the Member’s choice to receive institutional care versus HCBS, are documented in a written CCP. 4.4.9.6 The developed CCP shall at a minimum include: 4.4.9.6.1 Pertinent demographic information regarding the Member including the name and contact information of any Representative and a list of other persons authorized by the Member to have access to health care related information and to assist with assessment, planning and/or implementation of health care related services and supports; 4.4.9.6.2 Services that will be authorized by the CONTRACTOR, including the amount, frequency, duration and scope (tasks and functions to be performed) of each service to be provided; 4.4.9.6.3 Identified disease management needs including strategies, interventions and related tasks to be performed by the care coordinator and the Member; 4.4.9.6.4 A back-up plan for situations when regularly scheduled Providers are unavailable or do not arrive as scheduled; the back-up plan may include paid and unpaid supports and shall include the names and telephone numbers of persons and agencies to contact and the services provided by listed contacts; 4.4.9.6.5 The Member’s current physical and Behavioral Health conditions and functional status (i.e., areas of functional deficit), and the Member’s physical, behavioral and funct...
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Care Plan Requirements. The Care Plan must be developed within 90 days of enrollment, be updated as necessary at least annually for all Enrollees or as specified in the HCBS waiver, and: 1. Incorporate an Enrollee’s medical, behavioral health, LTSS, social, and functional needs; 2. Include identifiable goals to address the Enrollee’s needs and preferences and to facilitate monitoring of an Enrollee’s progress and evolving service needs; 3. Include, in the development, implementation, and ongoing assessment of the Care Plan, an opportunity for Enrollee participation and an opportunity for input from the PCP, other providers, a legal representative, and the Enrollee’s family and/or caregiver if appropriate; and 4. Include a HCBS service plan, if appropriate: a. For beneficiaries receiving HCBS waiver services, responsibilities regarding development of the HCBS waiver service plan (service plan) component of the Care Plan may differ depending on whether an Enrollee is already receiving HCBS waiver services at the time of enrollment in the Demonstration (existing HCBS eligible) or is determined newly eligible for HCBS waiver services after enrollment in the Demonstration (newly HCBS eligible). i. For those newly HCBS-eligible Enrollees, the Demonstration Plan will be involved in service plan development from the moment the Enrollee is determined eligible for services. The Demonstration Plans will be responsible for HCBS waiver service planning, including the development, implementation, and monitoring of the service plan, and updating the service plan when an Enrollee’s needs change. The Demonstration Plan Care Coordinator will coordinate HCBS waiver service planning with the Enrollee and the care team. Demonstration Plans will not be responsible for eligibility determinations for 1915(c) waivers. ii. For existing HCBS-eligible Enrollees, the Demonstration Plans will maintain the existing service plan for at least an 180-day transition period unless changed with the consent and input of the Enrollee and only after completion of a comprehensive assessment. These service plans will be transmitted to Demonstration Plans prior to the effective date of enrollment. The Demonstration Plan Care Coordinator will coordinate the process for changing or updating the HCBS waiver service plan, as appropriate, with the Enrollee and the care team.

Related to Care Plan Requirements

  • Food Service Waste Reduction Requirements Contractor shall comply with the Food Service Waste Reduction Ordinance, as set forth in San Francisco Environment Code Chapter 16, including but not limited to the remedies for noncompliance provided therein.

  • Training Requirements Grantee shall: A. Authorize and require staff (including volunteers) to attend training, conferences, and meetings as directed by DSHS; B. Appropriately budget funds in order to meet training requirements in a timely manner, and ensure that staff and volunteers are trained as specified in the training requirements listed at xxxxx://xxx.xxxx.xxxxx.xxx/hivstd/training/ and as otherwise specified by DSHS. Grantee shall document that these training requirements are met; and C. Ensure that staff hired for HIV and syphilis testing are trained to perform blood draws within three (3) months of employment.

  • Basic Requirements To be eligible for PayPal’s Seller Protection program, all of the following basic requirements must be met, as well as any applicable additional requirements: • The primary address for your PayPal account must be in the United States. • The item must be a physical, tangible good that can be shipped, except for items subject to the Intangible Goods Additional Requirements. Transactions involving items that you deliver in person in connection with payment made in your physical store, may also be eligible for PayPal’s Seller Protection program so long as the buyer paid for the transaction in person by using a PayPal goods and services QR code. • You must ship the item to the shipping address on the Transaction Details page in your PayPal account for the transaction. If you originally ship the item to the recipient’s shipping address on the Transaction Details page but the item is later redirected to a different address, you will not be eligible for PayPal’s Seller Protection program. We therefore recommend not using a shipping service that is arranged by the buyer, so that you will be able to provide valid proof of shipping and delivery. • The shipping requirement does not apply to eligible transactions involving items that you deliver in person; provided, however, that you agree to provide us with alternative evidence of delivery or such additional documentation or information relating to the transaction that we may request. • You must respond to PayPal’s requests for documentation and other information in a timely manner as requested in our email correspondence with you or in our correspondence with you through the Resolution Center. If you do not respond to PayPal’s request for documentation and other information in the time requested, you may not be eligible for PayPal’s Seller Protection program. • If the sale involves pre-ordered or made-to-order goods, you must ship within the timeframe you specified in the listing. Otherwise, it is recommended that you ship all items within 7 days after receipt of payment. • You provide us with valid proof of shipment or delivery. • The payment must be marked “eligible” or “partially eligible” in the case of Unauthorized Transaction claims, or “eligible” in the case of Item Not Received claims, for PayPal’s Seller Protection program on the Transaction Details page. • In the case of an Unauthorized Transaction claim, you must provide valid proof of shipment or proof of delivery that demonstrates that the item was shipped or provided to the buyer no later than two days after PayPal notified you of the dispute or reversal. For example, if PayPal notifies you of an Unauthorized Transaction claim on September 1, the valid proof of shipment must indicate that the item was shipped to the buyer no later than September 3 to be eligible for PayPal’s Seller Protection program. PayPal determines, in its sole discretion, whether your claim is eligible for PayPal’s Seller Protection program. PayPal will make a decision, in its sole discretion, based on the eligibility requirements, any information or documentation provided during the resolution process, or any other information PayPal deems relevant and appropriate under the circumstances. To be eligible for PayPal’s Seller Protection program for a buyer’s Item Not Received claim, you must meet both the basic requirements and the additional requirements listed below: • Where a buyer files a chargeback with the issuer for a card-funded transaction, the payment must be marked “eligible” for PayPal’s Seller Protection on the Transaction Details page. • You must provide proof of delivery as described below.

  • GRADUATION REQUIREMENTS I understand that in order to graduate from the program and to receive a certificate of completion, diploma or degree I must successfully complete the required number of scheduled clock hours as specified in the catalog and on the Enrollment Agreement, pass all written and practical examinations with a minimum score of 80%, and complete all required clinical hours and satisfy all financial obligations to the College.

  • Check Requirements Any image of a check that I transmit to you must accurately and legibly provide all the information on the front and back of the check at the time presented to me by the drawer. Prior to capturing the original check, I will indorse the back of the original check. My endorsement will include "For Directions E- Deposit Only" in addition to my signature. The image of the check transmitted to you must accurately and legibly provide, among other things, the following information: (1) the information identifying the drawer and the paying bank that is preprinted on the check, including complete and accurate MICR information and the signature(s); and (2) other information placed on the check prior to the time an image of the check is captured, such as any required identification written on the front of the check and any endorsements applied to the back of the check. The image quality for the check will meet the standards for image quality established by the American National Standards Institute ("ANSI"), the Board of Governors of the Federal Reserve, and any other regulatory agency, clearing house or association. Rejection of Deposit. You are not liable for any service or late charges levied against me due to your rejection of any item. In all cases, I am responsible for any loss or overdraft plus any applicable fees to my Account due to an item being returned. Items Returned Unpaid. A written notice will be sent to me of transactions you are unable to process because of returned items. With respect to any item that I transmit to you for remote deposit that you credit to my Account, in the event such item is dishonored, I authorize you to debit the amount of such item from the Account.

  • Compliance with Record Keeping Requirements Participating Dealer agrees to comply with the record keeping requirements of the Exchange Act, including but not limited to, Rules 17a-3 and 17a-4 promulgated under the Exchange Act. Participating Dealer further agrees to keep such records with respect to each customer who purchases Primary Shares, his suitability and the amount of Primary Shares sold, and to retain such records for such period of time as may be required by the Commission, any state securities commission, FINRA or the Company.

  • Testing Requirements 12.1. Workplaces - 12.2. On workplaces where the value of the Commonwealth’s contribution to the project that includes the building work is at least $5,000,000, and represents at least 50% of the total construction project value or the Commonwealth’s contribution to the project that includes the building work is at least $10,000,000 (irrespective of its proportion of the total construction project value) the following minimum testing requirements must be adhered to.

  • Staffing Requirements Licensee will be in full compliance with the main studio staff requirements as specified by the FCC.

  • Record Keeping Requirements The Training Provider must make and keep accurate Records for all Training Services in sufficient detail to allow the Department to determine compliance with this Contract (including the accuracy of claims for payment of the Funds).

  • ERISA Requirements (a) Borrower will not engage in any transaction which would cause an obligation, or action taken or to be taken under this Loan Agreement (or the exercise by Lender of any of its rights under the Note, this Loan Agreement or any of the other Loan Documents) to be a non-exempt prohibited transaction under ERISA or Section 4975 of the Tax Code. (b) Borrower will deliver to Lender such certifications or other evidence from time to time throughout the term of this Loan Agreement, as requested by Lender in Lender’s Discretion, confirming each of the following: (i) Borrower is not an “employee benefit plan” as defined in Section 3(3) of ERISA, which is subject to Title I of ERISA, a “plan” to which Section 4975 of the Tax Code applies, or an entity whose underlying assets constitute “plan assets” of one or more of such plans. (ii) Borrower is not a “governmental plan” within the meaning of Section 3(32) of ERISA. (iii) Borrower is not subject to state statutes regulating investments or fiduciary obligations with respect to governmental plans. (iv) One or more of the following circumstances is true: (A) Equity interests in Borrower are publicly offered securities within the meaning of 29 C.F.R. Section 2510.3-101(b)(2), as amended from time to time or any successor provision. (B) Less than 25% of each outstanding class of equity interests in Borrower are held by “benefit plan investors” within the meaning of Section 3(42) of ERISA, as amended from time to time or any successor provision. (C) Borrower qualifies as either an “operating company” or a “real estate operating company” within the meaning of 29 C.F.R. Section 2510.3-101(c) or (e), as either may be amended from time to time or any successor provisions, or is an investment company registered under the Investment Company Act of 1940.

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