Home and Community-Based Services. (HCBS) - ALTCS will provide a comprehensive HCBS package to eligible enrollees in the enrollee’s home or in an ALTCS approved Alternative Residential Setting.
Home and Community-Based Services. (HCBS) means services provided under a federal waiver under § 1915(c) of the Social Security Act, 42 USC § 1396n, and pursuant to Minnesota Statutes, § 256B.092 subd. 4, and § 256B.0915. These services are for Enrollees who meet specific eligibility criteria including being at risk of institutional care if not for the provision of HCBS services. The services are intended to prevent or delay Nursing Facility placements. See also Elderly Waiver Services as listed in section 6.1.14.
Home and Community-Based Services. The CHC-MCO must provide Home and Community Based LTSS as Covered Services for Participants determined to be NFCE. The CHC-MCO must make HCBS LTSS services available seven (7) days per week, twenty-four (24) hours per day at any hour of the day and for any number or combination of hours, as dictated by Participants’ needs and outlined in their approved PCSPs. For Participants who were living in the community at the time of implementation of CHC in the zone and who chose to remain in the community, the CHC-MCO must support that choice and support the Participants in the community.
Home and Community-Based Services. (HCBS) Waiver
Home and Community-Based Services. (HCBS) STAR+PLUS Waiver – The Texas HHSC program under the Texas Healthcare Transformation and Quality Improvement Program (THTQIP) section 1115(a) demonstration that provides HCBS to aged and disabled Medicaid beneficiaries as cost-effective alternatives to institutional care in nursing homes. Enrollees who qualify for the HCBS STAR+PLUS Waiver are eligible to receive the HCBS component of the Texas Health Care Transformation and Quality Improvement Program (THTQIP) section 1115(a) demonstration. Covered waiver services include: personal assistance services (PAS) (including CDS Options; in-home or out-of-home respite services; nursing services (in home); emergency response services; home delivered meals; minor home modifications; adaptive aids and medical equipment; dental health services; financial management services; support consultation; medical supplies not otherwise available under the Texas Medicaid State Plan or THTQIP section 1115(a) demonstration; physical, occupational, and speech therapy; adult xxxxxx care; assisted living; transition assistance services; Cognitive Rehabilitation Therapy; Supported Employment; and Employment Assistance.
Home and Community-Based Services. As applicable, Providers shall comply with the CMS HCBS Settings Rule detailed in 42 C.F.R. § 441.301(c)(4)-(5).
Home and Community-Based Services. (HCBS) Waivers means waivers under Section 1915(c) of the Social Security Act that allow Illinois to cover home and community services and provide programs that are designed to meet the unique needs of individuals with disabilities, or who are elderly, who qualify for the level of care provided in an institution but who, with special services, may remain in their homes and communities. In this Contract, references to HCBS Waivers relate only to those HCBS Waivers for which a Service Package under Section 5.1 is then in effect.
Home and Community-Based Services. (HCBS) Providers. HCBS provider acknowledges and agrees to report critical incidents to Subcontractor and Health Plan in a manner and format specified by Subcontractor and Health Plan, so as to ensure reporting of such critical incidents to the State within twenty-four (24) hours of the incident. 5.1 Prompt Payment. Subcontractor and/or Health Plan shall pay Provider pursuant to the State Contract and applicable State and federal law and regulations, including but not limited to s.409.967,F.S., s.409.975(6), F.S., s.409.982,F.S., s.641.3155,F.S., 42 CFR 447.46, 42 CFR 447.45(d)(2), 42 CFR 447.45(d)(3), 42 CFR 447.45(d)(5), 42 CFR 447.45(d)(6), and 42 CFR 238.230, as applicable and as may be amended from time to time. If a third party liability exists, payment of claims shall be determined in accordance with federal and/or State third party liability law and the terms of the State Contract. Unless Subcontractor and/or Health Plan otherwise requests assistance from Provider, Subcontractor and/or Health Plan will be responsible for third party collections in accordance with the terms of the State Contract.
Home and Community-Based Services. The Nation shall provide home care and other community-based services to its members, as defined in the IHCIA, 25
Home and Community-Based Services. As applicable, Providers shall comply with the CMS HCBS Settings Rule detailed in 42 C.F.R. § 441.301(c)(4)-(5). Such Providers agree that and will ensures that care coordination staff subcontracted through Provider meet the contractual standards for care coordinators or are accredited through the National Committee for Quality Assurance (NCQA) as an LTSS case management organization. SECTION 4 UNITED REQUIREMENTS
4.1 Prompt Payment. Subcontractor and/or Health Plan, as applicable, shall pay Provider pursuant to the State Contract and applicable State and federal law and regulations, including but not limited to 42 CFR 447.46, 42 CFR 447.45(d)(2), 42 CFR 447.45(d)(3), 42 CFR 447.45(d)(5) and 42 CFR 447.45(d)(6), as applicable and as may be amended from time to time. If a third party liability exists, payment of claims shall be determined in accordance with federal and/or State third party liability law and the terms of the State Contract. Unless Subcontractor and/or Health Plan otherwise requests assistance from Provider, Subcontractor and/or Health Plan will be responsible for third party collections in accordance with the terms of the State Contract. Subcontractor and/or Health Plan may retract a payment made during a period when the enrollee was not eligible; Provider may subsequently invoice DMAS for payment.
