Home Care Program Sample Clauses

The Home Care Program clause establishes the terms and conditions under which home-based care services are provided to eligible individuals. It typically outlines the types of services covered, such as nursing, personal care, or therapy, and may specify eligibility criteria, provider qualifications, and procedures for accessing care. By clearly defining the scope and administration of home care services, this clause ensures that recipients understand their entitlements and responsibilities, thereby promoting effective delivery of care and reducing misunderstandings between parties.
Home Care Program. It is the intent of the Department of Public Health to staff the Home Care program with 2320 Registered Nurses and 2830 Public Health nurses who apply and are accepted to work in the program. It is the intention of the Department of Public Health to maintain a balance between preventative and home care nursing services.
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Home Care Program. 202. It is the intent of the Department to staff the Home Care program with 2320 Registered Nurses and 2830 Public Health nurses who apply and are accepted to work in the program. It is the intention of the Department to maintain a balance between preventative and home care nursing services.
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Home Care Program. Members who temporarily reside out of the Service Area (i.e. school, travel, work), for at least ninety (90) consecutive days will be able to take advantage of the Away From Home Care Program. This program allows Members, who meet the aforementioned criteria, the opportunity to obtain benefits of an affiliated host Blue Cross and Blue Shield HMO. This program is not coordination of benefits. There is no new or additional premium billed under this Program. SAMPLE To enroll or disenroll in the Away From Home Care program, call Member Services at the telephone number on the back of your CareFirst BlueChoice member ID card and ask for the Away From Home Care Coordinator. Members must call to enroll in the program in order to confirm there is an affiliated host Blue Cross Blue Shield HMO plan in the area the Member will be temporarily residing. If an affiliated host Blue Cross Blue Shield HMO plan is in the area the Member is temporarily residing, the Away From Home Coordinator will assist the Member in completing the Away From Home Care Program guest membership application and the Coordinator will identify a plan offered by the affiliated host Blue Cross Blue Shield HMO that matches as close as possible to the plan that the Member is currently enrolled in with CareFirst BlueChoice. The Member will then be enrolled in this comparable policy with the affiliated host Blue Cross Blue Shield HMO plan for coverage in the area the Member is temporarily residing and the Member will be considered a covered individual under the affiliated host Blue Cross and Blue Shield HMO plan and will be subject to all the benefits and services available in the affiliated host Blue Cross and Blue Shield HMO policy. Upon enrollment into the Away From Home Care Program, the Member will receive a letter explaining the Program, the name of the affiliated host Blue Cross and Blue Shield HMO plan, the termination date, and a telephone number for any questions. The affiliated host Blue Cross and Blue Shield HMO benefits may differ from a Member’s CareFirst BlueChoice plan benefits. Upon acceptance of the Member’s guest membership application into the Away From Home Care Program, the affiliated host Blue Cross and Blue Shield HMO will communicate any differences in benefits to the Member. Members enrolled in the Away From Home Care Program: • Will receive a membership ID card, a policy number, a summary of benefits and coverage (SBC), and a copy of the policy for the affiliated host Blue Cro...
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Home Care Program. (Including Full-time, Part-time, Term and Casual Employees unless otherwise indicated.)
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Related to Home Care Program

  • Hospice Care If you have a terminal illness and you agree with your physician not to continue with a curative treatment program, this plan covers hospice care services received in your home, in a skilled nursing facility, or in an inpatient facility.

  • COVERED HEALTHCARE SERVICES This section describes covered healthcare services. This plan covers services only if they meet all of the following requirements: • Listed as a covered healthcare service in this section. The fact that a provider has prescribed or recommended a service, or that it is the only available treatment for an illness or injury does not mean it is a covered healthcare service under this plan. • Medically necessary, consistent with our medical policies and related guidelines at the time the services are provided. • Not listed in Exclusions Section. • Received while a member is enrolled in the plan. • Consistent with applicable state or federal law. We review medical necessity in accordance with our medical policies and related guidelines. Our medical policies can be found on our website. Our medical policies are written to help administer benefits for the purpose of claims payment. They are made available to you for informational purposes and are subject to change. Medical policies are not meant to be used as a guide for your medical treatment. Your medical treatment remains a decision made by you with your physician. If you have questions about our medical policies, please call Customer Service. When a new service or drug becomes available, when possible, we will review it within six (6) months of one of the events described below to determine whether the new service or drug will be covered: • the assignment of an American Medical Association (AMA) Current Procedural Terminology (CPT) code in the annual CPT publication; • final Food and Drug Administration (FDA) approval; • the assignment of processing codes other than CPT codes or approval by governing or regulatory bodies other than the FDA; • submission to us of a claim meeting the criteria above; and • generally, the first date an FDA approved prescription drug is available in pharmacies (for prescription drug coverage only). During the review period, new services and drugs are not covered. For all covered healthcare services, please see the Summary of Medical Benefits and the Summary of Pharmacy Benefits to determine the amount that you pay and any benefit limits.

  • Home Health Care This plan covers the following home care services when provided by a certified home healthcare agency: • nursing services; • services of a home health aide; • visits from a social worker; • medical supplies; and • physical, occupational and speech therapy.

  • Program Administration An activity relating to the general management, oversight and coordination of community development programs. Costs directly related to carrying out eligible activities are not included.

  • Educational Program A. DSST PUBLIC SCHOOLS shall implement and maintain the following characteristics of its educational program in addition to those identified in the Network Contract at DSST ▇▇▇▇ MIDDLE SCHOOL (“the School” within Exhibit A-3). These characteristics are subject to modification with the District’s written approval: