Individualized Care Plan Clause Samples

Individualized Care Plan. An individualized care plan may be established for the Beneficiary, which the Trustee may consider, in its sole and absolute discretion, when reviewing a request for any distribution from the Beneficiary’s Trust sub-account.
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Individualized Care Plan. 2.6.3.1. The Contractor shall: 2.6.3.1.1. Engage each Enrollee in ongoing development of their ICP. 2.6.3.1.2. Ensure that the ICT integrates and coordinates services, including, but not limited to engaging each Enrollee in the development of an ICP. The ICP must: 2.6.3.1.2.1. Incorporate the results of the Comprehensive Assessment and specify any changes in providers, services, or medications. 2.6.3.1.2.2. Be developed by the ICT under the direction of the Enrollee (and/or the Enrollee‘s representative, if applicable), and in consultation with any specialists caring for the Enrollee, in accordance with 42 C.F.R. 438.208(c)(3) and 42 C.F.R. 422.112(a)(6)(iii) and updated periodically to reflect changing needs identified in Comprehensive Assessments. The Enrollee will be at the center of the care planning process. 2.6.3.1.2.3. Reflect the Enrollee‘s preferences and needs. The Contractor will ensure that the Enrollee receives any necessary assistance and accommodations to prepare for and fully participate in the care planning process, including the development of the ICP, and that the Enrollee receives clear information about: 2.6.3.1.2.3.1. His/her health status, including functional limitations; 2.6.3.1.2.3.2. How family members and social supports can be involved in the care planning as the Enrollee chooses; 2.6.3.1.2.3.3. Self-directed care options and assistance available to self-direct care; 2.6.3.1.2.3.4. Opportunities for educational and vocational activities; and 2.6.3.1.2.3.5. Available treatment options, supports and/or alternative courses of care. 2.6.3.1.2.4. Specify how services and care will be integrated and coordinated among health care providers, and community and social services providers where relevant to the Enrollee‘s care; 2.6.3.1.2.5. Include, but is not limited to: 2.6.3.1.2.5.1. A summary of the Enrollee‘s health history; 2.
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Individualized Care Plan. 1. The Contractor must engage each Enrollee in ongoing development of their ICP. 2. The Contractor must ensure that the ICT integrates and coordinates services, including, but not limited to engaging each Enrollee in the development of an ICP. The ICP must: a. Incorporate the results of the Comprehensive Assessment and specify any changes in providers, services, or medications. b. Be developed by the ICT under the direction of the Enrollee (and/or the Enrollee’s representative, if applicable), and in consultation with any specialists caring for the Enrollee, in accordance with 42 C.F.R. 438.208(c)(3) and 42 C.F.R. 422.112(a)(6)(iii) and updated periodically to reflect changing needs identified in Comprehensive Assessments. The Enrollee will be at the center of the care planning process. c. Reflect the Enrollee’s preferences and needs. The Contractor will ensure that the Enrollee receives any necessary assistance and accommodations to prepare for and fully participate in the care planning process, including the development of the ICP, and that the Enrollee receives clear information about: (1) His/her health status, including functional limitations; (2) How family members and social supports can be involved in the care planning as the Enrollee chooses; (3) Self-directed care options and assistance available to self-direct care; (4) Opportunities for educational and vocational activities; and (5) Available treatment options, supports and/or alternative courses of care. d. Specify how services and care will be integrated and coordinated among health care providers, and community and social services providers where relevant to the Enrollee’s care; e. Include, but is not limited to: (1) A summary of the Enrollee’s health history; (2) A prioritized list of concerns, goals and strengths; (3) The plan for addressing concerns or goals; (4) The person(s) responsible for specific interventions; and (5) The due date for each intervention. 3. The Contractor must establish and execute policies and procedures that provide mechanisms by which an Enrollee can sign or otherwise convey approval of his or her ICP when it is developed and at the time of subsequent modifications to it. The Contractor must: a. Inform an Enrollee of his or her right to approve the ICP; b. Provide mechanisms for an Enrollee to sign or otherwise convey approval of the ICP that meet his or her accessibility needs; and c. Inform an Enrollee of his or her right to an Appeal of any denial, termination,...
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Related to Individualized Care Plan

  • Dental Care Plan The Welfare Plan will include a Dental Care Plan which will reimburse members for expenses incurred in respect of the coverages summarized in Appendix "1". The Plan will not duplicate benefits provided now or which may be provided in the future by any government program.

  • Vision Care Plan The County agrees to provide a Vision Care Plan for all employees and dependents. The Plan will be the Vision Service Plan - Plan A with benefits at 12/12/24 month intervals with twenty dollar ($20.00) deductible for examinations and twenty dollar ($20.00) deductible for materials. The County will fully pay the monthly premium for employee and dependents and pick up inflationary costs during the term of this agreement.

  • Dependent Care Assistance Program The County offers the option of enrolling in a Dependent Care Assistance Program (DCAP) designed to qualify for tax savings under Section 129 of the Internal Revenue Code, but such savings are not guaranteed. The program allows employees to set aside up to five thousand dollars ($5,000) of annual salary (before taxes) per calendar year to pay for eligible dependent care (child and elder care) expenses. Any unused balance is forfeited and cannot be recovered by the employee.

  • HEALTH CARE PLANS ‌ Notwithstanding the references to the Pacific Blue Cross Plans in this article, the parties agree that Employers, who are not currently providing benefits under the Pacific Blue Cross Plans may continue to provide the benefits through another carrier providing that the overall level of benefits is comparable to the level of benefits under the Pacific Blue Cross Plans.

  • Third Party Administrators for Defined Contribution Plans 2.1 The Fund may decide to make available to certain of its customers, a qualified plan program (the “Program”) pursuant to which the customers (“Employers”) may adopt certain plans of deferred compensation (“Plan or Plans”) for the benefit of the individual Plan participant (the “Plan Participant”), such Plan(s) being qualified under Section 401(a) of the Code and administered by TPAs which may be plan administrators as defined in the Employee Retirement Income Security Act of 1974, as amended. 2.2 In accordance with the procedures established in Schedule 2.1 entitled “Third Party Administrator Procedures,” as may be amended by the Transfer Agent and the Fund from time to time (“Schedule 2.1”), the Transfer Agent shall: (a) Treat Shareholder accounts established by the Plans in the name of the Trustees, Plans or TPAs, as the case may be, as omnibus accounts; (b) Maintain omnibus accounts on its records in the name of the TPA or its designee as the Trustee for the benefit of the Plan; and (c) Perform all Services under Section 1 as transfer agent of the Funds and not as a record-keeper for the Plans. 2.3 Transactions identified under Sections 1 and 2 of this Agreement shall be deemed exception services (“Exception Services”) when such transactions: (a) Require the Transfer Agent to use methods and procedures other than those usually employed by the Transfer Agent to perform transfer agency and recordkeeping services; (b) Involve the provision of information to the Transfer Agent after the commencement of the nightly processing cycle of the TA2000 System; or (c) Require more manual intervention by the Transfer Agent, either in the entry of data or in the modification or amendment of reports generated by the TA2000 System, than is normally required.