Institutional care. If a beneficiary is receiving care in a Federal, State, or private institution because of mental or physical incapacity, current mainte- xxxxx includes the customary charges made by the institution, as well as ex- penditures for those items which will aid in the beneficiary’s recovery or re- lease from the institution or expenses for personal needs which will improve the beneficiary’s conditions while in the institution.
Institutional care. The ICT will promptly identify Enrollees who are in SNFs and ICFs on the effective date of enrollment. Subsequent to the initial assessment, Care Coordinators will visit onsite to re-assess the Enrollee’s health and functional status and other elements such as informal supports, the extent to which established goals are being met as judged by the Enrollee, the Enrollee’s satisfaction with current Providers, and the utilization of acute services and timeliness of preventive care services. Contractor may arrange for onsite SNFist coordination services for Enrollees in Nursing Facilities who are the most medically complex, chronically ill, frail and elderly.
Institutional care. Institutional care consists of many different facets of health care delivery within the secure environment of correctional institutions. This includes inmate services, delivered during the reception process and at inmates’ permanent institutions, including sick call, use-of- force examinations, physical assessments, and specialty care such as palliative care, geriatric medicine, female care, health education, and infirmary services.
