Integrated Administrative Hearing Officer Sample Clauses

Integrated Administrative Hearing Officer. An Administrative Law Judge (ALJ) who works for the Integrated Administrative Hearing Office within OTDA.
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Integrated Administrative Hearing Officer. An Administrative Law Judge (ALJ) of the FIDA Administrative Hearing Unit. Intermediate Care Facility (ICF-IID) – A residential facility certified by OPWDD as an ICF/IID providing comprehensive and individualized health care and habilitation services to individuals with IDD to promote their functional status and independence. ICF-IID is available only for individuals in need of, and receiving, active treatment (AT) services. AT refers to aggressive, consistent implementation of a program of specialized and generic training, treatment, and health services. Interdisciplinary Team (IDT) – The team of individuals that will provide person-centered Care Management to Participants. Each Participant will have an IDT. The requirements for the IDT will be articulated in detail in an IDT Policy which will be finalized in conjunction with the Three-way Contract. Individualized Residential Alternative (IRA) – A facility certified by OPWDD as an IRA. An IRA is identified as a supervised IRA if there are staff onsite or proximately available at all times when persons receiving services are present. An IRA is identified as a supportive IRA if the facility provides practice in independent living under variable amounts of oversight delivered in accordance with the person's needs for such supervision, and staff typically are not onsite nor proximately available at all times when the persons receiving services are present. Life Plan (LP or Individual Service Plan (ISP) or Plan of Care) – An individualized person- centered care and service plan that is collaboratively developed with the Participant, his or her family/caregivers, and other IDT members to address the full continuum of covered and non- covered physical, behavioral, and long-term services and supports. The LP incorporates the Medicare-Medicaid Enrollees – For the purposes of this Demonstration, individuals who are entitled to benefits under Medicare Part A, enrolled in Medicare Part B, eligible to enroll in Medicare Part D, and eligible for full Medicaid benefits. Medicaid – The program of medical assistance benefits under Title XIX of the Social Security Act and various demonstrations and waivers thereof.
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Related to Integrated Administrative Hearing Officer

  • Contracting Officer The person authorized to administer and make written determinations for the Commonwealth with respect to the Prime Contract. Department – The Department of General Services of the Commonwealth of Pennsylvania. Issuing Office – The department, board, commission or other agency of the Commonwealth of Pennsylvania that issued the Procurement. Procurement – The Invitation for Bids, Request for Quotes, Request for Proposals or other solicitation and all associated final procurement documentation issued by the Commonwealth to obtain proposals from firms for award of the Prime Contract.

  • Successor Administrative Agent The Administrative Agent may resign as Administrative Agent upon 10 days’ notice to the Lenders and the Borrower. If the Administrative Agent shall resign as Administrative Agent under this Agreement and the other Loan Documents, then the Required Lenders shall appoint from among the Lenders a successor agent for the Lenders, which successor agent shall (unless an Event of Default under Section 8(a) or Section 8(f) with respect to the Borrower shall have occurred and be continuing) be subject to approval by the Borrower (which approval shall not be unreasonably withheld or delayed), whereupon such successor agent shall succeed to the rights, powers and duties of the Administrative Agent, and the term “Administrative Agent” shall mean such successor agent effective upon such appointment and approval, and the former Administrative Agent’s rights, powers and duties as Administrative Agent shall be terminated, without any other or further act or deed on the part of such former Administrative Agent or any of the parties to this Agreement or any holders of the Revolving Loans. If no successor agent has accepted appointment as Administrative Agent by the date that is 10 days following a retiring Administrative Agent’s notice of resignation, the retiring Administrative Agent’s resignation shall nevertheless thereupon become effective, and the Lenders shall assume and perform all of the duties of the Administrative Agent hereunder until such time, if any, as the Required Lenders appoint a successor agent as provided for above. After any retiring Administrative Agent’s resignation as Administrative Agent, the provisions of this Section 9 shall inure to its benefit as to any actions taken or omitted to be taken by it while it was Administrative Agent under this Agreement and the other Loan Documents.

  • Hearing Aids Any active employee who is insured under any one of the 9 District sponsored medical plans may request reimbursement for the costs of 10 hearing aids. The maximum amount of reimbursement shall not exceed one 11 thousand dollars ($1,000) within any three (3) year period. The cost of 12 hardware, fitting tests, and other tests related to the hearing aids purchased 13 shall be included for reimbursement purposes. 14

  • Compliance Officer The Contractor shall employ a Compliance Officer who is accountable to the Contractor’s executive leadership and dedicated full-time to the Contractor’s Indiana Medicaid product lines. This individual will be the primary liaison with the State (or its designees) to facilitate communications between OMPP, the State’s contractors and the Contractor’s executive leadership and staff. This individual shall maintain a current knowledge of federal and state legislation, legislative initiatives and regulations that may impact the Hoosier Healthwise program. It is the responsibility of the Compliance Officer to coordinate reporting to the State as defined in Section 9 and to review the timeliness, accuracy and completeness of reports and data submissions to the State. The Compliance Officer, in close coordination with other key staff, has primary responsibility for ensuring all Contractor functions are in compliance with the terms of the Contract. The Compliance Officer shall meet with the OMPP Surveillance and Utilization Review Unit (SUR) on a quarterly basis.

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