Medical Home Sample Clauses

Medical Home. A health care setting that facilitates partnerships between individual patients, their Primary Care Providers, and when appropriate, the patient’s family to provide comprehensive primary care.
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Medical Home. Contractor shall educate Affiliated Providers about the Medical Home model and the importance of using it to integrate all aspects of each Enrollee’s care, as well as how to become a Medical Home.
Medical Home. Contractor’s Affiliated Provider network shall include Providers that serve as Medical Homes, which may include FQHCs, CMHCs and multi-specialty PCP-centered medical groups, private practice PCP offices and nurse practitioner-led clinics. Medical Homes will be patient- centered in approach with the capacity to provide access to a personal clinician and care team that offers individualized, high quality comprehensive primary care and coordinates specialty and other needed services. Medical Homes will demonstrate competence in the following areas: effective care coordination; family and caregiver involvement; health promotion and Wellness Programs; self-management strategies; and Chronic Health Condition management. Medical Homes shall provide all PCP services and be supported by Integrated Care Teams and Health Information Technology. Contractor will support Medical Homes and the integration of behavioral and physical health care at FQHCs, CMHCs and high volume Providers that agree to this approach.
Medical Home. The meaning assigned to a patient-centered Medical Home in Texas Government Code § 533.0029(a).
Medical Home. Contractor shall assign each Enrollee to a Medical Home, which may be a single provider, Facility, or health care team that maintains the Enrollee’s medical information and coordinates Enrollee’s health care services. The Medical Homes shall meet the requirements of Welfare and Institutions Code Section 15910.2(b)(2).
Medical Home. Contractor’s Affiliated Provider network shall include Providers that act as Medical Homes, with a focus on FQHCs, CMHCs and multi-specialty PCP-centered medical groups and private practice PCP offices. Medical Homes shall be patient-centered medical homes that provide and coordinate high quality, planned, family-centered health promotion; Wellness Programs; acute illness care; and Chronic Health Condition management. Medical Homes shall provide all PCP services and be supported by Integrated Care Teams and Health Information Technology. Contractor will support Medical Homes and the integration of behavioral and physical health care by providing embedded Care Coordinators, as appropriate, onsite at FQHCs, CMHCs and high volume Providers that agree to this approach.
Medical Home. An approach to providing comprehensive primary-care that facilitates partnerships between individual patients, their providers, and, where appropriate, the patient’s family, that meets the requirements described in Exhibit B, PCMP Requirements.
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Medical Home. Children born with a metabolic or genetic condition often “require an extensive range of different services” and could need these services over the course of their entire life (2). The medical home is a concept developed to alleviate some of the challenges faced by patients and their families in the medical system. “Families have had to navigate a maze of organizations, providers, and geographic and financial barriers” in order to get appropriate care (2). Pass, et al. presented the medical home as a place where “all providers and parents share responsibility for ensuring that a child has access to the medical and non-medical services needed to help him or her achieve maximum potential” (2). Put another way, “the medical home is defined as care that is accessible, continuous, comprehensive, family-centered, coordinated, compassionate, and culturally effective” (9). “Most often the medical home is provided by primary care physicians; however, in a limited number of cases, specialty clinics can provide a full range of services (including primary care) and be considered the medical home for a child with complex health care needs” (9). The medical home is an integral part of ensuring that children are actually receiving adequate care for their conditions and are not lost to follow-up. A 2003 survey regarding the medical home found that twelve states (24%) indicated there was a procedure in place for identifying the infant’s medical home before the child’s birth (9). By 2006, 69% of states (n = 38) ensured that patients had access to a medical home over their lifespan (18).
Medical Home. County will initially assign each Eligible Member to a Medical Home in accordance with Welfare & Institutions Code Section 15910.2(b)(2) and shall transmit the assignment to Alliance through the daily eligibility file. The Medical Home shall provide a primary health care contact; an intake assessment; care coordination, care management, case management, and transitions among levels of care, if needed and as agreed to between the Medical Home and Alliance. Use of clinical guidelines and other evidence-based medicine when applicable will focus on continuous improvement in quality of care; timely access to qualified health care interpretation as needed and as appropriate; and health information, education, and support in a culturally competent manner. Alliance may change a Member’s Medical Home at the request of the Member.

Related to Medical Home

  • Medical Care The Parents must comply with the School Welfare Officer's recommendations which may include a reasonable decision to release the Pupil home or to his / her education guardian when s/he is unwell.

  • Medical Exams 18.1: The Sheriff's Department may require a physical and/or psychological exam by a doctor, at the Employer's expense, to determine the employee's ability to perform his/her regular duties, if deemed appropriate. The employee may obtain a second opinion, at the employee's expense, and in the event there is a dispute between the Employer's doctor and the employee's doctor, both of these doctors shall select a third doctor, whose decision shall be final and binding on the parties. The expense for the third doctor's opinion shall be split 50-50 by the Employer and the employee if not covered by the employee's insurance.

  • Emergency Medical Care a. How to appropriately use Emergency Services and facilities, including a description of the services offered by the Member Services Call Center;

  • Medical Care Leave An Employee who is unable to make the necessary arrangements for maintenance of personal health care outside of scheduled work time, shall be granted time off with pay. Such time off shall not exceed sixteen (16) working hours per calendar year. Hours in excess of sixteen (16) hours per calendar year shall be deducted from the Employee's sick leave accumulation.

  • Orthodontics We Cover orthodontics used to help restore oral structures to health and function and to treat serious medical conditions such as: cleft palate and cleft lip; maxillary/mandibular micrognathia (underdeveloped upper or lower jaw); extreme mandibular prognathism; severe asymmetry (craniofacial anomalies); ankylosis of the temporomandibular joint; and other significant skeletal dysplasias. Procedures include but are not limited to: • Rapid Palatal Expansion (RPE); • Placement of component parts (e.g. brackets, bands); • Interceptive orthodontic treatment; • Comprehensive orthodontic treatment (during which orthodontic appliances are placed for active treatment and periodically adjusted); • Removable appliance therapy; and • Orthodontic retention (removal of appliances, construction and placement of retainers).

  • Behavioral Health Services Behavioral health services include the evaluation, management, and treatment for a mental health or substance use disorder condition. For the purpose of this plan, substance use disorder does not include addiction to or abuse of tobacco and/or caffeine. Mental health or substance use disorders are those that are listed in the most updated volume of either: • the Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American Psychiatric Association; or • the International Classification of Disease Manual (ICD) published by the World Health Organization. This plan provides parity in benefits for behavioral healthcare services. Please see Section 10 for additional information regarding behavioral healthcare parity. Inpatient This plan covers behavioral health services if you are inpatient at a general or specialty hospital. See Inpatient Services in Section 3 for additional information. Residential Treatment Facility This plan covers services at behavioral health residential treatment facilities, which provide: • clinical treatment; • medication evaluation management; and • 24-hour on site availability of health professional staff, as required by licensing regulations. Intermediate Care Services This plan covers intermediate care services, which are facility-based programs that are: • more intensive than traditional outpatient services; • less intensive than 24-hour inpatient hospital or residential treatment facility services; and • used as a step down from a higher level of care; or • used a step-up from standard care level of care. Intermediate care services include the following: • Partial Hospital Program (PHP) – PHPs are structured and medically supervised day, evening, or nighttime treatment programs providing individualized treatment plans. A PHP typically runs for five hours a day, five days per week. • Intensive Outpatient Program (IOP) – An IOP provides substantial clinical support for patients who are either in transition from a higher level of care or at risk for admission to a higher level of care. An IOP typically runs for three hours per day, three days per week.

  • MEDICALLY FRAGILE STUDENTS 1. If a teacher will be providing instructional or other services to a medically fragile student, the teacher or another adult who will be present when the instruction or other services are being provided will be advised of the steps to be taken in the event an emergency arises relating to the student's medical condition.

  • Emergency Medical Services Emergency medical services, also known as ambulance services or paramedic services (abbreviated to the initialism EMS, EMAS, EMARS or SAMU in some countries), are a type of emergency service dedicated to providing out-of-hospital acute medical care, transport to definitive care, and other medical transport to patients.

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