Mental Health/Rehabilitative Services Sample Clauses

Mental Health/Rehabilitative Services. In addition to Evaluation and Assessment, Mental Health and Rehabilitative services may include:
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Mental Health/Rehabilitative Services. Age-appropriate services determined by HHSC and federally-approved protocol as medically necessary to reduce an Enrollee’s Disability resulting from severe mental illness, and to restore the Enrollee to his or her best possible functioning level in the community. Services that provide assistance in maintaining functioning may be considered rehabilitative when necessary to help an Enrollee achieve a rehabilitation goal as defined in the Enrollee’s rehabilitation plan.
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Mental Health/Rehabilitative Services. Effective September 1, 2014, the MCO must ensure Members have access to Mental Health Rehabilitative Services.
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Mental Health/Rehabilitative Services. In addition to Evaluation and Assessment, Mental Health and Rehabilitative services may include: Plan Development: CONTRACTOR shall deliver care and services in a coordinated and seamless manner. Throughout the course of treatment, CONTRACTOR shall ensure the Client Service Plan is coordinated appropriately, the appropriate adjunctive services are provided, the client plan is reviewed and modified as needed on a regular basis, and ancillary providers are fully aware of and informed about the clinical status of care. CONTRACTOR shall administer individual and group client-centered therapy and rehabilitation services to provide symptom resolution and adaptive skills development to address issues of loss and grief, trauma (including prior abuse), identity formation, mastery of behavioral and emotional control, using a variety of modalities. CONTRACTOR’S treatment modalities may include evidence-based models such as Trauma Focused Cognitive Behavioral Therapy, Didactic Developmental Attachment Psychotherapy, and Narrative Therapy, or other best practices/promising practices. All staff providing therapy shall be licensed or license-eligible. Rehabilitation: CONTRACTOR shall provide rehabilitation services for children and youth who have been exposed to severe neglect or trauma or are exhibiting mild developmental delays but are higher functioning than would allow regional center services, or with delays indicating intrauterine substance or alcohol exposure. These services may include any or all of the following: assistance in restoring or maintaining a child or youth’s functional skills, daily living skills, social skills, grooming and personal hygiene skills, and support resources; counseling of the child or youth and/or family; training in leisure activities needed to achieve the child or youth’s goals/desired results/personal milestones. Intensive Home-Based Services (IHBS): CONTRACTOR shall provide IHBS when medically necessary. IHBS are individualized, strength-based interventions designed to ameliorate mental health conditions that interfere with a child’s or youth’s functioning. These interventions are aimed at: helping the child/youth build skills for successful functioning in the home and community, as well as improving the family’s ability to help the child/youth successfully function in the home and in the community. The difference between IHBS and more traditional outpatient Specialty Mental Health Services (SMHS) is that IHBS is expected to be of s...
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Mental Health/Rehabilitative Services. The STAR+PLUS MMP must ensure Enrollees have access to Mental Health Rehabilitative Services. 343
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Mental Health/Rehabilitative Services. Age-appropriate services determined by HHSC and federally-approved protocol as medically necessary to reduce an Enrollee’s Disability resulting from severe mental illness, and to restore the Enrollee to their best possible functioning level in the community. Services that provide assistance in maintaining functioning may be considered rehabilitative when necessary to help an Enrollee achieve a rehabilitation goal as defined in the Enrollee’s rehabilitation plan. 254 1.115. Mental Health Targeted Case Management – Services designed to assist Enrollees with gaining access to needed medical, social, educational, and other services and supports. Enrollees are eligible to receive these services based on the Adult Needs Strengths Assessment (ANSA) tool and other diagnostic criteria used to establish medical necessity. 255
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Related to Mental Health/Rehabilitative Services

  • Administrative Services In addition to the portfolio management services specified above in section 2, you shall furnish at your expense for the use of the Fund such office space and facilities in the United States as the Fund may require for its reasonable needs, and you (or one or more of your affiliates designated by you) shall render to the Trust administrative services on behalf of the Fund necessary for operating as an open end investment company and not provided by persons not parties to this Agreement including, but not limited to, preparing reports to and meeting materials for the Trust's Board of Trustees and reports and notices to Fund shareholders; supervising, negotiating contractual arrangements with, to the extent appropriate, and monitoring the performance of, accounting agents, custodians, depositories, transfer agents and pricing agents, accountants, attorneys, printers, underwriters, brokers and dealers, insurers and other persons in any capacity deemed to be necessary or desirable to Fund operations; preparing and making filings with the Securities and Exchange Commission (the "SEC") and other regulatory and self-regulatory organizations, including, but not limited to, preliminary and definitive proxy materials, post-effective amendments to the Registration Statement, semi-annual reports on Form N-SAR and notices pursuant to Rule 24f-2 under the 1940 Act; overseeing the tabulation of proxies by the Fund's transfer agent; assisting in the preparation and filing of the Fund's federal, state and local tax returns; preparing and filing the Fund's federal excise tax return pursuant to Section 4982 of the Code; providing assistance with investor and public relations matters; monitoring the valuation of portfolio securities and the calculation of net asset value; monitoring the registration of Shares of the Fund under applicable federal and state securities laws; maintaining or causing to be maintained for the Fund all books, records and reports and any other information required under the 1940 Act, to the extent that such books, records and reports and other information are not maintained by the Fund's custodian or other agents of the Fund; assisting in establishing the accounting policies of the Fund; assisting in the resolution of accounting issues that may arise with respect to the Fund's operations and consulting with the Fund's independent accountants, legal counsel and the Fund's other agents as necessary in connection therewith; establishing and monitoring the Fund's operating expense budgets; reviewing the Fund's bills; processing the payment of bills that have been approved by an authorized person; assisting the Fund in determining the amount of dividends and distributions available to be paid by the Fund to its shareholders, preparing and arranging for the printing of dividend notices to shareholders, and providing the transfer and dividend paying agent, the custodian, and the accounting agent with such information as is required for such parties to effect the payment of dividends and distributions; and otherwise assisting the Trust as it may reasonably request in the conduct of the Fund's business, subject to the direction and control of the Trust's Board of Trustees. Nothing in this Agreement shall be deemed to shift to you or to diminish the obligations of any agent of the Fund or any other person not a party to this Agreement which is obligated to provide services to the Fund.

  • Shared Services 5.1.1 ETFO agrees to adopt a shared services model that will allow other Trusts to join the shared services model. The shared services office of the Trust is responsible for the services to support the administration of benefits for the members, and to assist in the delivery of benefits on a sustainable, efficient and cost effective basis.

  • ADMINISTRATION SERVICES When a medical prescription drug is administered by infusion, the administration of the prescription drug may be covered separately from the prescription drug. See Infusion Therapy - Administration Services in the Summary of Medical Benefits for benefit limits and the amount you pay. Prescription drugs that are self-administered are not covered as a medical benefit but may be covered as a pharmacy benefit. Please see Pharmacy Prescription Drugs and Diabetic Equipment or Supplies – Pharmacy Benefits section above for additional information. Site of Care Program For some medical prescription drugs, after the first administration, coverage may be limited to certain locations (for example, a designated outpatient or ambulatory service facility, physician’s office, or your home), provided the location is appropriate based on your medical status. For a list of medical prescription drugs that are subject to this Site of Care Program, visit our website. Preauthorization may be required to determine medical necessity as well as appropriate site of care. If we deny your request for preauthorization, or you disagree with our determination for the appropriate site of care, you can submit a medical appeal. See Appeals in Section 5 for information on how to file a medical appeal.

  • Medical Services We do not Cover medical services or dental services that are medical in nature, including any Hospital charges or prescription drug charges.

  • Covered Services You will receive Covered Services under the terms and conditions of this Contract only when the Covered Service is: • Medically Necessary; • Provided by a Participating Provider for in-network coverage; • Listed as a Covered Service; • Not in excess of any benefit limitations described in the Schedule of Benefits section of this Contract; and • Received while Your Contract is in force.

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