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.
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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

  • 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.

  • Compliance Control Services (1) Support reporting to regulatory bodies and support financial statement preparation by making the Fund's accounting records available to the Trust, the Securities and Exchange Commission (the “SEC”), and the independent accountants.

  • Covered Services Services to be performed by Contractor under this Agreement may involve the performance of trade work covered by the provisions of Section 6.22(e) [Prevailing Wages] of the Administrative Code or Section 21C [Miscellaneous Prevailing Wage Requirements] (collectively, “Covered Services”). The provisions of Section 6.22(e) and 21C of the Administrative Code are incorporated as provisions of this Agreement as if fully set forth herein and will apply to any Covered Services performed by Contractor and its subcontractors.

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