Common use of Personal Assistance Services Clause in Contracts

Personal Assistance Services. (PAS Services) — Physical assistance, cueing, and/or monitoring with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) provided to an Enrollee by a PCA in accordance with the Enrollee’s Individualized Care Plan. Personal Care Management (PCM) Agency — A public or private entity under contract with EOHHS to provide Personal Care Management Services. Personal Care Management (PCM) Services — Services provided by a Personal Care Management (PCM) Agency to an Enrollee in accordance with the PCM Contract with EOHHS, including, but not limited to, those services described under 130CMR 422.419(A). PCM Services include, but are not limited to: intake and orientation to instruct a new Consumer in the rules, policies, and procedures of the Self-directed PCA program; assessment of the Enrollee’s ability to manage Self-directed PCA Services independently; development and monitoring of Service Agreements; and provision of functional skills training to assist Consumers in developing the skills and resources to maximize the Enrollee’s ability to manage their Self-directed PCA Services. Post-stabilization Services — Covered Services, related to an Emergency Condition that are provided after an Enrollee is stabilized in order to maintain the stabilized condition, and for which the Contractor is responsible when 1) the services are authorized; 2) the services are provided to maintain the Enrollee’s stabilized condition within one hour of a request to the Contractor for service authorization of further Post-stabilization Services; 3) the Contractor could not be contacted; 4) the Contractor did not respond to a service authorization request within one hour; or 5) the Contractor and treating provider are unable to reach agreement regarding the Enrollee’s care. Prevalent Languages — English, Spanish and any languages spoken by 5% or more of Enrollees in the Service Area. Primary Care Provider (PCP) — A practitioner of primary care selected by the Enrollee or assigned to the Enrollee by the ICO and responsible for providing and coordinating the Enrollee’s health care needs, including the initiation and monitoring of referrals for specialty services when required. Primary Care Providers may be nurse practitioners, physician assistants or physicians who are board certified or eligible for certification in one of the following specialties: family practice, internal medicine, general practice, OB/GYN, or geriatrics. Privacy — Requirements established in the Health Insurance Portability and Accountability Act of 1996 and Privacy Act of 1974 (HIPAA), and implementing regulations, as well as relevant Massachusetts Privacy laws.

Personal Assistance Services. (PAS ServicesPAS) — Physical assistance, cueing, and/or monitoring with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) provided to an Enrollee by a PCA in accordance with the Enrollee’s Individualized Care Plan. Personal Care Management (PCM) Agency — A public or private entity under contract with EOHHS to provide Personal Care Management Services. Personal Care Management (PCM) Services — Services provided by a Personal Care Management (PCM) Agency to an Enrollee in accordance with the PCM Contract with EOHHS, including, but not limited to, those services described under 130CMR 130 CMR 422.419(A). PCM Services include, but are not limited to: intake and orientation to instruct a new Consumer in the rules, policies, and procedures of the Self-directed Self‑directed PCA program; assessment of the Enrollee’s ability to manage Self-directed Self‑directed PCA Services independently; development and monitoring of Service Agreements; and provision of functional skills training to assist Consumers in developing the skills and resources to maximize the Enrollee’s ability to manage their Self-directed Self‑directed PCA Services. Post-stabilization Post‑stabilization Services — Covered Services, related to an Emergency Condition that are provided after an Enrollee is stabilized in order to maintain the stabilized condition, and for which the Contractor is responsible when 1) the services are authorized; 2) the services are provided to maintain the Enrollee’s stabilized condition within one hour of a request to the Contractor for service authorization of further Post-stabilization Post‑stabilization Services; 3) the Contractor could not be contacted; 4) the Contractor did not respond to a service authorization request within one hour; or 5) the Contractor and treating provider are unable to reach agreement regarding the Enrollee’s care. Prevalent Languages — English, Spanish and any languages spoken by five percent (5% %) or more of Enrollees in the Service Area. Primary Care Provider (PCP) — A practitioner of primary care selected by the Enrollee or assigned to the Enrollee by the ICO One Care Plan and responsible for providing and coordinating the Enrollee’s health care needs, including the initiation and monitoring of referrals for specialty services when required. Primary Care Providers may be nurse practitioners, physician assistants or physicians who are board certified or eligible for certification in one of the following specialties: family practice, internal medicine, general practice, OB/GYN, or geriatrics. Privacy — Requirements established in the Health Insurance Portability and Accountability Act of 1996 and Privacy Act of 1974 (HIPAA), and implementing regulations, as well as relevant Massachusetts Privacy laws.

Personal Assistance Services. (PAS ServicesPAS) — Physical assistance, cueing, and/or monitoring with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) provided to an Enrollee by a PCA in accordance with the Enrollee’s Enrollee‘s Individualized Care Plan. Personal Care Management (PCM) Agency — A public or private entity under contract with EOHHS to provide Personal Care Management Services. Personal Care Management (PCM) Services — Services provided by a Personal Care Management (PCM) Agency to an Enrollee in accordance with the PCM Contract with EOHHS, including, but not limited to, those services described under 130CMR 130 CMR 422.419(A). PCM Services include, but are not limited to: intake and orientation to instruct a new Consumer in the rules, policies, and procedures of the Self-directed PCA program; assessment of the Enrollee’s Enrollee‘s ability to manage Self-directed PCA Services independently; development and monitoring of Service Agreements; and provision of functional skills training to assist Consumers in developing the skills and resources to maximize the Enrollee’s Enrollee‘s ability to manage their Self-directed PCA Services. Post-stabilization Services — Covered Services, related to an Emergency Condition that are provided after an Enrollee is stabilized in order to maintain the stabilized condition, and for which the Contractor is responsible when 1) the services are authorized; 2) the services are provided to maintain the Enrollee’s Enrollee‘s stabilized condition within one hour of a request to the Contractor for service authorization of further Post-stabilization Services; 3) the Contractor could not be contacted; 4) the Contractor did not respond to a service authorization request within one hour; or 5) the Contractor and treating provider are unable to reach agreement regarding the Enrollee’s Enrollee‘s care. Prevalent Languages — English, Spanish and any languages spoken by 5% or more of Enrollees in the Service Area. Primary Care Provider (PCP) — A practitioner of primary care selected by the Enrollee or assigned to the Enrollee by the ICO and responsible for providing and coordinating the Enrollee’s health care needs, including the initiation and monitoring of referrals for specialty services when required. Primary Care Providers may be nurse practitioners, physician assistants or physicians who are board certified or eligible for certification in one of the following specialties: family practice, internal medicine, general practice, OB/GYN, or geriatrics. Privacy — Requirements established in the Health Insurance Portability and Accountability Act of 1996 and Privacy Act of 1974 (HIPAA), and implementing regulations, as well as relevant Massachusetts Privacy laws.

Personal Assistance Services. (PAS ServicesPAS) — Physical assistance, cueing, and/or monitoring with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) provided to an Enrollee by a PCA in accordance with the Enrollee’s Individualized Care Plan. Personal Care Management (PCM) Agency — A public or private entity under contract with EOHHS to provide Personal Care Management Services. Personal Care Management (PCM) Services — Services provided by a Personal Care Management (PCM) Agency to an Enrollee in accordance with the PCM Contract with EOHHS, including, but not limited to, those services described under 130CMR 422.419(A). PCM Services include, but are not limited to: intake and orientation to instruct a new Consumer in the rules, policies, and procedures of the Self-directed PCA program; assessment of the Enrollee’s ability to manage Self-directed PCA Services independently; development and monitoring of Service Agreements; and provision of functional skills training to assist Consumers in developing the skills and resources to maximize the Enrollee’s ability to manage their Self-directed PCA Services. Post-stabilization Services — Covered Services, related to an Emergency Condition that are provided after an Enrollee is stabilized in order to maintain the stabilized condition, and for which the Contractor is responsible when 1) the services are authorized; 2) the services are provided to maintain the Enrollee’s stabilized condition within one hour of a request to the Contractor for service authorization of further Post-stabilization Services; 3) the Contractor could not be contacted; 4) the Contractor did not respond to a service authorization request within one hour; or 5) the Contractor and treating provider are unable to reach agreement regarding the Enrollee’s care. Prevalent Languages — English, Spanish and any languages spoken by five percent (5% %) or more of Enrollees in the Service Area. Primary Care Provider (PCP) — A practitioner of primary care selected by the Enrollee or assigned to the Enrollee by the ICO One Care Plan and responsible for providing and coordinating the Enrollee’s health care needs, including the initiation and monitoring of referrals for specialty services when required. Primary Care Providers may be nurse practitioners, physician assistants or physicians who are board certified or eligible for certification in one of the following specialties: family practice, internal medicine, general practice, OB/GYN, or geriatrics. Privacy — Requirements established in the Health Insurance Portability and Accountability Act of 1996 and Privacy Act of 1974 (HIPAA), and implementing regulations, as well as relevant Massachusetts Privacy laws.