Common use of Personal Care Agency Services Clause in Contracts

Personal Care Agency Services. Personal care services (PCS) are the provision of some or total assistance with personal hygiene, dressing and feeding; and nutritional and environmental support (meal preparation and housekeeping). Such services must be essential to the maintenance of the Enrollee’s health and safety in his or her own home. The service has to be ordered by a physician, and there has to be a medical need for the service. Licensed home care services agencies, as opposed to certified home health agencies, are the primary providers of PCS. Enrollee’s receiving PCS have to have a stable medical condition and are generally expected to be in receipt of such services for an extended period of time (years). Services rendered by a personal care agency which are approved by the LDSS are not covered under the Benefit Package. Should it be medically necessary for the PCP to order personal care agency services, the PCP (or the Contractor on the physician’s behalf) must first contact the Enrollee’s LDSS contact person for personal care. The district will determine the Enrollee’s need for personal care agency services and coordinate with the personal care agency a plan of care.

Appears in 2 contracts

Samples: Managed Care Model Contract (Amerigroup Corp), Wellcare Health Plans, Inc.

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Personal Care Agency Services. Personal care services (PCS) are involve the provision of some or total assistance with personal hygiene, dressing and feeding; feeding and nutritional and environmental support (meal preparation and housekeeping). Such services must be essential to the maintenance of the Enrollee’s 's health and safety in his or her own home. The service has to services must be ordered by a physician, and there has to be a medical need for the serviceservices. Licensed home care services agencies, as opposed to certified home health agencies, are the primary providers of PCS. Enrollee’s Enrollees receiving PCS have to must have a stable medical condition and are generally expected to be in receipt of such services for an extended period of time (years). Services rendered by a personal care agency which are approved by the LDSS are not covered under the Medicare or Medicaid Benefit PackagePackages. Should it be medically necessary for the PCP to order personal care agency services, the PCP (or the Contractor on the physician’s 's behalf) must first contact the Enrollee’s 's LDSS contact person for personal care. The district will determine the Enrollee’s 's need for personal care agency services and coordinate a plan of care with the personal care agency a plan of care.agency. Medicaid Advantage Contract APPENDIX K State January 1, 2008 K-12

Appears in 1 contract

Samples: Wellcare Health Plans, Inc.

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Personal Care Agency Services. Personal care services (PCS) are the provision of some or total assistance with personal hygiene, dressing and feeding; and nutritional and environmental support (meal preparation and housekeeping). Such services must be essential to the maintenance of the Enrollee’s 's health and safety in his or her own home. The service has to be ordered by a physician, and there has to be a medical need for the service. Licensed home care services agencies, as opposed to certified home health agencies, are the primary providers of PCS. Enrollee’s EnroIIees receiving PCS have to have a v stable medical condition and are generally expected to be in receipt of such services for an extended period of time (years). Services rendered by a personal care agency which are approved by the LDSS are not covered under the Medicare or Medicaid Benefit PackagePackages. Should it be medically necessary for the PCP to order personal care agency services, the PCP (or the Contractor on the physician’s 's behalf) must first contact the Enrollee’s 's LDSS contact person for personal care. The district will determine the Enrollee’s 's need for personal care agency services and coordinate with the personal care agency a plan of care.. Medicaid Advantage Contract APPENDIX K State, 2006

Appears in 1 contract

Samples: Agreement (Wellcare Health Plans, Inc.)

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