Required Preventive Services Sample Clauses

Required Preventive Services vi. Maintain a unified patient medical record for each member following the BH I/DD Tailored Plan’s medical record documentation guidelines.
Sample 1
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Required Preventive Services. Table 1: Required Preventive Services Required for providers who serve the following age ranges (the age ranges are not displayed to the provider on this screen; the age ranges will be used in PEGA workflow for approval and verification purposes) Reference Number AMHPreventative HealthRequirements 0to 3 0to 6 0to 11 0to 18 0to 21 0to 121 3to 17 7to 120 11to 18 11to 121 18to 121 21to 121 1 Adult Preventative and Ancillary Health Assessment Y Y Y Y Y 2 Blood Lead Level Screening Y Y Y Y Y Y 3 Cervical Cancer Screening (applicable to females only) Y Y Y Y Y 4 Diphtheria, Tetanus, Pertussis Vaccine (DTaP) Y Y Y Y Y Y Y 5 Haemophilus Influenza Type B Vaccine Hib Y Y Y Y Y Y Y 6 Health Check Screening Assessment Y Y Y Y Y Y Y Y Y Y Y 7 Hearing Y Y Y Y Y Y Y Y Y 8&9 Hemoglobin or Hematocrit Y Y Y Y Y Y Y Y Y Y Y Y 10 Hepatitis B Vaccine Y Y Y Y Y Y Y 11 Inactivated Polio Vaccine (IPV) Y Y Y Y Y Y Y 12 Influenza Vaccine Y Y Y Y Y Y Y Y Y Y Y Y 13 Measles, Mumps, Rubella Vaccine (MMR) Y Y Y Y Y Y Y 14 Pneumococcal Vaccine Y Y Y Y Y Y Y Y Y Y Y Table 1: Required Preventive Services, con’t Required for providers who serve the following age ranges (the age ranges are not displayed to the provider on this screen; the age ranges will be used in PEGA workflow for approval and verification purposes) Reference Number AMHPreventativeHealth Requirements 0to 3 0to 6 0to 11 0to 18 0to 21 0to 121 3to 17 7to 120 11to 18 11to 121 18to 121 21to 121 15 Standardized Written Developmental Y Y Y Y Y Y Y 16 Tetanus Y Y Y Y Y Y Y Y Y Y 17 Tuberculin Testing (PPD Intradermal Injection/Mantou x Method) Y Y Y Y Y Y Y Y Y Y Y Y 18 Urinalysis Y Y Y Y 19 Varicella Vaccine Y Y Y Y Y Y Y 20 Vision Assessment Y Y Y Y Y Y Y Y Y Y ATTACHMENT F: Pregnancy Management Program Attachment for Medicaid and NC Health Choice The following provisions include NC Medicaid Program Requirements and are incorporated into the Contract for Obstetricians and Providers who offer prenatal, perinatal and postpartum services and thus are part of the Pregnancy Management Program as defined by the Department. The Department reserves the right to amend these Requirements based on an increase or decrease in covered populations in Medicaid Managed Care, changes in North Carolina or federal law or regulation, federally approved Medicaid waivers for North Carolina, or a change in the enrollment and Provider agrees to comply with these requirements as they appear herein and as revised by the Department. Provider agrees to the...
Sample 1

Related to Required Preventive Services

  • Preventive Services All necessary procedures to prevent the occurrence of oral disease, including: Cleaning and scaling Topical application of fluoride Space maintainers

  • Urgent Care Services All Medically Necessary Covered Services received in Urgent Care Centers, Retail Clinics or your Primary Care Physician’s office after-hours to treat an Urgent Medical Condition will be covered by AvMed. Any request for reimbursement of payment made by a Member for services received must be filed within 90 days or as soon as reasonably possible but not later than one year unless the Member was legally incapacitated. If Urgent Medical Services and Care are required while outside the continental United States, Alaska or Hawaii, it is the Member’s responsibility to pay for such services at the time they are received. For information on filing a Claim for such services, see Part XIII. REVIEW PROCEDURES AND HOW TO APPEAL A CLAIM (BENEFIT) DENIAL.

  • Office Visits (other than Preventive Care Services) This plan covers office and clinic visits to diagnose or treat a sickness or injury. Office visit copayments differ depending on the type of provider you see. This plan covers physician visits in your home if you have an injury or illness that: • confines you to your home; or • requires special transportation; and • because of this injury or illness, you are physically unable to travel to the provider’s

  • Medically Necessary Services for the State plan services in Addendum VIII. B medically necessary has the meaning in Wis. Admin. Code DHS §101.03(96m): services (as defined under Wis. Stat. § 49.46

  • Supportive Services 2.1. Case Management Access Shelter Providers are required to have case management available to participants on site. Participation within case management is voluntary to program participants, however all participants must be offered case management and must be engaged on an ongoing basis to encourage participation. Shelter Providers should recognize that it may take multiple contacts before a participant is ready to engage. Shelter Providers must ensure case management services are participant-centered to individual needs. Programs must provide space for the provision of case management that works to create as much privacy and confidentiality as possible.

  • Outpatient Dental Anesthesia Services This plan covers anesthesia services received in connection with a dental service when provided in a hospital or freestanding ambulatory surgical center and: • the use of this is medically necessary; and • the setting in which the service is received is determined to be appropriate. This plan also covers facility fees associated with these services.

  • Habilitative Services Habilitative Services are healthcare services that help you keep, learn, or improve skills and functioning for daily living. These services are Covered and may require Prior Authorization. Examples include therapy for a child who isn’t walking or talking at the expected age. These services may include physical and occupational therapy, speech-language pathology, and other services for people with disabilities in a variety of inpatient and/or outpatient settings.

  • Required Procurement Procedures for Obtaining Goods and Services The Grantee shall provide maximum open competition when procuring goods and services related to the grant-assisted project in accordance with Section 287.057, Florida Statutes.

  • Synchronisation Commissioning and Commercial Operation 8.1 The Developer shall provide at least forty (40) days advanced preliminary written notice and at least twenty (20) days advanced final written notice to ESCOM of the date on which it intends to synchronize the Power Project to the Grid System.

  • Supervisory Control and Data Acquisition (SCADA) Capability The wind plant shall provide SCADA capability to transmit data and receive instructions from the ISO and/or the Connecting Transmission Owner for the Transmission District to which the wind generating plant will be interconnected, as applicable, to protect system reliability. The Connecting Transmission Owner for the Transmission District to which the wind generating plant will be interconnected and the wind plant Developer shall determine what SCADA information is essential for the proposed wind plant, taking into account the size of the plant and its characteristics, location, and importance in maintaining generation resource adequacy and transmission system reliability in its area.

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