Scope of Human Care Service Sample Clauses

Scope of Human Care Service. C.2.1 Subject to the continuing availability of funds, the District may purchase and the provider shall provide the human care services specified in subsection C.2.2. C.2.2 Licensed physicians are required to determine the existence and extent of a medically determinable impairment for the purpose of establishing a disability asserted by an applicant in relation to IMA administered programs. C.2.2.1 Medical Review Team (MRT) physicians must be available to attend weekly or biweekly meetings with the IMA team members. The duration of a meeting ranges from 1.5 to 4 hours. C.2.2.2 MRT physicians are also required to provide second level review of medical evidence when an applicant disputes the initial MRT decision, and may be asked to give testimony at appeal hearings. C.2.2.3 The MRT physician must dictate, for the record, the specific medical evidence needed from hospitals, clinics, or other health facilities where the applicant has been treated. Medical reports reviewed by MRT include: • medical history; • clinical findings (such as the results of physical or mental status examinations); • laboratory findings (such as blood pressure, x-rays); • diagnosis; • treatment prescribed with response and prognosis; The MRT physician also looks for evidence of the effects of symptoms, such as pain, shortness of breath, or fatigue, on an applicant’s ability to function. All information provided by treating and other sources regarding is considered including: • the claimant’s daily activities; • the location, duration, frequency, and intensity of the pain or other symptom; • any measures the claimant uses or has used to relieve pain or other symptoms; and • other factors concerning the claimant’s functional limitations due to pain or other symptoms.
Sample 1
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Scope of Human Care Service. C.1.1 Subject to the continuing availability of funds, the District may purchase and the provider shall provide the human care services in the manner specified in Section C. C.1.2 The Infants and Toddlers Disabilities Division (ITDD) of the Office of the State Superintendent of Education (OSSE) seeks multiple Providers to provide direct care services as established on behalf of Part C of the Individuals with Disabilities Education Act of 2004. C.1.3 The provider will also be responsible for evaluating and assessing the child, when indicated, developing, updating and implementing the Individualized Family Service Plan (IFSP) along with the eligible child’s family, service coordinator and other relevant service Providers, in coordination with ITDD. Services shall end and the child shall exit the Part C system at the eligible child’s 3rd birthday, or sooner if the child reaches developmental milestones or exhibits delays lower than the prescribed 50%, unless an extension is specifically granted by ITDD. Children shall be referred to the provider by ITDD or the assigned Dedicated Service Coordinator. The provider shall provide services in accordance with the federal Part C regulations (34 C.F.R.
Sample 1
Scope of Human Care Service. Subject to the continuing availability of funds, the District may purchase and the Provider shall provide comprehensive oral health services including the provision of a dental provider network, beneficiary services, and related administrative and support services for approximately 6,000 children and 60,000 adults in the District’s fee- for-service population as described in Section C.3.
Sample 1
Scope of Human Care Service. C.1.1 Subject to the continuing availability of funds, the District may purchase and the provider shall provide the human care services in the manner specified in Section C. C.1.2 The Department of Youth Rehabilitation Services (DYRS) seeks multiple Providers to provide residential treatment services for approximately 100 male and 25 female youth who have been adjudicated in the District of Columbia’s juvenile justice system. Each youth’s typical length of stay may range from 30 to 365 days with an average length of stay between six and nine months. C.1.3 DYRS needs a variety of basic treatment services and specialized treatment services to address delinquency and mental health issues of youth, to include; residential treatment services for delinquent youth with a dependent child, residential sex offender treatment services for delinquent youth, residential fire setter treatment services for delinquent youth, residential substance abuse treatment services for delinquent youth, residential treatment services for developmentally delayed/ mentally challenged delinquent youth, and residential treatment services for delinquent youth with co-occurring disorders, such as substance abuse and emotional disturbance. C.1.4 The system of care expected to result from these human care agreements seeks to address the specific need of youth served by DYRS. The programming shall be gender specific, culturally sensitive, language appropriate, tailored to fit the strengths and needs of referred youth based upon best, promising and evidence based practices in delinquency reduction for youth. Services shall address the principles of positive youth development and the balanced and restorative justice principles of public safety, accountability, and competency development.
Sample 1
Scope of Human Care Service. C.1.1 Subject to the continuing availability of funds, the District may purchase and the provider shall provide the human care services in the manner specified in Section C. C.1.2 District of Columbia (DC) Department of Health (DOH), Community Health Administration (CHA), Child Adolescent and School Health (CASH) Bureau, seeks the services of qualified vendors to provide dental services for students enrolled in DC Public Schools (DCPS), DC Head Start Programs and DC Chartered Schools.
Sample 1
Scope of Human Care Service. Subject to the continuing availability of funds, the District may purchase and the provider shall provide the human care services in the manner specified in subsections C.6 thru C.
Sample 1

Related to Scope of Human Care Service

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  • 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

  • COVERED HEALTHCARE SERVICES This section describes covered healthcare services. This plan covers services only if they meet all of the following requirements: • Listed as a covered healthcare service in this section. The fact that a provider has prescribed or recommended a service, or that it is the only available treatment for an illness or injury does not mean it is a covered healthcare service under this plan. • Medically necessary, consistent with our medical policies and related guidelines at the time the services are provided. • Not listed in Exclusions Section. • Received while a member is enrolled in the plan. • Consistent with applicable state or federal law. We review medical necessity in accordance with our medical policies and related guidelines. Our medical policies can be found on our website. Our medical policies are written to help administer benefits for the purpose of claims payment. They are made available to you for informational purposes and are subject to change. Medical policies are not meant to be used as a guide for your medical treatment. Your medical treatment remains a decision made by you with your physician. If you have questions about our medical policies, please call Customer Service. When a new service or drug becomes available, when possible, we will review it within six (6) months of one of the events described below to determine whether the new service or drug will be covered: • the assignment of an American Medical Association (AMA) Current Procedural Terminology (CPT) code in the annual CPT publication; • final Food and Drug Administration (FDA) approval; • the assignment of processing codes other than CPT codes or approval by governing or regulatory bodies other than the FDA; • submission to us of a claim meeting the criteria above; and • generally, the first date an FDA approved prescription drug is available in pharmacies (for prescription drug coverage only). During the review period, new services and drugs are not covered. For all covered healthcare services, please see the Summary of Medical Benefits and the Summary of Pharmacy Benefits to determine the amount that you pay and any benefit limits.

  • Medicaid Enrollment Treatment Grantees shall enroll as a provider with Texas Medicaid and Healthcare Partnership (TMHP) and all Medicaid Managed Care organizations in Grantee’s service region within the first quarter of this procurement term and maintain through the procurement term.

  • HEALTH CARE PLANS ‌ Notwithstanding the references to the Pacific Blue Cross Plans in this article, the parties agree that Employers, who are not currently providing benefits under the Pacific Blue Cross Plans may continue to provide the benefits through another carrier providing that the overall level of benefits is comparable to the level of benefits under the Pacific Blue Cross Plans.

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  • CERTIFICATION REGARDING BOYCOTTING CERTAIN ENERGY COMPANIES (Texas law as of September 1, 2021) By submitting a proposal to this Solicitation, you certify that you agree, when it is applicable, to the following required by Texas law as of September 1, 2021: If (a) company is not a sole proprietorship; (b) company has ten (10) or more full-time employees; and (c) this contract has a value of $100,000 or more that is to be paid wholly or partly from public funds, the following certification shall apply; otherwise, this certification is not required. Pursuant to Tex. Gov’t Code Ch. 2274 of SB 13 (87th session), the company hereby certifies and verifies that the company, or any wholly owned subsidiary, majority-owned subsidiary, parent company, or affiliate of these entities or business associations, if any, does not boycott energy companies and will not boycott energy companies during the term of the contract. For purposes of this contract, the term “company” shall mean an organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or limited liability company, that exists to make a profit. The term “boycott energy company” shall mean “without an ordinary business purpose, refusing to deal with, terminating business activities with, or otherwise taking any action intended to penalize, inflict economic harm on, or limit commercial relations with a company because the company (a) engages in the exploration, production, utilization, transportation, sale, or manufacturing of fossil fuel-based energy and does not commit or pledge to meet environmental standards beyond applicable federal and state law, or (b) does business with a company described by paragraph (a).” See Tex. Gov’t Code § 809.001(1).

  • Vision Care Plan The County agrees to provide a Vision Care Plan for all employees and dependents. The Plan will be the Vision Service Plan - Plan A with benefits at 12/12/24 month intervals and with twenty dollar ($20.00) deductible for examinations and twenty dollar ($20.00) deductible for materials. The County will fully pay the monthly premium for the employee and dependents and pick up inflationary costs during the term of the Agreement.

  • Core Services The Company agrees to provide to the Municipality the Core Services set forth in Schedule “A”. The Company and the Municipality may amend Schedule “A” from time to time upon mutual agreement.

  • Dental Care Plan The Welfare Plan will include a Dental Care Plan which will reimburse members for expenses incurred in respect of the coverages summarized in Appendix "1". The Plan will not duplicate benefits provided now or which may be provided in the future by any government program.

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