Appropriateness of services definition

Appropriateness of services means an appeal classification for adverse determinations that are made based on identification of treatment as cosmetic, investigational, experimental or not an appropriate or preferred treatment method or setting for the condition for which treatment is sought.
Appropriateness of services. The types and intensity of services, including case management, are provided based on the member’s assessment and treatment recommendations. ICR 85% 90% 95% Informed consent for psychotropic medications: Members and/or parents/guardians are informed about and give consent for prescribed medications. (As dictated by IHS standards) ICR Not in ABHS client chart; kept in IHS client chart 80% 90% 95% Quality clinical outcomes: There is evidence of positive clinical outcomes for members receiving behavioral health services. ICR 80% 82% 85%

Examples of Appropriateness of services in a sentence

  • Appropriateness of services · Reduction in referral and transfer of clients because of lack of appropriate care for their conditions.

  • In addition, provider agencies are monitored with respect to: • Recipient’s access to needed services identified in the service plan, • Quality of assessment and service planning, • Appropriateness of services provided including content, intensity, frequency and recipient input and satisfaction, • The presence of the personal outcomes as defined and prioritized by the recipient and/or responsible representative, and • Internal quality improvement.

  • Appropriateness of services and facilities to the Rottnest Island environment is measured through:» water consumption; and» marine water quality.Conservation of the natural and built environment is assessed in three key areas:» fauna biodiversity;» revegetation; and» built heritage.

  • Most (87.4%) responded positively to the questions related to the Quality and Appropriateness of services, and 82.8% thought that the services were Accessible.

  • From their experience and perceptions of the services offered at the centre, the following themes were explored; (a) Point of entry and applicability of RestorativeJustice processes, (b) Benefits of receiving services at RJC (c) Flaws in the practices at RJC (d) Opportunities to have their voices heard (e) Appropriateness of services (f) Adequacy and acceptability of services (g) Knowledge of sevices to victims of crime (h) The criminal case process vs.

  • In addition, provider agencies are monitored with respect to: Recipient access to needed services identified in the Plan of Care and Individualized Service Plan, Quality of assessment and service planning, Appropriateness of services provided including content, intensity, frequency and recipient input and satisfaction, The presence of the personal outcomes as defined and prioritized by the recipient/guardian, and Internal quality improvement.

Related to Appropriateness of services

  • The Services means those services ancillary to the supply of the Goods, such as transportation and insurance, and any other incidental services, such as installation, commissioning, provision of technical assistance, training, and other such obligations of the Supplier covered under the Contract.

  • Medically Necessary Services means those covered services that are, under the terms and conditions of the contract, determined through contractor utilization management to be:

  • Cost of Services is FASC’s total Operating Costs incurred in providing the applicable Category of Services during the month to all investment advisers for which FASC provides that Category of Services. “Adviser’s Assets under Management” is the total average assets under management for the month for all Accounts or portions thereof for which the Adviser acts as investment adviser or subadvisor and which utilize the Category of Services.

  • Scope of Services or “Scope of Work” means the work to be performed by the Proposer or Consultant as described in Section 2.0 of this RFP, as amended thereto.

  • Baseline Personnel Security Standard means the pre-employment controls for all civil servants, members of the Armed Forces, temporary staff and government contractors generally.

  • Registered in the System for Award Management (SAM) database means that—

  • Preventive services means preservation services, as defined

  • Nursing services means the provision of individual-specific advice, plans, or interventions by a nurse at a home based on the nursing process as outlined by the Oregon State Board of Nursing. Nursing services differ from administrative nursing services.

  • Independent living services means services and activities provided to a child in foster care 14 years

  • Supply of services means any transaction which does not constitute a supply of goods.

  • PECR means the Privacy and Electronic Communications (EC Directive) Regulations 2003 (SI 2426/2003).

  • Consulting Services means services of an advisory and intellectual nature provided by consultants using their professional skills to study, design, organize, and manage projects, encompassing multiple activities and disciplines, including the crafting of sector policies and institutional reforms, specialist advice, legal advice and integrated solutions, change management and financial advisory services, planning and engineering studies, and architectural design services, supervision, social and environmental assessments, technical assistance, and programme implementation;

  • Competent and reliable scientific evidence means tests, analyses, research, studies, or other evidence based on the expertise of professionals in the relevant area, that has been conducted and evaluated in an objective manner by persons qualified to do so, using procedures generally accepted in the profession to yield accurate and reliable results.

  • export of services means the supply of any service when,––

  • STIPULATED HOURS OF SERVICE PER DAY means hours of duty per day, normal hours/timings of duty whereof shall be determined by the Company's Engineer for which fixed charge shall be payable.

  • Eligible next Michigan business means that term as defined in section 3 of the Michigan economic growth authority act, 1995 PA 24, MCL 207.803.

  • MEDICAL STAFF LEADER means any Medical Staff Officer, department chair, section chief, and committee chair.

  • Finished Services means complete end-to-end services offered by Qwest to wholesale customers or retail End User Customers. Finished Services do not include Unbundled Network Elements or combinations of Unbundled Network Elements. Finished Services include Access Services, private lines, retail services, and resold services.

  • Training Services means access to Red Hat training courses, including online courses or courses provided at a site as may be agreed by the parties.

  • Pre-Licensed Psychologist means an individual who has obtained a Ph.D. or Psy.D. in Clinical Psychology and is registered with the Board of Psychology as a registered Psychology Intern or Psychological Assistant, acquiring hours for licensing and waivered in accordance with Welfare and Institutions Code section 575.2. The waiver may not exceed five (5) years.

  • Registered in the System for Award Management (SAM means that–

  • Services means those functional services ancillary to the supply of the goods, such as transportation and any other incidental services, such as installation, commissioning, provision of technical assistance, training, catering, gardening, security, maintenance and other such obligations of the supplier covered under the contract.

  • Inpatient services means services provided to you as an admitted inpatient in a recognised private or public hospital for treatment that is in an included clinical category, has a Medicare item number allocated and a Medicare benefit is payable.

  • Extraordinary unspecifiable services means services which are specialized and qualitative in nature requiring expertise, extensive training and proven reputation in the field of endeavor.

  • Supportive services means social, health, educational, income support and employment services and benefits, coordination of community building and educational activities, individualized needs assessment, and individualized assistance with obtaining services and benefits.

  • Child in need of services means (i) a child whose behavior, conduct or condition presents or results