Care Model definition

Care Model. A comprehensive approach developed and implemented by Contractor and Participating Providers to support Attributed Members with integrated care and coordinated services. The Care Model emphasizes screening and risk stratification of all Attributed Members; prevention, improvement, self-management, and coordinated treatment of disease; tailored interventions based on the level of risk; and effective team-based care.

Care Model has the meaning set forth in the Recitals and shall include the Care Model as amended or modified.

Examples of Care Model in a sentence

• The accepted methodology which was incorporated into the 2014 Long Term Care Model Regulation defines past losses as actual past claims less expected past claims when determining loss ratio compliance.

• To learn more about the Behavioral Health Continuum of Care Model including prevention strategies, principles of cultural awareness and competency, and other approaches used to implement this model, visit the Substance Abuse and Mental Health Services Administration (SAMHSA) website (http://www.samhsa.gov/prevention).

• First, in the literature, more authors agreed that students‟ gender and age are the most influential factors for teacher-student relationships and students‟ level of emotional intelligence.

• Office-Based Opioid Treatment with Buprenorphine (OBOT-B): Statewide Implementation of the Massachusetts Collaborative Care Model in Community Health Centers.

• Screening is integrated into the clinical programs which comprise the Complete Care Model of Care including case management, discharge transitions, DM, and wellness.

• Benefits are excluded for Mental Health services or substance use disorder services delivered through the Psychiatric Collaborative Care Model when used to treat a condition other than an approved behavioral health diagnosis.

• Effective no earlier than July 1, 2020, the state must implement a Collaborative Care Model (CoCM) pilot program for a limited number of HealthChoice beneficiaries.

• The program is based on the National School Age Child Care Model, which has worked successfully in hundreds of YMCAs across America.

• State that participation in the Model may preclude the individual or entity from participating in the Medicare Shared Savings Program, another REACH ACO in the Model, the Vermont Medicare ACO Initiative, the Kidney Care Choices Model, any other Medicare initiative that involves shared savings (except as otherwise specified by CMS), the Primary Care First Model, the Maryland Total Cost of Care Model, and the Independence at Home Demonstration.

• The Oncology Care Model and other value-based payment models in cancer care.