Commonwealth Coordinated Care Plus Program definition

Commonwealth Coordinated Care Plus Program or "CCC Plus" means the DMAS mandatory integrated care initiative for certain qualifying Medicaid members, including members who are dually eligible for Medicare and Medicaid and members receiving long-term services and supports (LTSS). The CCC Plus Program includes members who receive services through nursing facility (NF) care, specialized care NF, or long-stay hospitals, or from one of the four DMAS home and community-based services (HCBS) § 1915(c) waivers. Not all individuals in the CCC Plus Program will qualify for the CCC Plus Waiver.
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Commonwealth Coordinated Care Plus Program or "CCC Plus" means the department's mandatory integrated care initiative for certain qualifying individuals, including dual eligible individuals and individuals receiving long-term services and supports (LTSS). The CCC Plus program includes individuals who receive services through nursing facility (NF) care or from four of the department's five home and community-based services (HCBS) § 1915(c) waivers (the Alzheimer's Assisted Living (AAL) Waiver individuals are not eligible for the CCC Plus program).
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Commonwealth Coordinated Care Plus Program. “CCC Plus”, or “Medallion”, whether individually or collectively, shall be deemed to refer instead to the defined term “Medicaid Contract”.
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Examples of Commonwealth Coordinated Care Plus Program in a sentence

  • The requirements of this Appendix apply to Medicaid benefit plans sponsored, issued or administered by UnitedHealthcare Insurance Company, or one of its affiliates (referred to in this Appendix as “United”) under the Commonwealth of Virginia’s Medicaid and CHIP Programs, including the Commonwealth Coordinated Care Plus Program (CCCP) and Medallion 4.0 Medicaid and Family Access to Medical Insurance Security (FAMIS) Program (the “State Program”) as governed by the State’s designated regulatory agencies.

  • The Department shall determine if the member meets the criteria for exclusion;  Transfer to the Commonwealth Coordinated Care Plus Program;  Transfer to an eligibility category not included in this Contract; or,  Certain changes made within the Medicaid Management Information System by eligibility case workers at the Department of Social Services.

  • The Supplier shall submit separate monthly invoices unique to Medallion 4.0 and the Commonwealth Coordinated Care Plus Program.

  • In 2017, DMAS will move the remaining Medicaid populations into managed care under the new Commonwealth Coordinated Care Plus Program (CCC Plus).

  • Moore commented on the Commonwealth Coordinated Care Plus Program which is a new statewide Medicaid managed care program that becomes effective in July 2017, and will serve approximately 213,000 individuals with complex care needs.

Related to Commonwealth Coordinated Care Plus Program

  • Coordinated care organization means an organization meeting criteria adopted by the

  • Licensed health care professional means a person who possesses a professional medical license that is valid in Oregon. Examples include, but are not limited to, a registered nurse (RN), nurse practitioner (NP), licensed practical nurse (LPN), medical doctor (MD), osteopathic physician (DO), respiratory therapist (RT), physical therapist (PT), physician assistant (PA), or occupational therapist (OT).

  • Child Care Program means a person or business that offers child care.

  • Natural Resources Assistance Council means the natural resources assistance council created pursuant to Ohio Revised Code Section 164.21 as well as its members and officers.

  • Non-Administrator Coordinated Home Care Program means a Coordinated Home Care Program which does not have an agreement with the Claim Administrator or a Blue Cross Plan but has been certified as a home health agency in accordance with the guidelines established by Medicare.

  • Licensed health care provider means a physician, physician assistant, chiropractor, advanced registered nurse practitioner, nurse, physical therapist, or athletic trainer licensed by a board.

  • Licensed health care practitioner means a physician, as defined in Section 1861(r)(1) of the Social Security Act, a registered professional nurse, licensed social worker or other individual who meets requirements prescribed by the Secretary of the Treasury.

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • Health planning region means a contiguous geographical area of the Commonwealth with a

  • Health and Human Services Commission or “HHSC” means the administrative agency established under Chapter 531, Texas Government Code, or its designee.

  • Indian Health Care Provider means a health care program operated by the Indian Health Service (IHS) or by an Indian Tribe, Tribal Organization, or Urban Indian Organization (otherwise known as an I/T/U) as those terms are defined in § 4 of the Indian Health Care Improvement Act (25 USC § 1603). Indian Health Care Provider includes a 638 Facility and provision of Indian Health Service Contract Health Services (IHS CHS).

  • Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Federal Health Care Program means any “federal health care program” as defined in 42 U.S.C. § 1320a-7b(f), including Medicare, state Medicaid programs, state CHIP programs, the Veterans Administration, TRICARE and similar or successor programs with or for the benefit of any Governmental Authority, and in each case any third party payor administering such programs.

  • Virginia Stormwater Management Program authority or "VSMP authority" means an authority approved by the State Board after September 13, 2011, to operate a Virginia Stormwater Management Program.

  • Participating Retail Health Clinic means a Retail Health Clinic which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Child welfare services means social services including

  • Paycheck Protection Program means loan program created by Section 1102 of the CARES Act.

  • Urban Coordinating Council Empowerment Neighborhood means a neighborhood given priority access to State resources through the New Jersey Redevelopment Authority.

  • District coordinator means the state police emergency management division district coordinator.

  • Licensed mental health professional or "LMHP" means a physician, licensed clinical psychologist, licensed professional counselor, licensed clinical social worker, licensed substance abuse treatment practitioner, licensed marriage and family therapist, certified psychiatric clinical nurse specialist, licensed behavior analyst, or licensed psychiatric/mental health nurse practitioner.

  • Participating Clinical Professional Counselor means a Clinical Professional Counselor who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Health plan or "health benefit plan" means any policy,

  • Managed Care Program means the process that determines Medical Necessity and directs care to the most appropriate setting to provide quality care in a cost-effective manner, including Prior Authorization of certain services.

  • Designated mental health professional means a mental health

  • Community mental health program means all mental health

  • Health care professional means a physician or other health care practitioner licensed, accredited or certified to perform specified health care services consistent with state law.