Coordinated Care definition

Coordinated Care means the management of health care services by a third-party payer for a beneficiary. Examples include, but are not limited to, provider selection or referral, preadmission certification, length of stay determination and second surgical opinions.
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Coordinated Care means services directly related to covered school-based health services (SBHS) specified in the individualized education program (IEP) or individualized family service plan (IFSP), performed by medically qualified staff, and allowed under OAR 410-133-0080 Coverage to manage integration of those health services in an education setting. Coordinated care includes the following activities:
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Coordinated Care. Is the service provided to enrollees by doctors who are part of the preferred network of providers Primary Medical Group. The Primary Care physician is the leading provider of services for he is responsible to periodically evaluate their health and coordinate all medical services they need. Coordination of benefits: The order in which health services are paid when the person has more than one medical plan. One of the plans is considered the primary plan and the other the secondary plan or secondary payer.
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Examples of Coordinated Care in a sentence

  • Therefore, all existing rules need to be repealed to avoid redundant or conflicting rules in the oversight of the State’s Coordinated Care Organizations (CCOs).

  • They are designed to improve OHA’s financial oversight of Coordinated Care Organizations (CCOs).

  • The State shall develop an outreach and education strategy to explain the changes to individuals who are impacted by the Coordinated Care Initiative.

  • Adopting rule for Qualified Directive Payments for Rural Type A/B and Public Academic Health Centers for Medicaid members enrolled in Coordinated Care Organizations.

  • Another new rule authorizes and establishes the process for a Coordinated Care Organization (CCO) to invest Restricted Reserve funds towards affordable housing activities.

  • This function is non-delegable under the Coordinated Care contracts in the context of hearings and appeals.

  • The Oregon Health Authority (OHA) contracts with Coordinated Care Organizations (CCOs) to manage and deliver integrated services that include Physical Health, Behavioral Health, and Dental Services to over 90% of Oregon’s Medicaid population.

  • Sixteen Coordinated Care Organizations (CCOs) – which geographically cover the entire state – now deliver physical, oral and behavioral health services to approximately 90 percent of OHP members.

  • Definition: An individual service plan is required for all members receiving services through Coordinated Care.

  • This is consistent with how these transitions to managed care have occurred in the past, such as with the Coordinated Care Initiative and the Whole Child Model.


More Definitions of Coordinated Care

Coordinated Care means covered expenses that have been referred by a Participant’s designated Primary Care Physician. The following services do not require a referral (OBGYN, Behavioral Health, Fertility Services, Habilitative Services (i.e. physical, occupational, speech therapy), Acupuncture, Chiropractic Care, Laboratory and Pathology Services, Emergency Services and Urgent Care). All other services will require a referral in order to be covered as “Coordinated Care”. “Coordinated Care” requires the use of a physician or facility participating in the network. Fertility services are administered by Kindbody.
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Related to Coordinated Care

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

  • Child support services means any civil, criminal or administrative action taken by the Division of

  • Child care means continuous care and supervision of five or more qualifying children that is:

  • Pharmacy services means the practice of pharmacy as defined in chapter 18.64 RCW and includes any drugs or devices as defined in chapter 18.64 RCW.

  • Coordination means the process through which the infrastructure manager and applicants will attempt to resolve situations in which there are conflicting applications for infrastructure capacity;

  • Program coordinator means a registered nurse responsible for administrative aspects of a state-approved nurse aide training course.

  • Services Coordinator means an employee of the community developmental disability program or other agency that contracts with the county or Division, who is selected to plan, procure, coordinate, monitor Individual Support Plan services, and to act as a proponent for individuals with developmental disabilities.

  • Project Managers means the individuals identified in Section 12 of this Agreement who are authorized by TriMet and Subrecipient respectively to send and receive communications regarding this Agreement.

  • Database Management System (DBMS) A system of manual procedures and computer programs used to create, store and update the data required to provide Selective Routing and/or Automatic Location Identification for 911 systems. Day: A calendar day unless otherwise specified. Dedicated Transport: UNE transmission path between one of CenturyLink’s Wire Centers or switches and another of CenturyLink’s Wire Centers or switches within the same LATA and State that are dedicated to a particular customer or carrier. Default: A Party’s violation of any material term or condition of the Agreement, or refusal or failure in any material respect to properly perform its obligations under this Agreement, including the failure to make any undisputed payment when due. A Party shall also be deemed in Default upon such Party’s insolvency or the initiation of bankruptcy or receivership proceedings by or against the Party or the failure to obtain or maintain any certification(s) or authorization(s) from the Commission which are necessary or appropriate for a Party to exchange traffic or order any service, facility or arrangement under this Agreement, or notice from the Party that it has ceased doing business in this State or receipt of publicly available information that signifies the Party is no longer doing business in this State.

  • Coordinator means the person designated by Canada to act as the Dispute Resolution Coordinator.

  • Project Management Plan means the portion of the Project Development Plan providing the information requested in Section 4.2 of Exhibit B to the ITP.

  • Technical Support Services means the technical support and maintenance Services provided by us according to our then-current technical support policy and procedure listed at xxxxxxxxxxxxx.xxx (“Technical Support Policy”) when the Services are purchased.

  • Support Services means support in relation to the use of, and the identification and resolution of errors in, the Hosted Services, but shall not include the provision of training services;

  • Hospice Care means a coordinated program of active professional

  • Team means a team affiliated to a Club, including where a Club provides more than one team in the Competition in accordance with the Rules.

  • Child care services means the range of activities and programs provided by a certificate holder to an enrolled child, including personal care, supervision, education, guidance, and transportation.

  • SBE Program Coordinator means the individual appointed, from time to time, by the City’s Community and Economic Development Director to administer the SBE Regulations.

  • Service coordination means a specialized care management service that is performed by a Service Coordinator and that includes but is not limited to:

  • 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.

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

  • Program Manager means the HCAI manager responsible for the grant program.

  • 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.

  • Manufacturing Services means the manufacturing, quality control, quality assurance, stability testing, packaging, and related services, as set forth in this Agreement, required to manufacture Product or Products using the Active Materials, Components, and Xxxx Back Items;

  • Development Services “Target Market”; “Investment Areas”; and “Targeted Populations” have the meanings ascribed to such terms in 12 C.F.R. 1805.104.

  • Routine care means medical care which is not urgent or emergent in nature and can wait for a regularly scheduled physician appointment without risk of permanent damage to the patient’s life or health status. The condition requiring routine care is not likely to substantially worsen without immediate clinical intervention.

  • Pharmacist services means products, goods, and services, or any combination of products, goods, and services, provided as a part of the practice of pharmacy.