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  • Therefore, all existing rules need to be repealed to avoid redundant or conflicting rules in the oversight of the State’s Coordinated Care Organizations (CCOs).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

  • If a PHP wishes to use their own disclosure statement form, they shall submit to their Coordinated Care Account Representative (CAR) for Authority approval prior to use.

  • Coordinated Care Initiative (CCI) Three-Way Contract, Section 2.6, eff January 1, 2018.

  • Coordinated Care: Members requiring coordinated care are those with severe and/or chronic behavioral health conditions that necessitate a team approach to providing medically necessary care.

  • A common technique for inhibiting password guessing is to disable an account after three consecutive failed login attempts.

  • Coordinated Care Initiative (CCI) Three-Way Contract, Section 2.8, eff January 1, 2018.

  • IEHP CPO services are offered in accordance with the Coordinated Care Initiative (CCI) guidelines.

  • Coordinated Care Organizations (CCOs) must keep and maintain books, documents and other records as prescribed by the Division of Medicaid for a period of no less than ten (10) years or until all issues are finally resolved whichever is later.


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

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

  • 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.

  • 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.

  • 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.

  • Program Manager refers to the professional management firm selected by the Owner as the Owner’s representative for the Project, and its employees and consultants.

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

  • 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.