Enrollees with special health care needs definition

Enrollees with special health care needs means enrollees having chronic and disabling conditions and the conditions:
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Enrollees with special health care needs means enrollees who have or are at increased risk for chronic physical, developmental, behavioral, or emotional conditions and who also require health and related services of a type or amount beyond that required by adults and children generally.
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Enrollees with special health care needs. ((—))((Per- sons)) means enrollees having chronic and disabling condi- tions((, including persons with special health care needs that meet all of the following)) and the conditions:
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Examples of Enrollees with special health care needs in a sentence

  • Enrollees with special health care needs must have direct access to a specialist as appropriate for the individual's health care condition.

  • Enrollees with special health care needs must have direct access to a specialist, as appropriate for the individual's health care condition, as specified in 42 C.F.R. §438.208(c)(4).

  • Enrollees with special health care needs must have direct access to a specialist, as appropriate for the individual's health care condition, as specified in 42 C.F.R. 438.208(c)(4).

  • Mechanisms to assess the quality and appropriateness of care furnished to Enrollees with special health care needs.

  • The transition of care team will consist of skilled personnel with extensive knowledge and experience transitioning Enrollees with special health care needs.

  • Enrollees with special health care needs must have direct access to a specialist, as appropriate for the individual's health care condition, as specified in 42 CFR 438.208(c)(4).

  • The team will consist of skilled personnel with extensive knowledge and experience transitioning Enrollees with special health care needs.

  • Enrollees with special health care needs must have direct access to a specialist, as appropriate for the individual's health care condition, as specified in 42 CFR.

  • At least every two years, the CONTRACTOR in conjunction with the DEPARTMENT will survey a sample of Enrollees with special health care needs using a national consumer assessment questionnaire to evaluate their perceptions of services they have received.

  • Special Coverage Enrollees with special health care needs can get Special Coverage that will provide services for the care they need.


More Definitions of Enrollees with special health care needs

Enrollees with special health care needs means))- Persons having chronic and disabling conditions, including persons with special health care needs that meet all of the fol- lowing conditions:
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Related to Enrollees with special health care needs

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

  • Child with special needs means a child with one or more of the following conditions:

  • Health care facility or "facility" means hospices licensed

  • 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.

  • Medicaid means that government-sponsored entitlement program under Title XIX, P.L. 89-97 of the Social Security Act, which provides federal grants to states for medical assistance based on specific eligibility criteria, as set forth on Section 1396, et seq. of Title 42 of the United States Code.

  • Health carrier or "carrier" means a disability insurer

  • Medicare means the “Health Insurance for the Aged Act,” Title XVIII of the Social Security Amendments of 1965, as then constituted or later amended.

  • child care element of working tax credit means the element of working tax credit prescribed under section 12 of the Tax Credits Act 2002 (child care element).

  • Adult foster care facility means an adult foster care facility licensed under the adult foster care facility licensing act, 1979 PA 218, MCL 400.701 to 400.737.

  • Behavioral health provider means a person licensed under 34 chapter 18.57, 18.57A, 18.71, 18.71A, 18.83, 18.205, 18.225, or 18.79

  • Health care organization ’ means any person or en-

  • Respiratory care practitioner means an individual who practices respiratory care.

  • Medical care facility as used in this title, means any institution, place, building or agency, whether

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

  • Health Care Operations shall have the meaning given to such term under the HIPAA 2 Privacy Rule in 45 CFR § 164.501.

  • Community mental health center or "CMHC" means a facility offering a comprehensive array of community-based mental health services, including but not limited to, inpatient treatment, outpatient treatment, partial hospitalization, emergency care, consultation and education; and, certain services at the option of the center, including, but not limited to, prescreening, rehabilitation services, pre-care and aftercare, training programs, and research and evaluation.

  • Provider of health care means a physician or physician assistant licensed pursuant to chapter 630, 630A or 633 of NRS, perfusionist, dentist, licensed nurse, dispensing optician, optometrist, practitioner of respiratory care, registered physical therapist, podiatric physician, licensed psychologist, licensed audiologist, licensed speech-language pathologist, licensed hearing aid specialist, licensed marriage and family therapist, licensed clinical professional counselor, chiropractor, licensed dietitian or doctor of Oriental medicine in any form.

  • Health care entity means any health care provider, health plan or health care clearinghouse.

  • Health care coverage means any plan providing hospital, medical or surgical care coverage for