Functional Eligibility definition

Functional Eligibility means the level of care needed by the waiver applicant/beneficiary to receive services through the waiver rather than in an institutional setting. To be determined an individual with functional eligibility, an individual must not require a skilled level of care, as defined in the state rule, and must meet at least one (1) of the following three (3) criteria, as determined by a licensed medical professional:
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Functional Eligibility means an individual meets the level of care criteria for a Long-Term Services and
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Functional Eligibility means that the Client meets the criteria for long-term care services as
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Examples of Functional Eligibility in a sentence

  • The PH-MCO must abide by the decision of the Functional Eligibility Determination process determination letter related to the need for Nursing Facility services.

  • Do not wait for Functional Eligibility approval before you start the application for Financial Eligibility.

  • Lastly, the selected entity is responsible for ensuring that Functional Eligibility Determinations and annual Redeterminations are completed within the required timeframes as set forth in policy.

  • The numbers α = 0 are not essential now and are chosen in such a way that(X ⊗ 1)(1 ⊗ X)(E ⊗ 1) = 1 ⊗ E (2.1)(see (5) of [14]).

  • Currently, PD eligible individuals must meet the level of care required for nursing facility placement as determined by the Medicaid Long Term Care (LTC) threshold score using a Functional Eligibility Instrument.

  • Additionally, individuals enrolled in the HCBS-AMH program have demonstrated a need to be enrolled in the HCBS-AMH program by meeting additional Functional Eligibility criteria identified through the Adult Needs and Strength Assessment (ANSA).

  • To be eligible for HCBS-FE waiver services, participants (a) must be 65 years of age (b) meet the Medicaid long term care threshold; and (c) be determined functionally eligible for HCBS/FE waiver services according to the state approved HCBS/FE Functional Eligibility Instrument (FEI) and threshold guide level of care score (K.A.R. 30-5-305; K.A.R. 30-5-309).Entry into the waiver is based on a first-come, first-served basis for applicants determined eligible.

  • The ADRC shall not administer the Functional Eligibility Screen for Mental Health and AODA.

  • OLTL has entered into a sole-source contract with a non-governmental, non-state, conflict-free and independent assessment entity to conduct the initial and annual level of care determinations, hereafter referred to as Functional Eligibility Determinations and Re-determinations, respectively.

  • The following reports will be utilized to determine that Functional Eligibility Determinations are being conducted and applied accurately.


More Definitions of Functional Eligibility

Functional Eligibility means an individual meets the functional level of care criteria for a Long-
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Functional Eligibility means an individual meets functional criteria for a Long -Term Services and
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Functional Eligibility means. the individual met criteria used for determining whether an individual needs nursing facility level of care. Functional eligibility is separately assessed from Medicaid financial eligibility.
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Functional Eligibility means the demonstrable degree to which an individual requires assistance with activities of daily living.
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Related to Functional Eligibility

  • Eligibility and selection criteria means criteria for determining:

  • Functional Criteria means the criteria set out in clause 27 of this Part C.

  • Eligibility Service of an employee means the period or periods of service credited to him under the provisions of Article II for purposes of determining his eligibility to participate in the Plan as may be required under Article III or Article VI.

  • Retirement Eligibility means Employee’s attainment of 60 years of age and ten years of continuous employment with Corporation.

  • Eligibility means the decision as to whether an individual qualifies, under financial and nonfinancial requirements, to receive program benefits.

  • Eligibility Criteria means the legal criteria as specified in the Clause 5 of this E- Auction Process Information Document;

  • Multiple Listing Service A means for collecting and disseminating information about real property that is or has been for sale, including a means for real estate brokers to make offers of cooperation and compensation to each other. Multiple Listing Services may also include, without limitation, the provision of data processing, technical support, consulting, and other information technology services to real estate brokers and appraisers in connection with the sale and appraisal of real property.

  • Qualifying Educational Program means a program at a post-secondary school level of not less than three consecutive weeks duration that requires each student taking the program to spend not less than 10 hours per week on courses or work in that program.

  • eligibility adviser means: (i) a person that is registered as an investment dealer and authorized to give advice with respect to the type of security being distributed; and (ii) in Saskatchewan or Manitoba, also means a lawyer who is a practicing member in good standing with a law society of a jurisdiction of Canada or a public accountant who is a member in good standing of an institute or association of chartered accountants, certified general accountants or certified management accountants in a jurisdiction of Canada provided that the lawyer or public accountant must not: (A) have a professional, business or personal relationship with the issuer, or any of its directors, executive officers, founders, or control persons, and (B) have acted for or been retained personally or otherwise as an employee, executive officer, director, associate or partner of a person that has acted for or been retained by the issuer or any of its directors, executive officers, founders or control persons within the previous 12 months;

  • Eligibility Requirement means all eligibility requirements and other qualification requirements for a person to act in the applicable Corporate Trust Capacity under any Appointment as set forth in the related Corporate Trust Contract, including any required authorizations or licenses from the Federal National Mortgage Association, the Federal Home Loan Mortgage Corporation, the Government National Mortgage Association, the Federal Housing Administration, the Federal Home Loan Bank or the Department of Veterans Affairs.

  • Criteria means one of the eight (8) state defined categories to be scored.

  • Eligibility Requirements means, with respect to any Person, that such Person has at least $200,000,000 in capital/statutory surplus or shareholders’ equity (except with respect to a pension advisory firm or similar fiduciary) and at least $600,000,000 in total assets (in name or under management), and is regularly engaged in the business of making or owning commercial real estate loans (or interests therein), mezzanine loans (or interests therein) or commercial loans (or interests therein) similar to the Mortgage Loan.

  • aerodrome control service means air traffic control service for aerodrome traffic;

  • Independent educational evaluation means an evaluation conducted by a qualified examiner who is not employed by the public agency responsible for the education of the child in question.

  • Eligible list means an official record kept in the Commissioner's office as a public record which contains the names of those persons who have successfully completed examinations, listed and ranked in order of their final ratings from the highest to the lowest rank.

  • Fitch Criteria means the Collateral Amount shall equal the sum of (i) the product of A multiplied by the mark-to-market value of the outstanding Transactions dxxxxmined by Party A in good faith from time to time, and (ii) the product of B multiplied by the current aggregate notional amount of the outstanding Transactions, where:

  • Eligibility Computation Period means a 12-consecutive month period beginning with your first day of employment. Any succeeding Eligibility Computation Period will then switch to the Plan Year, beginning with the Plan Year that includes your first anniversary of employment. You will generally earn an hour of service for each hour you are paid for the performance of duties for the Company (however, numerous exceptions and special rules apply).

  • Selection Criteria means and includes all of the requirements, considerations,

  • Continuous parameter monitoring system (CPMS means all of the equipment necessary to meet the data acquisition and availability requirements of the Prevention of Significant Deterioration program, to monitor process and control device operational parameters (for example, control device secondary voltages and electric currents) and other information (for example, gas flow rate, O2 or CO2 concentrations), and to record average operational parameter value(s) on a continuous basis.

  • Functional Specifications means the descriptions of features and functions of the Application as expressly set forth in Quote.

  • Ineligibility means the Athlete or other Person is barred on account of an anti-doping rule violation for a specified period of time from participating in any Competition or other activity or funding as provided in Article 10.12.1;

  • Review Criteria has the meaning assigned to that term in Section 12.02(b)(i).

  • Eligibility Conditions means the eligibility conditions specified in the Act and the Rules including all the eligibilityconditions listed in Clause [5] of the Tender Document.

  • Testing service means a national testing service selected by the board.

  • Eligibility Waiting Period means the continuous length of time you must be in Active Employment in an eligible class to reach your Eligibility Date.

  • Continuous parameter monitoring system or "CPMS" means all of the equipment necessary to meet the data acquisition and availability requirements of this chapter, to monitor process and control device operational parameters (for example, control device secondary voltages and electric currents) and other information (for example, gas flow rate, oxygen or carbon dioxide concentrations), and to record average operational parameter value on a continuous basis.