Examples of Health Home Participant in a sentence
Health Home Participant: A Health Home Candidate who is participating in the AHI Health Home and is assigned to an AHI Health Home Services Provider for care management.
Health Home Network Partners: The group of medical, behavioral, social services, and other community- based organizations by which a Health Home Participant receives services to address needs identified in the comprehensive care management plan developed by the Health Home Participant’s AHI Health Home Services Provider.
Upon prior reasonable notice to Health Home, MCO shall have the authority to De-Activate a Health Home Participant or Re-Assign Health Home Participants to another designated health home if the Health Home is not effectively providing or managing Health Home Services to the Member, not achieving quality goals, not adhering to the MCO’s protocols, or not meeting specific Members needs, as determined by the MCO after consultation with the Health Home.
The Health Home, in the development of a plan of care for a Health Home Participant, shall ensure that such plan of care is in accordance with the MCO’s Participating Provider manual, as applicable to care management and Health Home Services.
The Health Home Participant, and/or legal guardian/representative, will be involved to the greatest degree possible in developing the care management plan and play an active and central role in the development and execution of their Plan of Care.
AHIHH: AHI Health Home Health Home Candidate: a person who is potentially eligible to become a Health Home Participant and is assigned by an MCO or NYSDOH to AHI or who has been referred to the HHSP or to AHIHH.
The parties recognize that there are many ways in which Health Home Participant status may change that may result in Re-Assignment or De-Activation.
DefinitionsAHIHH: AHI Health Home, a designated lead Health Home by the New York State Department of Health Health Home Network Partners: The group of medical, behavioral, social services, and other community- based organizations by which a Health Home Participant receives services to address needs identified onthe comprehensive care management plan developed by the Health Home Participant’s AHI Health Home Services Provider.
In addition, MCO may Re-Assign a Health Home Participant to another Health Home if the Member: a) requests Re-Assignment, b) relocates, or c) transfers to a Primary Care Participating Provider who is affiliated with another health home.
DefinitionsHealth Home Service Provider (HHSP): an organization that has a fully executed contract (the “Health Home Services Provider Agreement”) with the Adirondack Health Institute to provide health home outreach and/or care management services.Health Home Candidate: a person who is potentially eligible to become a Health Home Participant and is assigned by an MCO or NYSDOH to AHI or is referred by an organization.