Home Health Provider definition

Home Health Provider means any home health care agency licensed by the Department of Public Health and who also meets the requirements for participation in Medicare. Providers shall also meet all departmental enrollment requirements.
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Home Health Provider means a public or private agency or organization or a subdivision of an agency or organization, that: (a) is primarily engaged in providing skilled nursing and other therapeutic services; (b) has policies established by associated professional personnel, including one or more Physicians and one or more registered nurses to govern the services provided under the supervision of Physicians or registered nurses; (c) maintains medical records on all patients; (d) is licensed or approved by the state or local law as meeting the standards established for such licensing, and (e) has a full-time administrator. A Home Health Provider does not include an organization which is engaged primarily in the care and treatment of Mental Illness.
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Home Health Provider. A licensed Provider that has entered into an agreement with the HMO to provide home health care Covered Services to Members on an intermittent basis in the Members home in accordance with an approved home health care Plan of Treatment. Hospice: A Facility Provider that is engaged in providing palliative care rather than curative care to terminally ill individuals. The Hospice must be (1) certified by Medicare to provide Hospice services, or accredited as a Hospice by the appropriate regulatory agency; and (2) appropriately licensed in the state where it is located. Hospital: A short-term, acute care, general Hospital which has been approved by the Joint Commission on Accreditation of Healthcare Organizations and/or by the American Osteopathic Hospital Association or by the HMO and which:  Is a duly licensed institution;  Is primarily engaged in providing Inpatient diagnostic and therapeutic services for the diagnosis, treatment, and care of injured and sick persons by or under the supervision of Physicians;  Has organized departments of medicine;  Provides 24-hour nursing service by or under the supervision of Registered Nurses;  Is not, other than incidentally, a: Skilled Nursing Facility; nursing home; Custodial Care home; health resort, spa or sanitarium; place for rest; place for aged; place for provision of rehabilitation care; place for treatment of pulmonary tuberculosis; place for provision of Hospice care. Host Blue: A local BlueCross and/or BlueShield Licensee serving a geographic area other than Keystone Health Plan Central’s service area that has contractual agreements with providers in that geographic area, which participate in the BlueCard Program, regarding claim filing or payment for covered health care services rendered to Members when traveling outside Keystone’s Approved Service area. Identification Card (ID Card): The currently effective card issued to the Member by the HMO which must be presented when a Covered Service is requested.
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Examples of Home Health Provider in a sentence

  • Network ProviderNetwork Provider means an Outpatient Surgical Facility, Home Health Provider, Hospital, Qualified Practitioner, Qualified Treatment Facility, or Skilled Nursing Facility that has a written agreement with Providence Health Plan to participate as a health care provider for this Plan.

  • Program40 Clock Hours1 WeekProgram Delivery: Residential Instructor to Student Ratio: 1:10Theory and Clinical Schedule: Monday through Friday, 7:00 am – 3:30 pm Standard Occupational Code (SOC): 31-1011.00 - Home Health AidesSample of reported job titles: Caregiver, Certified Home Health Aide (CHHA), Certified Medical Aide (CMA), Certified Nurses Aide (CNA), Home Attendant, Home Care Aide, Home Health Aide (HHA), Home Health Provider, Hospice/Home Health Aide, In Home Caregiver.

  • Other complaints included personnel not being assigned to a beneficiary in a timely manner or absenteeism of the home health aide.Figure 38 Significant Home Health Provider Fraud in FY2014, Impacting Both Provider Participation and Beneficiary UtilizationIn assessing the District’s experience with access to PCA and skilled nursing services, it is important to understand recent history with provider and beneficiary fraud and its’ impact on provider participation and beneficiary utilization.

  • NOTE: Home Health Agency (HHA) refers to the skilled Medicare certified Home Health Provider 1.

  • Out-of-Network Provider‌Out-of-Network Provider means an Outpatient Surgical Facility, Home Health Provider, Hospital, Qualified Practitioner, Qualified Treatment Facility, Skilled Nursing Facility, or Pharmacy that does not have a written agreement with Providence Health Plan to participate as a health care provider for this Plan.

  • These supplements which remain in operation are:• The TUHS Home Health Provider Compliance Program• The TUHS Ambulance Compliance Program• The TUHS Health Information Security and Privacy Compliance Program• The TUHS Physician Group Billing Compliance Program• The TUHS Clinical Laboratory Compliance Program• The TUHS Controlled Substances Compliance ProgramThese supplements are incorporated by reference in the TUHS Corporate Compliance Program and are available at: www.templehealth.org/TUHS legal.

  • Network Provider‌Network Provider means an Outpatient Surgical Facility, Home Health Provider, Hospital, Qualified Practitioner, Qualified Treatment Facility or Skilled Nursing Facility that has a written agreement with Providence Health Plan to participate as a health care provider for this Plan.

  • At group-meeting/meeting, The feedback is open style to send back this sheet.

  • As part of the maturation of the PLAR process, the CCA Program Advisory Committee will work to develop a database of courses/programs that meet Nova Scotia CCA Program equivalency.The “transfer credit” for each program evaluated would be similar to the current Equivalency process for the NS Personal Care Worker, Home Support Worker, and NSCC Home Health Provider certification.

  • The third party agencies should be a Medicare Certified Home Health Provider or similar agency or organization.

Related to Home Health Provider

  • 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

  • Mental health provider means a health care provider or a health care facility authorized by state law to provide mental health services.

  • Home health aide means an individual employed by a home health agency to provide home health services under the direction of a registered nurse or therapist.

  • Home health agency means a person certified by medicare whose business is to provide to individuals in their places of residence other than in a hospital, nursing home, or county medical care facility 1 or more of the following services: nursing services, therapeutic services, social work services, homemaker services, home health aide services, or other related services.

  • Home Health Care Agency means an agency or organization which provides a program of home health care and which:

  • Home Health Care means the continual care and treatment of an individual if:

  • Home health aide services means the personal care and maintenance activities provided to individuals for the purpose of promoting normal standards of health and hygiene.

  • Home health services means part-time or intermittent skilled nursing services, other therapeutic services (physical therapy, occupational therapy, speech therapy), and home health aide services made available on a visiting basis in a place of residence used as the client's home.

  • Medical provider means a medical service provider, a hospital, a medical clinic, or a vendor of medical services.

  • Home health care services means medical and nonmedical services, provided to ill, disabled or infirm persons in their residences. Such services may include homemaker services, assistance with activities of daily living and respite care services.

  • Mental health services provider means an individual, licensed or unlicensed, who performs or purports to perform mental health services, including a:

  • Emergency medical care provider means an individual who has been trained to provide emergency and nonemergency medical care at the first responder, EMT-basic, EMT-intermediate, EMT-paramedic, paramedic specialist or other certification levels recognized by the department before 1984 and who has been issued a certificate by the department.

  • Acute care hospital means a Hospital that provides Acute Care Services. Adjudicate means to deny or pay a Clean Claim. Administrative Services see MCO Administrative Services. Administrative Services Contractor see HHSC Administrative Services Contractor.

  • Indian Health Care Provider means a health care program operated by the Indian Health Service (IHS) or by an Indian Tribe, Tribal Organization, or Urban Indian Organization (otherwise known as an I/T/U) as those terms are defined in § 4 of the Indian Health Care Improvement Act (25 USC § 1603). Indian Health Care Provider includes a 638 Facility and provision of Indian Health Service Contract Health Services (IHS CHS).

  • 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.

  • Retiree Health Plan means an "employee welfare benefit plan" within the meaning of Section 3(1) of ERISA that provides benefits to individuals after termination of their employment, other than as required by Section 601 of ERISA.

  • State health plan means the employee and retiree insurance program provided for in Article 5, Chapter 11, Title 1.

  • Mental health professional means a psychiatrist,

  • Allied Health Professional means a person registered as an allied health professional with the Health Professions Council;

  • Health care worker means a person other than a health care professional who provides medical, dental, or other health-related care or treatment under the direction of a health care professional with the authority to direct that individual's activities, including medical technicians, medical assistants, dental assistants, orderlies, aides, and individuals acting in similar capacities.

  • CMS means the Centers for Medicare and Medicaid Services.

  • Provider is any individual or company that provides professional or technical services.

  • Health plan or "health benefit plan" means any policy,

  • Health practitioner means a registered health practitioner registered or licensed as a health practitioner under an appropriate law of the State of Tasmania.

  • Emergency medical services provider means a person who has received formal training in prehospital and emergency care, and is licensed to attend any person who is ill or injured or who has a disability. Police officers, firefighters, funeral home employees and other persons serving in a dual capacity one of which meets the definition of “emergency medical services provider” are “emergency medical services providers” within the meaning of this chapter.

  • Group health plan means an employee welfare benefit plan as defined in section 3(1) of subtitle A of title I of the employee retirement income security act of 1974, Public Law 93-406, 29 USC 1002, to the extent that the plan provides medical care, including items and services paid for as medical care to employees or their dependents as defined under the terms of the plan directly or through insurance, reimbursement, or otherwise.