Managed Long Term Care Program definition

Managed Long Term Care Program. Identify all significant program developments, issues, or problems that have occurred in the current quarter. Additionally, all requirements as outlined in STC 49 should be included.
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Examples of Managed Long Term Care Program in a sentence

  • The State uses Plan Qualification Standards to qualify MCOs for participation in the Managed Long Term Care Program pursuant to the State’s responsibility to assure program access to all Enrollees, the Plan Qualification Standards require each MCO to submit an ADA Compliance Plan that describes in detail how the MCO will make services, programs and activities readily accessible and useable by individuals with disabilities.

  • This sweeping change is built off the state’s highly successful voluntary Managed Long Term Care Program (MLTCP) and the sound base of New York’s successful Mainstream Managed Care Program.

  • Medicaid Advantage PlusMedicaid Advantage Plus is a Medicaid managed care program designed for individuals who are eligible for Medicare and Medicaid and also meet the criteria for enrolling in New York State’s Managed Long Term Care Program.

  • Managed Long Term Care Program — The NYSDOH long term managed care program that contracts with Medicaid Advantage Plus plans, Partially Capitated Managed Long Term Care Plans (MLTCPs), and Program of All- inclusive Care for the Elderly plans (PACE) to provide managed Community-based or Facility-based LTSS to eligible consumers.

  • Home Delivered MealsNutritionally balanced hot meals, 5 days per week, delivered to approximately 90 clients and disabled individuals served through traditional OFA nutrition services funding as well as the Medicaid Managed Long Term Care Program; second (sandwich) meals to especially frail or nutritionally needy homebound seniors; and frozen meals to individuals who meet certain criteria.

  • NYS Conflict-Free Evaluation and Enrollment Center Requirement If you are a Medicaid beneficiary (or are pending Medicaid) and wish to enroll in PACE CNY or any Medicaid Community-Based Managed Long Term Care Program, you must contact the Conflict-Free Evaluation and Enrollment Center (CFEEC) to arrange for a CFEEC nurse to visit you at your home, nursing home or hospital to determine your eligibility.

  • For key fiscal requirements, OPWDD will seek to mirror what DOH and the state Division of Financial Services have already done for the Managed Long Term Care Program (MLTCP) under DOH.

  • These support several elements of the City’s General Plan and the Education / Outreach, Standards and Ordinance / Policies focus areas of the ULF structure.

  • GUILDNET OVERVIEW GuildNet Inc., a subsidiary of Lighthouse Guild Vision and Health, offers a Managed Long Term Care Program (MLTCP) established to coordinate healthcare services for chronically ill adults wishing to remain in their own home and communities as long as possible.

  • Assisted 6,659 elders with eligibility determination for State Medicaid Managed Long Term Care Program The Alliance Delivers: Help • In 2017, the Alliance provided emergency assistance to 100 older adults, referred by Adult Protective Services, who were at high risk of abuse or neglect • In 2017, the Alliance helped 1,275 households receive Emergency Home Energy Assistance for the Elderly (EHEAP).

Related to Managed Long Term Care Program

  • Managed Care Program means the process that determines Medical Necessity and directs care to the most appropriate setting to provide quality care in a cost-effective manner, including Prior Authorization of certain services.

  • Qualified long-term care services means services that meet the requirements of Section 7702(c)(1) of the Internal Revenue Code of 1986, as amended, as follows: necessary diagnostic, preventive, therapeutic, curative, treatment, mitigation and rehabilitative services, and maintenance or personal care services which are required by a chronically ill individual, and are provided pursuant to a plan of care prescribed by a licensed health care practitioner.

  • Child Care Program means a person or business that offers child care.

  • Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Long-term inpatient care means inpatient services for

  • Long-term care services means the services admin- istered directly or through contract by the aging and disability services administration and identified in WAC 388-106- 0015.

  • Non-Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has not been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Long-term care means the system through which the Department provides a broad range of social and health services to eligible adults who are aged, blind, or have disabilities for extended periods of time. This includes nursing homes and state hospitals (Eastern Oregon and Oregon State Hospitals).

  • Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

  • Education program means any program that is principally engaged in the provision of education, including, but not limited to, early childhood education, elementary and secondary education, postsecondary education, special education, job training, career and technical education, and adult education, and any program that is administered by an educational agency or institution.

  • 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.

  • Education program or activity means locations, events, or circumstances for which the school district exercises substantial control over both the respondent and the context in which the sexual harassment occurs and includes school district education programs or activities that occur on or off of school district property.

  • Educational program means a program for educating and preparing physician assistants which is approved by the board.

  • Group long-term care insurance means a long-term care insurance policy which is delivered or issued for delivery in this State and issued to:

  • Long-term care facility means a nursing home, retirement care, mental care, or other facility or institution that provides extended health care to resident patients.

  • Federal Health Care Program has the meaning set forth in 42 U.S.C. 1320a-7b(f).

  • Dependent care assistance program means a benefit plan

  • Nursing program means a series of courses leading to an LPN certificate or an ADN degree provided through a Wyoming community college; or a BSN degree or a Master’s degree provided through the University of Wyoming; or, in the case of a candidate for a doctoral degree, provided through an institution offering the required nursing education courses under contract with the WICHE, or in a distance nursing education program provided through a university that is regionally accredited.

  • Long-term care insurance means group insurance that is authorized by the retirement system for retirants, retirement allowance beneficiaries, and health insurance dependents, as that term is defined in section 91, to cover the costs of services provided to retirants, retirement allowance beneficiaries, and health insurance dependents, from nursing homes, assisted living facilities, home health care providers, adult day care providers, and other similar service providers.

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

  • Cooperative education program means a written voluntary agreement between and among districts to provide certain educational programs for pupils in certain groups of districts. The written agreement shall be approved by all affected districts at least annually and shall specify the educational programs to be provided and the estimated number of pupils from each district who will participate in the educational programs.

  • Approved abuse education training program means a training program using a curriculum approved by the abuse education review panel of the department of public health or a training program offered by a hospital, a professional organization for physicians, or the department of human services, the department of education, an area education agency, a school district, the Iowa law enforcement academy, an Iowa college or university, or a similar state agency.

  • Health-related services means the same as in A.R.S. § 36-401.

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

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

  • Participating Retail Health Clinic means a Retail Health Clinic which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.