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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Managed Long Term Care Program. Identify all significant program developments, issues, or problems that have occurred in the current quarter.
Sample 1

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.

  • 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.

  • 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.

  • Most of these proposals change requirements to reduce enrollment in the Medicaid Managed Long Term Care Program (MLTC).

  • 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.

  • Nutritionally balanced hot meals, 5 days per week, delivered to approximately 150 clients served through traditional GCOFA 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.

  • 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.

  • These reports also include data on enrollment in the state’s Medicaid Managed Long Term Care Program (MLTCP) and other programs.

  • Therefore, individuals enrolled in a Managed Long Term Care Program (MLTC), a Program of all Inclusive Care for the Elderly (PACE) or receiving Comprehensive Medicaid Case Management (CMCM) through a targeted case management program are not eligible for the NHTD waiver unless they are disenrolled from these programs.

  • Under the Managed Long Term Care Program (MLTC), eligible individuals in need of more than 120 days of community-based long term care services were enrolled with managed care providers to receive Long Term Services and Supports (LTSS), as well as other ancillary services.

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 services provided through the department of social and health services either in a hospital or skilled nursing facility, or in another setting under a home and community-based waiver authorized under 42 U.S.C. Sec. 1396n.

  • 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 those activities taken by a host state after a compact facility is permanently closed to ensure the protection of air, land, and water resources and the health and safety of all people who may be affected by the compact facility.

  • Managed care plan means a health benefit plan that either requires a covered person to use, or

  • 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 means any “federal health care program” as defined in 42 U.S.C. § 1320a-7b(f), including Medicare, state Medicaid programs, state CHIP programs, the Veterans Administration, TRICARE and similar or successor programs with or for the benefit of any Governmental Authority, and in each case any third party payor administering such programs.

  • Dependent care assistance program or "DCAP" means a benefit plan whereby school employees may pay for certain employment related dependent care with pretax dollars as provided in the salary reduction plan under chapter 41.05 RCW pursuant to 26 U.S.C. Sec. 129 or other sections of the Internal Revenue Code.

  • 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.

  • Long-term acute care facility (LTAC) means a facility or Hospital that provides care to people with complex medical needs requiring long-term Hospital stay in an acute or critical setting.

  • Health-related services means services that may have an effect on the health of individuals but are not health services or social care services;

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

  • Educator preparation program means a planned sequence of academic courses and experiences leading to a recommendation for licensure by the State Board.

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