Model of Care definition

Model of Care means the program designed by Health Plan and approved by CMS to meet the specialized needs of a Dual Eligible population that includes (i) an appropriate network of providers and specialists available through Health Plan’s D-SNP, and (ii) care management services, which include assessment, individualized plan of care and interdisciplinary team.
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Model of Care means a CMS required written care management plan for Dual Eligible Medicare Advantage Special Needs Plans (DESNP) with eleven model of care elements and 4 State specific elements
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Model of Care means the Model of Care and the Medical Termination of Pregnancy (has not exceeded nine (9) weeks of pregnancy) Care Pathway as published by the HSE and as may be amended from time to time in accordance with the requirements of Good Professional Practice.
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Examples of Model of Care in a sentence

  • In addition, the CONTRACTOR must offer the Full Delegation Model of Care Coordination for all prenatal and Postpartum Members.

  • Screening is integrated into the clinical programs which comprise the Complete Care Model of Care including case management, discharge transitions, DM, and wellness.

  • Building on the deep experience we have gained by providing integrated care to SMI enrollees in the specialty plan, our integrated, flexible, and comprehensive Model of Care continues to evolve to further expand and define services to meet the specialty needs of our highest-risk enrollees.

  • Rationale: N/A HSCT Haematopoietic Stem Cell Transplantation for Severe Scleroderma Number of Transplants St Vincent's 10 Definition of Activity Measure: Number of transplants undertaken for severe scleroderma patients Rationale: Agency for Clinical Innovation Model of Care Additional notes: The service will be available equitably to all referrals.

  • Geriatric Model of Care - an interdisciplinary approach to provide assessment, prevention, treatment, and other interventions that minimize disability, to promote positive health behaviors, and to maintain health status and function for Enrollees.

  • In accordance with the Model of Care approved by CMS, Health Plan shall develop individualized care plans that include communication and coordination with providers that render services covered under New York’s Medicaid Plan.

  • The community pharmacy will complete Step 5, Step 6, and Step 7 as described in the Model of Care (see figure 1).

  • The quality management director must have expertise in the Geriatric Model of Care.

  • Model of Care for Acute Surgery and the National Policy and Procedure for Safe Surgery.

  • Providers will have access to the Model of Care training via the Molina website.

Related to Model of Care

  • Level of care means the range of available services provided from the most integrated setting to the most restrictive and most intensive in an inpatient setting.

  • Continuum of care means a full range of economic, physical, psychological, social and support programs and services necessary to maintain or restore older individuals to their optimal environment.

  • System of care means the coordination of a system of services and supports to individuals and their families that ensures they optimally live, work, and recreate in integrated communities of their choice.

  • Continuity of Care means care provided to a Member by the same PCP or specialty provider to ensure that the delivery of care to the Member remains stable, and services are consistent and unduplicated. Contract or Agreement means this formal, written, and legally enforceable contract and amendments thereto between the Parties. Contract Period or Contract Term means the Initial Contract Period plus any and all Contract extensions.

  • Standard of Care has the meaning set forth in Section 14.1.

  • Episode of Care means a period of continuous hospital treatment, including readmission within a seven

  • Plan of care means a written document developed for each individual by the support team using a person-centered approach that describes the supports, services, and resources provided or accessed to address the needs of the individual.

  • Routine care means medical care which is not urgent or emergent in nature and can wait for a regularly scheduled physician appointment without risk of permanent damage to the patient’s life or health status. The condition requiring routine care is not likely to substantially worsen without immediate clinical intervention.

  • General-Purpose Software means Software that supports general-purpose office and software development activities and is identified as such in Appendix 4 of the Contract Agreement and such other Software as the parties may agree in writing to be General-Purpose Software. Such General- Purpose Software may include, but is not restricted to, word processing, spreadsheet, generic database management, and application development software.

  • Affordability means a housing unit that satisfies at least one of the following criteria:

  • Respiratory care means the practice of the allied health profession responsible for the direct and

  • Respite care means care anticipated to be provided for a period of 28 days or less for the purpose of temporarily relieving a family member or other caregiver from his or her daily caregiv- ing duties.

  • Palliative care means medical service rendered to reduce or moderate temporarily the intensity of an otherwise stable medical condition, but does not include those medical services ren- dered to diagnose, heal or permanently alleviate or eliminate a medical condition.

  • Reliability Standard means a requirement to provide for reliable operation of the bulk power system, including without limiting the foregoing requirements for the operation of existing bulk power system facilities, including cybersecurity protection, and the design of planned additions or modifications to such facilities to the extent necessary for reliable operation of the bulk power system, but shall not include any requirement to enlarge bulk power system facilities or to construct new transmission capacity or generation capacity.

  • 911 system means the set of network, database and customer premise equipment (CPE) components required to provide 911 service.

  • Preventive Care means certain Preventive Care services.

  • Service Specifications means the following documents, as applicable to the Services under Your order: (a) the Oracle Cloud Hosting and Delivery Policies, the Program Documentation, the Oracle service descriptions, and the Data Processing Agreement described in this Schedule C; (b) Oracle’s privacy policies; and (c) any other Oracle documents that are referenced in or incorporated into Your order. The following do not apply to any non-Cloud Oracle service offerings acquired in Your order, such as professional services: the Oracle Cloud Hosting and Delivery Policies, Program Documentation, and the Data Processing Agreement. The following do not apply to any Oracle Software: the Oracle Cloud Hosting and Delivery Policies, Oracle service descriptions, and the Data Processing Agreement.

  • Practice of respiratory care means the (i) administration of pharmacological, diagnostic, and

  • Palliative and supportive care means care and support aimed mainly at lessening or controlling pain or symptoms; it makes no attempt to cure the Covered Person's terminal Illness or terminal Injury.

  • Emergency Care means management for an illness or injury which results in symptoms which occur suddenly and unexpectedly, and requires immediate care by a medical practitioner to prevent death or serious long term impairment of the insured person’s health.

  • safety standard means the Code of Practice for the Wiring of Premises SANS 10142-1 incorporated in the Regulations;

  • Prudent Industry Practices means, at a particular time, any of the practices, methods, standards of care, skill, safety and diligence, as the same may change from time to time, but applied in light of the facts known at the time, that are consistent with the general standards applied or utilized under comparable circumstances by a reasonably prudent operator, in a good and workmanlike manner, with due diligence and dispatch, in accordance with good midstream industry practice.

  • Prudent Utility Practices means the practices, methods and standards that are generally accepted internationally from time to time by electric utilities for the purpose of ensuring the safe, efficient and economic design, construction, commissioning, operation and maintenance of power generation equipment and which practices, methods and standards shall be adjusted as necessary, to take account of: a) operation and maintenance guidelines recommended by the manufacturers of the plant and equipment to be incorporated in the Power Project; b) the requirements of Indian Law; and the physical conditions at the site of the Power Project

  • Electric System Upgrades means any Network Upgrades, Distribution Upgrades, or Interconnection Facilities that are determined to be necessary by the CAISO or Participating Transmission Owner, as applicable, to physically and electrically interconnect the Project to the Participating Transmission Owner’s electric system for receipt of Energy at the Point of Interconnection (as defined in the CAISO Tariff) if connecting to the CAISO Grid, or the Interconnection Point, if connecting to a part of the Participating TO’s electric system that is not part of the CAISO Grid.

  • Efficiency means the gas turbine manufacturer's rated heat rate at peak load in terms of heat input per unit of power output based on the lower heating value of the fuel.

  • NAICS means North American Industry Classification System.