Prior Approval Scheme definition

Prior Approval Scheme means a scheme under which the Responsible Commissioner gives Prior Approval for treatments and services prior to referral or following initial assessment that may form part of the Services required by the Service Users following referral;
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Prior Approval Scheme means a scheme under which the Commissioner gives Prior Approval for treatments and services that may form part of the secondary care Services required by the Service User following referral;
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Prior Approval Scheme means any scheme for the giving of Prior Approval by the
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Examples of Prior Approval Scheme in a sentence

  • Failure by the Commissioner to respond to a request for Prior Approval within the appropriate time period specified in such Prior Approval Scheme shall be deemed to be an approval for the purposes of that Prior Approval Scheme.

  • The Commissioner shall respond in accordance with its Prior Approval Scheme to any Provider request for Prior Approval that complies with the terms of such Prior Approval Scheme.

  • If the Commissioner requires any amendment to be made to a Prior Approval Scheme, then the Commissioner shall consult with the Provider on the proposed amendment, and when the amendment has been agreed by the Commissioner and the Provider, the Commissioner will give the Provider one month’s notice in writing of the date on which the amendment to the Prior Approval Scheme is to be implemented by the Provider.

  • Without prejudice to paragraph 5 of this Schedule 3 and paragraph 4 of Module E, if the Provider breaches: the forecast threshold set out in any Specification; or a Prior Approval Scheme; or a Utilisation Management Scheme then the Provider shall notify the Commissioner of such breach, and the Commissioner and the Provider shall agree an Activity Management Plan.

  • The Commissioner shall, where the 18 Weeks Referral-to-Treatment Standard is at risk for any activity that is the subject of a Prior Approval Scheme, require the Provider to specify a revised pathway to mitigate any risk of failure to meet the 18 Weeks Referral-to-Treatment Standard.

  • The Provider shall manage Service Users in accordance with the terms of any relevant Prior Approval Scheme.

  • For treatments and services that may form part of the secondary care Services required by Service Users following referral, the Commissioner and the Provider shall agree the terms of the Prior Approval Scheme, and when the terms of a Prior Approval Scheme have been agreed the Commissioner shall give to the Provider one month’s notice in writing of the date on which the Prior Approval Scheme is to be implemented by the Provider.

  • The Commissioner and the Provider shall agree the terms of the Prior Approval Scheme for the Commissioner, and when the terms of a Prior Approval Scheme have been agreed the Commissioner shall give to the Provider one month’s notice in writing of the date on which the Prior Approval Scheme is to be implemented by the Provider.

  • Subject to paragraph 6.2 above, the Provider shall manage Service Users in accordance with the terms of any relevant Prior Approval Scheme and where the Provider fails to comply with the terms of any relevant Prior Approval Scheme in providing a Service, the Commissioner shall not be liable to pay for such Service.

  • Without prejudice to paragraph 5 of this Schedule 3 and paragraph 4 of Module E, if the Provider breaches: the forecast threshold set out in any Specification; or a Prior Approval Scheme; or a Utilisation Management Scheme, then the Provider shall notify the Commissioner of such breach, and the Commissioner and the Provider shall agree an Activity Management Plan.


More Definitions of Prior Approval Scheme

Prior Approval Scheme means any scheme for the giving of Prior Approval by the Responsible Commissioner;
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