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 Responsible Commissioner;
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Examples of Prior Approval Scheme in a sentence

  • A Prior Approval Scheme will typically set out a commissioner policy for access to a certain service or treatment – a high-cost drug, for instance, or a treatment of perceived low clinical value.

  • Where patients have a legal right of choice of provider, any Prior Approval Scheme which simply restricts that choice is void and cannot be used to restrict payment for activity carried out by the provider.

  • SC29.3-4 deal with referral protocols and clinical thresholds for treatment and make clear that such documents may be included within service specifications or other aspects of the contract which are agreed between commissioner and provider – but that, in other circumstances, they may instead be notified by the commissioner to the provider as a Prior Approval Scheme (described more fully below).

  • The commissioner must respond to a request for approval for treatment within this Prior Approval Scheme Response Time Standard or will be deemed to have given approval under SC29.25.

  • 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.

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

  • If the Commissioner requires any amendment to be made to a Prior Approval Scheme, then Module D, Schedule 3 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.

  • 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.

  • In the context of NCA, the key points to note are that• a CCG cannot require a provider operating on an NCA basis to implement that CCG’s Prior Approval Schemes; and • a Prior Approval Scheme must not be used to restrict a patient’s legal right of choice of provider.


More Definitions of Prior Approval Scheme

Prior Approval Scheme means any scheme for the giving of Prior Approval by the
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Related to Prior Approval Scheme

  • Prior Approval means written ap- proval by an authorized official evi- dencing prior consent.

  • IRB approval means the determination of the IRB that the research has been reviewed and may be conducted at an institution within the constraints set forth by the IRB and by other institutional and federal requirements.

  • Pre-approval means written notification via a pre-approval letter to Customer that Ameren Illinois has reviewed Customer's Application and determined that the project meets the program eligibility requirements for a maximum pre-approved incentive amount if the project is completed by the estimated completion date and all final application paperwork is submitted and approved.

  • HSR Approval means expiration of all applicable waiting periods under the HSR Act (including any voluntary agreed extensions) or earlier termination thereof.

  • Shareholder Approval Date means the date on which this Plan is approved shareholders of the Company eligible to vote in the election of directors, by a vote sufficient to meet the requirements of Code Sections 162(m) (if applicable) and 422, Rule 16b-3 under the Exchange Act (if applicable), applicable requirements under the rules of any stock exchange or automated quotation system on which the Shares may be listed on quoted, and other laws, regulations and obligations of the Company applicable to the Plan.

  • Price Approval means, in any country where a Governmental Authority authorizes reimbursement for, or approves or determines pricing for, pharmaceutical products, receipt (or, if required to make such authorization, approval or determination effective, publication) of such reimbursement authorization or pricing approval or determination (as the case may be).

  • Board Approval has the meaning set out in Section 2.2(a)(ii);

  • CPUC Approval means a final and non-appealable order of the CPUC, without conditions or modifications unacceptable to the Parties, or either of them, which contains the following terms:

  • Requisite Approval means the affirmative vote of the holders of at least a majority of the shares of outstanding Company Common Stock and outstanding Company Preferred Stock voting as a single class.

  • CFIUS Approval means that any of the following shall have occurred: (a) the review period under the DPA commencing on the date that a CFIUS Notice is accepted by CFIUS shall have expired and Xxx, on the one hand, and Polaris, on the other hand, shall have received written notice from CFIUS to the effect that such review has been concluded and that either the Contemplated Transactions do not constitute a “covered transaction” under the DPA or there are no unresolved national security concerns, and all action under the DPA is concluded with respect to the Contemplated Transactions, (b) an investigation under the DPA shall have been commenced after such review period and CFIUS shall have determined to conclude all action under the DPA without sending a report to the President of the United States, and Xxx, on the one hand, and Polaris, on the other hand, shall have received written notice from CFIUS that either the Contemplated Transactions do not constitute a “covered transaction” under the DPA or there are no unresolved national security concerns, and all action under the DPA is concluded with respect to the Contemplated Transactions, or (c) CFIUS shall have sent a report to the President of the United States requesting the President’s decision and either (i) the President shall have announced a decision not to take any action to suspend or prohibit the Contemplated Transactions or, (ii) the period under the DPA during which the President may announce his decision to take action to suspend, prohibit or place any limitations on the Contemplated Transactions shall have expired without any such action being threatened, announced or taken.

  • Stockholder Approval Date means the date on which Stockholder Approval is received and deemed effective under Delaware law.

  • Company Shareholder Approval has the meaning set forth in Section 4.03(d).

  • MAA Approval means approval by the EMEA of a marketing authorization application (“MAA”) filed with the EMEA for the applicable Licensed Product under the centralized European procedure. If the centralized EMEA filing procedure is not used, MAA Approval shall be achieved upon the first Approval for the applicable Licensed Product in any two of the following countries: France, Germany, Italy, Spain or the United Kingdom.

  • Initial approval means authorization to admit students and enter into contractual agreements for clinical facilities. It is granted only after an application has been submitted, reviewed and a survey visit made by the Board. No students shall be admitted to the program until the institution has received written notification that initial approval has been granted. Failure to comply will delay initial approval.

  • Requisite Shareholder Approval shall have the meaning set forth in Section 4.3(a).

  • Required Shareholder Approval has the meaning in Section 2.20.

  • Application Approval Date means the date that the Application is approved by the Board of Trustees of the District and as further identified in Section 2.3.B of this Agreement.

  • Company Stockholder Approval has the meaning set forth in Section 4.2(b).

  • Parent Shareholder Approval means the approval of the Parent Share Issuance by the affirmative vote of a majority of the Parent Common Shares entitled to vote thereon and present in person or represented by proxy at the Parent Shareholder Meeting in accordance with applicable securities Laws, the rules and regulations of the NYSE and the TSX, as applicable, the ABCA and the Organizational Documents of Parent.

  • Shareholder Approval means such approval as may be required by the applicable rules and regulations of the Nasdaq Stock Market (or any successor entity) from the shareholders of the Company with respect to the transactions contemplated by the Transaction Documents, including the issuance of all of the Shares and Warrant Shares in excess of 19.99% of the issued and outstanding Common Stock on the Closing Date.

  • Stockholder Approval has the meaning set forth in Section 4.5.

  • Approval or Approved means approval in writing including subsequent written confirmation of previous verbal approval.

  • FCC Approval means the FCC’s grant of the FCC Applications; provided that the possibility that an appeal, request for stay, or petition for rehearing or review by a court or administrative agency may be filed with respect to such grant, or that the FCC may reconsider or review such grant on its own authority, shall not prevent such grant from constituting FCC Approval for purposes of the Plan.

  • type-approval means the procedure whereby an approval authority certifies that a type of vehicle, system, component or separate technical unit satisfies the relevant administrative provisions and technical requirements;

  • Requisite Stockholder Approval means the affirmative vote of the holders of a majority of that company’s issued and outstanding shares entitled to vote on the Merger actually voting in favor of this Agreement and the Merger.

  • Approval Date means the date on which the Plan is approved by the Company’s stockholders.