Prioritized List of Health Services definition

Prioritized List of Health Services means the listing of conditions and treatment pairs developed by the Health Evidence Review Commission for the purpose of administering OHP.
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Prioritized List of Health Services means the Oregon Health Evidence Review Commission’s (HERC) prioritized list of health services with “expanded definitions’ of ancillary services and preventative services and the HERC practice guidelines, as presented to the Oregon Legislative Assembly for the purpose of administering the Oregon Health Plan (OHP).
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Prioritized List of Health Services. (The List) means the comprehensive list of health services, ranked by priority, from the most important to the least important. The Oregon Health Plan benefits are made from The List and determined by the Oregon Legislature.¶
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Examples of Prioritized List of Health Services in a sentence

  • UHA utilizes the OHP Prioritized List of Health Services to determine whether a diagnosis and/or service is considered to be part of the OHP Benefit Package.

  • The Prioritized List of Health Services is a list of health care conditions and their treatments.

  • Contractor may not deny or reduce the amount, duration, or scope of a Covered Service solely because of the diagnosis, type of illness, or condition, subject to the Prioritized List of Health Services.

  • One of the distinguishing features of the OHP demonstration is that OHP Plus benefits are based on the Prioritized List of Health Services, which ranks condition and treatment pairs by priority, from the most important to the least important, representing the comparative benefits to the entire population to be served.

  • Contractor may not arbitrarily deny or reduce the amount, duration, or scope of a Covered Service solely because of the diagnosis, type of illness, or condition, subject to the Prioritized List of Health Services.

  • One of the distinguishing features of the OHP demonstration is that OHP Plus benefits are based on the Prioritized List of Health Services (“the Prioritized List”, or, “the List”), which ranks condition and treatment pairs by priority, from the most important to the least important, representing the comparative benefits to the entire population to be served.

  • Oregon sought to expand eligibility and manage costs by using managed care and a Prioritized List of Health Services.

  • Subject to the provisions of this Contract, Contractor shall provide to Members, at a minimum, those Covered Services that are Medically Appropriate and as described as funded Condition/Treatment Pairs on the Prioritized List of Health Services, including Ancillary Services, contained in OAR 410-141-0520 and as identified, defined and specified in the OHP Administrative Rules.

  • In the case of a health care condition/treatment that is not on the Prioritized List of Health Services, or is not part of the benefit package but is associated with a co-morbid condition for an individual with a condition/treatment that is part of the benefit package, if treatment of the covered condition requires treatment of the co-morbid condition, providers will be instructed to provide the specified treatment.

  • A current version of the Prioritized List of Health Services is maintained by the state of Oregon at https://www.oregon.gov/oha/HPA/DSI- HERC/Pages/Prioritized-List.aspx.


More Definitions of Prioritized List of Health Services

Prioritized List of Health Services and “Prioritized List” each has the meaning provided for in OAR 410- 120-0000.
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Prioritized List of Health Services. (The List) means the comprehensive list of health services, ranked by priority, from the most important to the least important. The Oregon Health Plan benefits are made from The List and determined by the Oregon LegislaturePrioritized List)" has the meaning as provided in OAR 410-120-0000.¶ (4966) "Procedure Codes" means the procedure codes set forth in OAR chapter 410, division 123 that refer to Current Dental Terminology (CDT), unless otherwise noted. Codes listed in this rule and other documents
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Prioritized List of Health Services has the meaning provided for in OAR 410-120-0000. “Prioritized Populations” has the meaning provided for in OAR 410-141-3870.
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Prioritized List of Health Services means the listing of Condition/Treatment Pairs developed by the HSC for the purpose of implementing the OHP. See OAR 410-141-0520, Prioritized List of Health Services, for the listing of Condition/Treatment Pairs.
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Prioritized List of Health Services means the listing of Condition/Treatment Pairs developed by the HSC for the purpose of implementing the OHP. See OAR 410-141-0520, for the listing of Condition/Treatment Pairs.
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Prioritized List of Health Services means the listing of conditions and treatment pairs
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Related to Prioritized List of Health Services

  • Database Management System (DBMS) A system of manual procedures and computer programs used to create, store and update the data required to provide Selective Routing and/or Automatic Location Identification for 911 systems. Day: A calendar day unless otherwise specified. Dedicated Transport: UNE transmission path between one of CenturyLink’s Wire Centers or switches and another of CenturyLink’s Wire Centers or switches within the same LATA and State that are dedicated to a particular customer or carrier. Default: A Party’s violation of any material term or condition of the Agreement, or refusal or failure in any material respect to properly perform its obligations under this Agreement, including the failure to make any undisputed payment when due. A Party shall also be deemed in Default upon such Party’s insolvency or the initiation of bankruptcy or receivership proceedings by or against the Party or the failure to obtain or maintain any certification(s) or authorization(s) from the Commission which are necessary or appropriate for a Party to exchange traffic or order any service, facility or arrangement under this Agreement, or notice from the Party that it has ceased doing business in this State or receipt of publicly available information that signifies the Party is no longer doing business in this State.

  • Home health services means part-time or intermittent skilled nursing services, other therapeutic services (physical therapy, occupational therapy, speech therapy), and home health aide services made available on a visiting basis in a place of residence used as the client's home.

  • Critical access hospital or “CAH” means a hospital licensed as a critical access hospital by the department of inspections and appeals pursuant to rule 481—51.52(135B).

  • Primary Care Provider (PCP) means a health care professional who is contracted with BCBSAZ as a PCP and generally specializes in or focuses on the following practice areas: internal medicine, family practice, general practice, pediatrics or any other classification of provider approved as a PCP by BCBSAZ. Your benefit plan does not require you to have a PCP or to have a PCP authorize specialist referrals.

  • Home health aide services means the personal care and maintenance activities provided to individuals for the purpose of promoting normal standards of health and hygiene.

  • Service Animal means an animal that is required by a person with a disability for assistance and is certified, in writing, as having been trained by a professional service animal institution to assist a person with a disability and which is properly harnessed in accordance with standards established by a professional service animal institution.

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