Special Needs Unit definition

Special Needs Unit. A special dedicated unit within the PH-MCO’s and the EAP contractor’s organizational structure established to deal with issues related to Members with Special Needs. Start Date — The first date on which Recipients are eligible for medical services under this Agreement, and on which the PH-MCOs are operationally responsible and financially liable for the provision of Medically Necessary services to Recipients. Step Therapy — A form of automated Prior Authorization whereby one or more prerequisite medications, which may or may not be in the same drug class, must be tried first before a Step Therapy medication will be approved Stop-Loss Protection — Coverage designed to limit the amount of financial loss experienced by a Health Care Provider. Subcapitation — A fixed per capita amount that is paid by the PH-MCO to a Network Provider for each Member identified as being in their capitation group, whether or not the Member received medical services. Subcontract — Any contract between the PH-MCO and an individual, business, university, governmental entity, or nonprofit organization to perform part or all of the PH-MCO’s responsibilities under this Agreement. Exempt from this definition are salaried employees, utility agreements and Provider Agreements, which are not considered Subcontracts for the purpose of this Agreement and, unless otherwise specified herein, are not subject to the provisions governing Subcontracts. Sustained Improvement — Improvement in performance documented through continued measurement of quality indicators after the performance project/study/quality initiative is completed.
Special Needs Unit means, at a minimum, a bedroom contained within a unit of special needs housing for one or more occupants that contains a bed for each occupant and access to a bathroom.
Special Needs Unit. A special dedicated unit within the PH-MCO’s and the EAP contractor’s organizational structure established to deal with issues related to Members with Special Needs. Start Date — The first date on which Recipients are eligible for medical services under this Agreement, and on which the PH-MCOs are operationally responsible and financially liable for the provision of Medically Necessary services to Recipients. Step Therapy — A type of Prior Authorization requirement, sometimes referred to as a fail first requirement, intended as a cost savings that begins drug therapy with the most cost-effective drug therapy, and progresses to other more costly therapies determined to be medically necessary. Stop-Loss Protection — Coverage designed to limit the amount of financial loss experienced by a Health Care Provider. Subcapitation — A fixed per capita amount that is paid by the PH-MCO to a Network Provider for each Member identified as being in their capitation group, whether or not the Member received medical services. Subcontract — Any contract between the PH-MCO and an individual, business, university, governmental entity, or nonprofit organization to perform part or all of the PH-MCO’s responsibilities under this Agreement. Exempt from this definition are salaried employees, utility agreements and Provider Agreements, which are not considered Subcontracts for the purpose of this Agreement and, unless otherwise specified herein, are not subject to the provisions governing Subcontracts. Sustained Improvement — Improvement in performance documented through continued measurement of quality indicators after the performance project/study/quality initiative is completed.

Examples of Special Needs Unit in a sentence

  • The Special Needs Unit conducts the research and resolves the referral.

  • Some case reviews may end up as a referral if there is more research and follow-up required by the Special Needs Unit.

  • The PH-MCO must forward all calls received by the Member services area in which the caller requests the Special Needs Unit to the SNU.

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  • A ‘case review’ is when the Special Needs Unit helps with questions from a choice counselor as they are on a call.

  • Entities might include but are not limited to the Act 150 program, the OPTIONS program or OMAP’s Special Needs Unit.

  • Special Needs Unit — A special dedicated unit within the PH-MCO and the EAP broker’s organizational structure established to deal with issues related to Members with Special Needs.

  • The Special Needs Unit has a Registered Nurse and a Licensed Practical Nurse who have both earned their choice counseling certification.

  • Summary of cases taken by the Special Needs UnitA ‘case referral’ is when a choice counselor refers a case to the Special Needs Unit through the choice counseling vendor’s enrollment system (Health Track) or verbally via phone transfer, for follow-up.

  • Health LiteracyThe choice counseling Special Needs Unit has primary responsibility for the health literacy function.


More Definitions of Special Needs Unit

Special Needs Unit means a single unit of special needs housing for one or more occupants that contains, at a minimum, a bedroom and a bathroom.
Special Needs Unit means a unit that has been exclusively established for mental health purposes. The current units are identified in the column labeled “Pill Line at Mental Health Units” on Attachment N.
Special Needs Unit or “SNU” means a unit that has been exclusively established for mental health purposes for Inmates who suffer from a mental disorder and can function within a general population setting. Currently, there are three Special Needs unit; one Maximum Security Facility located at North Branch Correctional Institution, one Medium Security Facility located at Roxbury Correctional Institution and one Pre-Trial Facility located at BCDC.
Special Needs Unit means a unit that has been exclusively established for mental health purposes for Inmates who suffer from a mental disorder and can function within a general population setting. Currently, there are three Special Needs units; one Maximum Security Facility located at North Branch Correctional Institution, one Medium Security Facility located at Roxbury Correctional Institution and one Pre-Trial Facility located at BCDC. The current units are identified in the column labeled “Pill Line at Mental Health Units” on Attachment N.

Related to Special Needs Unit

  • Special Needs beneficiary is one who needs additional time to complete his/ her education due to physical, mental or emotional limitations. In addition, as discussed below, a beneficiary may roll over contributions to another Xxxxxxxxx Education Savings Account until he or she attains age 30. A beneficiary may also roll over his or her Xxxxxxxxx Education Savings Account to a new beneficiary who is a member of his or her family so long as the recipient has not attained age 30.

  • Residential Unit means a home, apartment, residential condominium unit or mobile home, serving as the principal place of residence.

  • Lodging unit means a room or set of rooms located in a lodging house designed or intended to be used for sleeping and living accommodation, which:

  • Unit and “Quality” means the unit and quantity specified in the schedule.

  • sub-unit means, with respect to any currency other than euro, the lowest amount of such currency that is available as legal tender in the country of such currency and, with respect to euro, means one cent.

  • Dwelling unit means a single unit providing complete, independent living facilities for one or more persons, including permanent provisions for living, sleeping, eating, cooking and sanitation.

  • Junior accessory dwelling unit means a unit that is no more than 500 square feet in size and contained entirely within a single-family residence. A junior accessory dwelling unit may include separate sanitation facilities, or may share sanitation facilities with the existing structure.

  • Modular home means a modular unit as defined in Section 15A-1-302.

  • Significant emissions unit means an emissions unit that emits or has the potential to emit a PAL pollutant in an amount that is equal to or greater than the significant level (as defined in section 140 or in the Act, whichever is lower) for that PAL pollutant, but less than the amount that would qualify the unit as a major emissions unit as defined in section 079.

  • Accessory dwelling unit means an attached or a detached residential dwelling unit that provides complete independent living facilities for one or more persons and is located on a lot with a proposed or existing primary residence. It shall include permanent provisions for living, sleeping, eating, cooking, and sanitation on the same parcel as the single-family or multifamily dwelling is or will be situated. An accessory dwelling unit also includes the following:

  • Nontraditional mortgage product means any mortgage product other than a 30-year fixed rate mortgage.