Spell of illness definition

Spell of illness means, in relationship to physical therapy, occupational therapy, and speech pathology services, a condition characterized by a demonstrated loss of functional abil- ity to perform daily living skills, caused by a new disease, injury or medical condition or by an increase in the severity of a pre−ex- isting medical condition. For a condition to be classified as a new spell of illness, the recipient must display the potential to reachieve the skill level that he or she had previously.
Spell of illness means the total duration of all successive CONFINEMENTS that are separated from each other by less than 60 days. STATE means the State of Wisconsin, of the United States of America. SUBSCRIBER means an EMPLOYEE, ANNUITANT, or his or her surviving DEPENDENTS, who have been specified by the DEPARTMENT to the HEALTH BENEFIT PLAN for enrollment and who is entitled to BENEFITS, who has made timely application, and who has timely paid the required PREMIUMS that are due and payable for his/her coverage under the HEALTH BENEFIT PLAN.
Spell of illness means, in relationship to physical therapy, occupational therapy, and speech pathology services, a condition characterized by a demonstrated loss of functional abil- ity to perform daily living skills, caused by a new disease, injury

Examples of Spell of illness in a sentence

  • Spell of illness limitations do not apply to medically necessary stays for Medicaid clients who are 20 years of age and younger.• The reduction in payment that is due to the Medically Needy Program (MNP) is limited to children who are 18 years of age and younger and pregnant women.

  • Spell of illness limitations do not apply to medically necessary stays for Medicaid clients who are 20 years of age and younger.

  • Spell of illness – The duration of a particular illness that lasts for a period of consecutive days beginning with the first day not part of a previous illness on which you are admitted to a hospital, and ending at the close of the first 60-day period thereafter during which you have neither been a hospital inpatient nor been confined in any other type of facility.


More Definitions of Spell of illness

Spell of illness means the total duration of all successive CONFINEMENTS that are separated from each other by less than 60 days. STATE means the State of Wisconsin, of the United States of America. SUBSCRIBER means an EMPLOYEE, ANNUITANT, or his or her surviving DEPENDENTS, who have been specified by the DEPARTMENT to the HEALTH BENEFIT PLAN for enrollment and who is entitled to BENEFITS, who has made timely application, and who has timely paid the required PREMIUMS that are due and payable for his/her coverage under the HEALTH BENEFIT PLAN. WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION/WPS: means the service

Related to Spell of illness

  • Serious illness means an accident, injury, illness, disease, or physical or mental condition that: poses imminent danger of death; requires inpatient care in a hospital, hospice, or residential medical facility; or requires continuing in-home care under the direction of a physician or health care provider. Related current definitions are summarized in (f) below.

  • Catastrophic illness or “injury” means an illness or injury that is expected to incapacitate the employee for an extended period of time, or that incapacitates a member of the employee’s family which incapacity requires the employee to take time off from work for an extended period of time to care for that family member, and taking extended time off work creates a financial hardship for the employee because he or she has exhausted all of his or her sick leave and other paid time off.

  • Mental illness (MI) means a substantial disorder of thinking, mood, perception, orientation or memory that grossly impairs judgment, behaviour, capacity to recognise reality or ability to meet the ordinary demands of life, but does not include retardation which is a condition of arrested or incomplete development of mind of a person, specially characterised by sub normality of intelligence

  • Serious injury or illness means an Injury or Illness incurred in the line of duty that may render the member of the Armed Forces medically unfit to perform his or her military duties.

  • Mental disorder means any organic, mental, or emotional

  • Psychological care means direct or consultative services provided by a psychologist licensed in the state in which the psychologist practices.

  • Mental abnormality or "personality disorder" means a congenital or acquired condition that affects

  • Sickness means an illness or disease diagnosed or treated by a Physician.

  • Developmental disability means that condition defined in RCW 71A.10.020(5);

  • Service-connected disability means a disability incurred or aggravated in the line of duty in the active military, naval, or air service as described in 38 USC 101(16).