Transition of Care definition

Transition of Care means the management and continuation of care as Enrollees transition between different Providers within the same Health Plan.‌
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Transition of Care means the period of time after the effective date of enrollment with the receiving CCO, during which the receiving CCO must provide continued access to care. The transition of care period lasts for:
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Transition of Care has the meaning provided for in OAR 410-141-3500.
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Examples of Transition of Care in a sentence

  • Contractor shall use a Transition of Care Tool for any clients whose existing services will be transferred from Contractor to an Medi-Cal Managed Care Plan (MCP) provider or when NSMHS will be added to the existing mental health treatment provided by Contractor, as specified in BHIN 22-065, in order to ensure continuity of care.

  • The Parties must develop and establish policies and procedures that address how Members must be screened and assessed far mental health services, including administering the applicable Screening and Transition of Care Tools for Medi-Cal Mental Health Services as set forth in APL 22-028 and SHIN 22-065.

  • The Parties must develop and establish policies and procedures that address how Members must be screened and assessed for mental health services, including administering the applicable Screening and Transition of Care Tools for Medi-Cal Mental Health Services as set forth in APL 22-028 and BHIN 22- 065.


More Definitions of Transition of Care

Transition of Care means continued access to services during a member's transition from a predecessor plan to the receiving CCO.¶
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Transition of Care means the process of transferring a patient from one provider or care setting to
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Transition of Care. Plan Initially and as revised Yes Contractor shall submit its Transition of Care Plan to the Department for review and Prior Approval. The Transition of Care Plan shall include policies and procedures and a staffing model designed to achieve a seamless, efficient transition with minimal impact to an Enrollee’s care. Contractor may submit one plan that includes all care coordination programs in which it participates; however, Contractor shall identify all areas that differ among care coordination programs.
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Transition of Care means the management and continuation of care as Enrollees transition between different Providers within the same Health Plan. U rban Area refers to an Illinois county that is part of a metropolitan statistical area (MSA), as defined by the US Census Bureau and has a population equal to or greater than 60,000 residents (see details in Attachment II). U tilization Management Program means a comprehensive approach and planned activities for evaluating the appropriateness, need, and efficiency of services, procedures, and facilities according to established criteria or guidelines. Utilization management typically includes new activities or decisions based upon the analysis of care, and describes proactive procedures, including discharge planning, concurrent planning, precertification, and clinical case Appeals. It also covers proactive processes, such as concurrent clinical reviews and Peer Reviews, as well as Appeals introduced by the Provider, payer, or Enrollee. W aste means the overutilization or misuse of Covered and non-
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Transition of Care means the management and continuation of care as Enrollees transition between different Providers within the same Health Plan.‌ Urban Area refers to an Illinois county that is part of a metropolitan statistical area (MSA), as defined by the US Census Bureau and has a population equal to or greater than 60,000 residents (see details in Attachment II).
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Related to Transition of Care

  • Continuum of care means a full range of economic, physical, psychological, social and support programs and services necessary to maintain or restore older individuals to their optimal environment.

  • Continuity of Care means care provided to a Member by the same PCP or specialty provider to ensure that the delivery of care to the Member remains stable, and services are consistent and unduplicated. Contract or Agreement means this formal, written, and legally enforceable contract and amendments thereto between the Parties. Contract Period or Contract Term means the Initial Contract Period plus any and all Contract extensions.

  • Episode of Care means a period of continuous hospital treatment, including readmission within a seven

  • Plan of care means a written document developed for each individual by the support team using a person-centered approach that describes the supports, services, and resources provided or accessed to address the needs of the individual.

  • Level of Care means the range of available services provided from the most integrated setting to the most restrictive and most intensive in an inpatient setting.

  • Standard of Care has the meaning set forth in Section 14.1.

  • System of care means the coordination of a system of services and supports to individuals and their families that ensures they optimally live, work, and recreate in integrated communities of their choice.

  • Operation and Maintenance or “O&M” shall mean all activities required to operate, maintain, and monitor the effectiveness of the RA as specified in the SOW or any EPA-approved O&M Plan.

  • Palliative and supportive care means care and support aimed mainly at lessening or controlling pain or symptoms; it makes no attempt to cure the Covered Person's terminal Illness or terminal Injury.

  • Routine care means medical care which is not urgent or emergent in nature and can wait for a regularly scheduled physician appointment without risk of permanent damage to the patient’s life or health status. The condition requiring routine care is not likely to substantially worsen without immediate clinical intervention.

  • Conditions of Carriage means these conditions of carriage.

  • Basic Services means the services set forth in Exhibit A. The Consultant must perform the Basic Services to the Director’s satisfaction.

  • Maintenance and Support Services means the services provided by Contractor under Appendix F.

  • Sexual Exploitation and Abuse “(SEA)” means the following:

  • Emergency Care means management for a severe illness or injury which results in symptoms which occur suddenly and unexpectedly, and requires immediate care by a medical practitioner to prevent death or serious long term impairment of the insured person’s health.

  • Administration of Medication means the act of placing a medication in or on an individual's body by a staff member who is responsible for the individual's care.

  • Certificate of Catholic Practice means a certificate issued by the family’s parish priest (or the priest in charge of the church where the family attends Mass) in the form laid down by the Bishops’ Conference of England and Wales. It will be issued if the priest is satisfied that at least one Catholic parent or carer (along with the child, if he or she is over seven years old) have (except when it was impossible to do so) attended Mass on Sundays and holy days of obligation for at least five years (or, in the case of the child, since the age of seven, if shorter). It will also be issued when the practice has been continuous since being received into the Church if that occurred less than five years ago. It is expected that most Certificates will be issued on the basis of attendance. A Certificate may also be issued by the priest when attendance is interrupted by exceptional circumstances which excuse from the obligation to attend on that occasion or occasions. Further details of these circumstances can be found in the guidance issued to priests http://rcdow.org.uk/education/governors/admissions/

  • Promotion of Access to Information Act ’ means the Promotion of Access to Information Act, 2000 (Act No. 2 of 2000);

  • Operations and maintenance means a project delivery method in which the District enters into a single contract for the routine operation, routine repair, and routine maintenance of an infrastructure facility.

  • Maintenance Services means SAP’s then-current maintenance and/or support services offered under and described in detail in the applicable SAP PartnerEdge Model.