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.‌
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:
Transition of Care has the meaning provided for in OAR 410-141-3500.

Examples of Transition of Care in a sentence

  • However, the contents of the Transition of Care Tool, including the specific wording and order of fields, shall remain identical to the DHCS provided form.

  • CONTRACTOR may create the Transition of Care Tool in its Electronic Health Record (EHR).

  • MCP and MHP must use the required Transition of Care Tool to facilitate transitions of care for Members when their service needs change.

  • Transition of Care Contractor must develop and implement a transition of care policy consistent with 42 CFR 438.62 and the MDHHS transition of care policy to ensure continuity of care for its enrollees.

  • In addition, an unforeseeable change beyond the Fund’s control could occur in the legal and tax treatment of the Fund.

  • The Care Management Program includes:  Case Management;  Specialized Case Management Oncology Program;  Transplant Case Management Program  Case Management Awareness Program;  Discharge Outreach Call Program;  Transition of Care Program; and  Emergency Room Utilization Program.

  • 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.

  • By the definition of a hereditary word and by Lemma 8.4 we have ζ(i) G for all i [1, n].

  • Transition of Care Begun Before You Joined HNEWhat happens if I am new to HNE and I am pregnant, have a procedure or visit already scheduled, or have a chronic condition?Please contact our Health Services Department.

  • The process by which MCP and MHP coordinate referrals using the Transition of Care Tool in accordance with 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.
Transition of Care means the process of transferring a patient from one provider or care setting to another provider or care setting.¶
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.
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).
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-

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.

  • Servicer Policies and Practices means, with respect to the Servicer’s duties under Exhibit A to the Servicing Agreement, the policies and practices of the Servicer applicable to such duties that the Servicer follows with respect to comparable assets that it services for itself and, if applicable, others.

  • Segregation of Duties means the assignment of different people in the responsibility of authorising transactions, recording transactions and maintaining custody of assets with the intention of reducing the opportunities to allow any person to be in a position to both perpetrate and conceal fraud or error due to fraud in the normal course of their duties.

  • Transition means the:

  • Palliative care means medical service rendered to reduce or moderate temporarily the intensity of an otherwise stable medical condition, but does not include those medical services ren- dered to diagnose, heal or permanently alleviate or eliminate a medical condition.

  • Conditions of Carriage means these conditions of carriage.

  • Performance of duties means duties performed within the employee’s authorized scope of employment and performed in the line of duty.

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

  • Coordination of Benefits or “COB” means a provision establishing an order in which plans pay their claims, and permitting secondary plans to reduce their benefits so that the combined benefits of all plans do not exceed total allowable expenses.

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

  • Restorative practices means practices that emphasize repairing the harm to the victim and the school community caused by a student's misconduct.

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

  • Emergency Care means management for an 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/

  • Preventive Care means certain Preventive Care services.

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