Utilisation Management Scheme definition

Utilisation Management Scheme means a scheme established to ensure the correct use of resources in relation to the treatment of an individual or group of service users as may be agreed by the Commissioner and the Provider in accordance with Schedule 3 (Managing Activity and Referrals, Care and Resource Utilisation Techniques and Retention of Payment Scheme);
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Utilisation Management Scheme. Standard NHS Multilateral Contra VERSION AT 3rd December 2012 means a scheme established to ensure the correct use of resources in relation to the treatment of an individual or group of service users as may be agreed by the Commissioner and the Provider in accordance with Schedule 3 (Managing Activity and Referrals, Care and Resource Utilisation Techniques and Retention of Payment Scheme); ct for Mental Health and Learning Disability Services 98 "Variation" means an addition, deletion or amendment in the clauses of or Schedules to this Agreement agreed to be made by the Parties in accordance with clause 38 (Variations);
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Examples of Utilisation Management Scheme in a sentence

  • If the Commissioner requires any amendment to be made to a Utilisation Management Scheme, it shall consult with the Provider on the proposed amendment, and when the amendment has been agreed by the Commissioner and the Provider, the Commissioner will give the Provider one month’s notice in writing of the date on which the amendment to the Utilisation Management Scheme is to be implemented by the Provider.

  • The Provider shall comply and co-operate with any agreed Utilisation Management Scheme, in particular (but without limitation) in sharing data, and allowing access for review teams and access to Service User Records.

  • The Commissioner and the Provider may agree the terms of a Utilisation Management Scheme, and when the terms of any Utilisation Management Scheme have been agreed the Commissioner shall give to the Provider one month’s notice in writing of the date on which the Utilisation Management Scheme is to be implemented by the Provider.

  • Without prejudice to paragraph 5 of this Schedule 3 and paragraph 4 of Module E, if the Provider breaches: the forecast threshold set out in any Specification; or a Prior Approval Scheme; or a Utilisation Management Scheme then the Provider shall notify the Commissioner of such breach, and the Commissioner and the Provider shall agree an Activity Management Plan.

  • Subject to clauses 29.15, 29.16, 32.14, 32.17, 33.16, paragraph 9.2 of Schedule 3 Part 1 and the provisions of Schedule 3 Parts 4A and 4B, the Commissioner shall pay the Provider for all Services that the Provider delivers to it in accordance with the relevant Service Specifications, and any Prior Approval Scheme and Utilisation Management Scheme.

  • Without prejudice to paragraph 5 of this Schedule 3 and paragraph 4 of Module E, if the Provider breaches: the forecast threshold set out in any Specification; or a Prior Approval Scheme; or a Utilisation Management Scheme, then the Provider shall notify the Commissioner of such breach, and the Commissioner and the Provider shall agree an Activity Management Plan.

Related to Utilisation Management Scheme

  • Security Management Plan means the Supplier's security management plan prepared pursuant to paragraph 3 of schedule 2 an outline of which is set out in paragraph 2.7 of the Order Form as updated from time to time;

  • Project Management Plan means the portion of the Project Development Plan providing the information requested in Section 4.2 of Exhibit B to the ITP.

  • Superannuation Scheme in this subclause, shall mean a scheme other than one implemented solely for purposes of compliance with Clause 49. - Superannuation of this award, or an Order of the Western Australian Industrial Relations Commission.

  • relevant scheme means any other scheme approved or seeking approval under Chapter 1 Part XIV of the Act and in respect of a Class A Member who is a Controlling Director also any retirement annuity contract or trust scheme approved under Chapter III Part XIV or any personal pension scheme as approved under Chapter IV Part XIV of the Act insofar as it provides benefits secured by contributions in respect of Service.

  • Construction Management Agreement means the Construction Management Agreement, dated as of the date of the Common Agreement, between Construction Manager and the Project Company.

  • Utilization management section means “you or your authorized representative.” Your representative will also receive all notices and benefit determinations.

  • Construction management contract means a contract in which a party is retained by the owner to

  • Construction-manager-at-risk means a project delivery method in which:

  • Approved abuse education training program means a training program using a curriculum approved by the abuse education review panel of the department of public health or a training program offered by a hospital, a professional organization for physicians, or the department of human services, the department of education, an area education agency, a school district, the Iowa law enforcement academy, an Iowa college or university, or a similar state agency.

  • Group-wide supervisor means the commissioner or other regulatory official designated as the group-wide supervisor for an internationally active insurance group under Section 31A-16-108.6.

  • Life-of-the-unit, firm power contractual arrangement means a unit participation power sales agreement under which a utility or industrial customer reserves, or is entitled to receive, a specified amount or percentage of nameplate capacity and associated energy from any specified unit and pays its proportional amount of such unit's total costs, pursuant to a contract:

  • Approved Occupational Superannuation Fund means a superannuation fund which complies with the Occupational Superannuation Standards Act, 1987.

  • Project Management Agreement means the agreement dated the 20th February 1985 made between the Trustee and the Manager providing for the Manager to manage and co-ordinate the development and construction of the Resort and includes, if that agreement is terminated, any other agreement in like and similar terms made with the prior consent of the Minister;

  • Pension Scheme means a contract, an agreement, a trust deed or rules stipulating which retirement benefits are granted and under which conditions;

  • Integrated pest management means careful consideration of all available plant protection methods and subsequent integration of appropriate measures that discourage the development of populations of harmful organisms and keep the use of plant protection products and other forms of intervention to levels that are economically and ecologically justified and reduce or minimise risks to human health and the environment. ‘Integrated pest management’ emphasises the growth of a healthy crop with the least possible disruption to agro-ecosystems and encourages natural pest control mechanisms;

  • the Scottish Infected Blood Support Scheme means the scheme of that name administered by the Common Services Agency (constituted under section 10 of the National Health Service (Scotland) Act 1978(b));

  • Forest management plan means a written plan prepared and signed by a qualified forester that prescribes measures to optimize production, utilization, regeneration, and harvest of timber. The forest management plan shall include a schedule and timetables for the various silvicultural practices used on forestlands, which shall be a maximum of 20 years in length. A forest management plan shall include all of the following:

  • Key Management Personnel means persons having authority and responsibility for planning, directing and controlling the activities of the Company, directly or indirectly, including any Director (whether executive or otherwise) of the Company;

  • Targeted case management means services that assist a beneficiary to access needed 2 medical, educational, social, prevocational, vocational, rehabilitative, or other community services. The 3 service activities may include, but are not limited to, communication, coordination and referral;

  • Construction Manager means a competent person responsible for the management of the physical construction processes and the coordination, administration and management of resources on a construction site;

  • Construction Phase Services means the coordination, implementation and execution of the Work required by this Agreement, which are further defined in Article 8.

  • main phase employment and support allowance means an employment and support allowance where the calculation of the amount payable in respect of the applicant includes a component under section 2(1)(b) or 4(2)(b) of the Welfare Reform Act 2007 except in Part 1 of Schedule 1;

  • approved blood scheme means a scheme established or approved by the Secretary of State, or trust established with funds provided by the Secretary of State, for the purpose of providing compensation in respect of a person having been infected from contaminated blood products;

  • Management Plan means a plan to manage the activities and protect the special value or values in an Antarctic Specially Protected Area or an Antarctic Specially Managed Area.

  • We/Our/Us means the Underwriters named in the Schedule.

  • Acceptable earned value management system means an earned value management system that generally complies with system criteria in paragraph (b) of this clause.