Comprehensive Assessments and Individualized Care Plan Sample Clauses

Comprehensive Assessments and Individualized Care Plan. Comprehensive Assessment The Contractor must complete Comprehensive Assessments for each new Enrollee on an ongoing basis, including: Within ninety (90) days of each Enrollee’s Effective Enrollment Date into the Contractor’s plan, including subsequent attempts if the initial attempt to contact the Enrollee is unsuccessful, and at least annually thereafter; or Whenever an Enrollee experiences a major change that is: Not temporary or episodic; Impacts on more than one area of health status; and Requires interdisciplinary review or revision of the ICP. The Contractor is not required to newly conduct a Comprehensive Assessment for individuals who were enrolled in the Contractor’s One Care Plan prior to January 1, 2022 and for whom that Comprehensive Assessment is still current. The Contractor must record Comprehensive Assessment results in the Centralized Enrollee Record. The Comprehensive Assessment must include completion of an assessment tool, developed by the Contractor and informed by at least one in‑person meeting covering expanded domains as may be relevant for each Enrollee to creation of his or her ICP. This activity may be conducted at the same time as the MDS‑HC assessment or at a different time, and must be completed within the continuity of care period. As appropriate to the Enrollee’s needs and preferences, the Contractor‑developed assessment tool will include the following domains and special considerations, which may be updated by EOHHS during the Contract period: Immediate needs and current services, including preventive health, preferred providers, what is working well for the Enrollee and what can be improved; Health conditions, including conditions of known prevalence among subpopulations, such as seizures, aspiration, constipation, dehydration, and pica for individuals with intellectual disabilities; Current medications, including how long the Enrollee has been taking each medication, and any need for immunizations or vaccines; The ability of the individual to communicate their concerns or symptoms, including if the individual can verbalize issues and/or whether physical symptoms are manifested through behavior; Functional Status, including ADL and IADL limitations, and what the Enrollee identifies as his/her strengths, weaknesses, interests, and choices about daily routine; Current mental health and substance use, and history of mental health and substance use treatment, including consideration of: Type, duration and frequency of services...
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Comprehensive Assessments and Individualized Care Plan. A. Comprehensive Assessment The Contractor must complete Comprehensive Assessments for each new Enrollee on an ongoing basis, including:
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Comprehensive Assessments and Individualized Care Plan 
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Related to Comprehensive Assessments and Individualized Care Plan

  • Comprehensive Assessment an initial and ongoing part of the member-centered planning process employed by the interdisciplinary team (IDT) to identify the member’s outcomes and the services and supports needed to help support those outcomes. It includes an ongoing process of using the knowledge and expertise of the member and caregivers to collect information about:

  • Data Protection Impact Assessments Xxxx shall provide reasonable assistance to Client with any data protection impact assessments, and prior consultations with a Supervisory Authority, required under Data Protection Laws, in each case solely in relation to Processing of Personal Data by, and taking into account the nature of the Processing and information available to, Xxxx.

  • Data Protection Impact Assessment If, pursuant to Data Protection Law, Customer (or its Controllers) are required to perform a data protection impact assessment or prior consultation with a regulator, at Customer’s request, SAP will provide such documents as are generally available for the Cloud Service (for example, this DPA, the Agreement, audit reports or certifications). Any additional assistance shall be mutually agreed between the Parties.

  • Environmental and Social Safeguards 1. The Project Implementing Entity shall ensure that the Project is carried out and implemented in accordance with the applicable provisions of the Environmental Management Plan.

  • WORKPLACE SAFETY AND INSURANCE BENEFITS 25.01 An employee who sustains an injury or disease arising out of and in the course of his/her duties is covered by the Workplace Safety and Insurance Act, 1997, S.O. 1997, as amended.

  • Workplace Safety Insurance Benefits (WSIB) Top Up Benefits If the employee is in a class of employees that, on August 31, 2012, was entitled to use unused sick leave credits for the purpose of topping up benefits received under the Workplace Safety and Insurance Act, 1997;

  • Comprehensive general liability and property damage insurance, insuring against all liability of the Contractor related to this Agreement, with a minimum combined single limit of One Million Dollars ($1,000,000.00) per occurrence, One Million Dollars ($1,000,000) Personal & Advertising Injury, Two Million Dollars ($2,000,000) Products/Completed Operations Aggregate, and Two Million Dollars ($2,000,000) general aggregate;

  • Social and Environmental Responsibility Supplier warrants that in all countries in which Supplier and, to Supplier’s information and belief, Supplier’s authorized subcontractors do business, its and their operations comply with all applicable laws and regulations governing labor and employment, employee health and safety, protection of the environment, and ethical practices. Supplier will comply with DXC Supplier Code of Conduct (xxxxx://xxx.xxx.xxxxxxxxxx/cr/ds/118945- csc_responsible_supply_chain_program), including establishment of management systems as described therein.

  • Records Retention Contractors and Subcontractors must preserve such certified transcripts for a period of three years from the date of completion of work on the awarded contract.

  • Pharmacy Benefits - Prescription Drugs and Diabetic Equipment or Supplies from a Pharmacy This plan covers prescription drugs listed on our formulary and diabetic equipment or supplies bought from a pharmacy as a pharmacy benefit. These benefits are administered by our Pharmacy Benefit Manager (PBM). Our formulary includes a tiered copayment structure and indicates that certain prescription drugs require preauthorization. If a prescription drug is not on our formulary, it is not covered. For specific coverage information or a copy of the most current formulary, please visit our website or call our Customer Service Department. Prescription drugs and diabetic equipment or supplies are covered when dispensed using the following guidelines: • the prescription must be medically necessary, consistent with the physician’s diagnosis, ordered by a physician whose license allows him or her to order it, filled at a pharmacy whose license allows such a prescription to be filled, and filled according to state and federal laws; • the prescription must consist of legend drugs that require a physician’s prescription under law, or compound medications made up of at least one legend drug requiring a physician’s prescription under law; • the prescription must be dispensed at the proper place of service as determined by our Pharmacy and Therapeutics Committee. For example, certain prescription drugs may only be covered when obtained from a specialty pharmacy; and • the prescription is limited to the quantities authorized by your physician not to exceed the quantity listed in the Summary of Pharmacy Benefits. Prescription drugs are subject to the benefit limits and the amount you pay shown in the Summary of Pharmacy Benefits.

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