LEVELS OF CARE Sample Clauses

LEVELS OF CARE. CONTRACTOR shall provide services in accordance 25 with one of the following ASAM-Designated Levels of Care:
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LEVELS OF CARE. Facility provides Personal Care Packages depending on Resident’s care needs as determined by his/her physician’s recommendation and Facility’s utilization of the Level of Care Assessment Tool, Attachment “A”, which is subject to change from time to time.
Sample 1
LEVELS OF CARE. Golden Age Home Assisted Living is responsible to provide the following services in each Level of Care. Residents will be reassessed yearly and after a major health issue. Levels of Care may be adjusted on a monthly term to accommodate short-term illness where additional care is needed to help in recovery if specified by a physician, facility or resident/responsible party. Scope of Service: Golden Age Home Assisted Living will provide residents services twenty-four hours a day, seven days a week. Level One Care Golden Age Home Assisted Living will provide three hot & nutritionally balanced meals daily along with a continental breakfast and evening snacks. Bi-weekly housekeeping and bi-yearly deep cleaning will be provided. Special request for housekeeping (examples include, but are not limited to: carpet spot removal) will be done as staff availability allows. Additional housekeeping can be purchased at a per cleaning rate. Mail service can be obtained in the workroom or by the Activity Department. Mail delivered to the facility for an individual will be brought to the resident. Golden Age Home also offers occasional concierge service (making doctor appointments, travel arrangements, paying bills, addressing letters, reading, etc.). Occasional is defined as a few times per month but not on an ongoing basis. Level Two Care This level of care includes all of the following of Level One Care (see above) AND additional services of shower aid and medication management. Medication Management is defined as the ordering of medication, consulting resident's doctor about changes, working with pharmacy on deliveries, storing meds, reminding resident to take meds at appropriate time, and destroying expired or discontinued medication. Level Three Care This level of care includes all services of Level Two Care (see above) AND any other additional services. Examples include, but are not limited to: diabetic management, memory care, incontinent management, regular concierge service, regular meals delivery. Regular is defined as every month numerous times or routinely throughout the month. Diabetic management is defined as storing supplies for regular blood sugar check, reminding resident when to check blood sugar, reminding resident when/if insulin is needed and how much in regards to current blood sugar. (Resident must be able to draw own insulin if necessary and administer his/her own shots.) Memory care is the term for a long-term care option for patients who have been ...
Sample 1
LEVELS OF CARE. The Provider shall provide treatment services using The American Society of Addiction Medicines (ASAM) (Applicable Document # 1) placement criteria, which provides guidance for the following levels of care for youth:
Sample 1
LEVELS OF CARE. 3.1-Clinically Managed Low-Intensity Residential, 3.5- Clinically Managed High-Intensity Residential: A minimum of thirty percent (30%) of treatment clients will successfully discharge from treatment. This will be evidenced by contractor reports provided to KernBHRS’ Substance Use Disorder System of Care through the Cerner electronic health record including CalOMS standard discharge codes 1, 2, and 3.
Sample 1

Related to LEVELS OF CARE

  • Standard of Care In the absence of willful misfeasance, bad faith, gross negligence or reckless disregard of obligations or duties hereunder on the part of the Sub-Advisor, the Sub-Advisor shall not be subject to liability to the Advisor, the Trust or to any shareholder of the Portfolio for any act or omission in the course of, or connected with, rendering services hereunder or for any losses that may be sustained in the purchase, holding or sale of any security.

  • Continuity of Care OMPP is committed to providing continuity of care for members as they transition between various IHCP programs and the Contractor’s enrollment. The Contractor shall have mechanisms in place to ensure the continuity of care and coordination of medically necessary health care services for its Hoosier Healthwise members. The State emphasizes several critically important areas where the Contractor shall address continuity of care. Critical continuity of care areas include, but are not limited to:  Transitions for members receiving HIV, Hepatitis C and/or behavioral health services, especially for those members who have received prior authorization from their previous MCE or through fee-for-service;  Transitions for members who are pregnant;  A member’s transition into the Hoosier Healthwise program from traditional fee- for-service or HIP;  A member’s transition between MCEs, particularly during an inpatient stay;  A member’s transition between IHCP programs, Members exiting the Hoosier Healthwise program to receive excluded services;  A member’s exiting the Hoosier Healthwise program to receive excluded services;  A member’s transition to a new PMP;  A member’s transition to private insurance or Marketplace coverage; and  A member’s transition to no coverage. In situations such as a member or PMP disenrollment, the Contractor shall facilitate care coordination with other MCEs or other PMPs. When receiving members from another MCE or fee-for-service, the Contractor shall honor the previous care authorizations for a minimum of thirty (30) calendar days from the member’s date of enrollment with the Contractor. Contractor shall establish policies and procedures for identifying outstanding prior authorization decisions at the time of the member’s enrollment in their plan. For purposes of clarification, the date of member enrollment for purposes of the prior authorization time frames set forth in this section begin on the date the Contractor receives the member’s fully eligible file from the State. Additionally, when a member transitions to another source of coverage, the Contractor shall be responsible for providing the receiving entity with information on any current service authorizations, utilization data and other applicable clinical information such as disease management, case management or care management notes. This process shall be overseen by the Transition Coordination Manager. The Contractor will be responsible for care coordination after the member has disenrolled from the Contractor whenever the member disenrollment occurs during an inpatient stay. In these cases, the Contractor will remain financially responsible for the hospital DRG payment and any outlier payments (without a capitation payment) until the member is discharged from the hospital or the member’s eligibility in Medicaid terminates. The Contractor shall coordinate discharge plans with the member’s new MCE. See Section 3.7.5 for additional requirements regarding continuity of care for behavioral health services. The Hoosier Healthwise MCE Policies and Procedures Manual describes the Contractor’s continuity and coordination of care responsibilities in more detail.

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