Appropriateness of services definition

Appropriateness of services means an appeal classification for adverse determinations that are made based on identification of treatment as cosmetic, investigational, experimental or not an appropriate or preferred treatment method or setting for the condition for which treatment is sought.
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Appropriateness of services. The types and intensity of services, including case management, are provided based on the member’s assessment and treatment recommendations. ICR 85% 90% 95% Informed consent for psychotropic medications: Members and/or parents/guardians are informed about and give consent for prescribed medications. (As dictated by IHS standards) ICR Not in ABHS client chart; kept in IHS client chart 80% 90% 95% Quality clinical outcomes: There is evidence of positive clinical outcomes for members receiving behavioral health services. ICR 80% 82% 85%
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Examples of Appropriateness of services in a sentence

  • Criterion (1): Appropriateness of services requested: The Application Review Team will assess whether and to what extent the proposed tasks will materially advance the overall project identified in the application.

  • Resnicoff Follow this and additional works at: https://via.library.depaul.edu/bclj Recommended Citation Steven H.

  • Most (88.7%) responded positively to the questions related to the Quality and Appropriateness of services, and 82.4% thought that the services were Accessible.

  • Appropriateness of services · Reduction in referral and transfer of clients because of lack of appropriate care for their conditions.

  • Most (85%) responded positively to the questions related to the Quality and Appropriateness of services, and 81% thought that the services were Accessible.

  • Appropriateness of services In order to assess Kapiti Coast residents’ overall view of the services provided by the Kapiti Coast District Council, survey participants were initially asked to indicate how appropriate they thought that the services provided were.

  • In addition, provider agencies are monitored with respect to: • Recipient’s access to needed services identified in the service plan, • Quality of assessment and service planning, • Appropriateness of services provided including content, intensity, frequency and recipient input and satisfaction, • The presence of the personal outcomes as defined and prioritized by the recipient and/or responsible representative, and • Internal quality improvement.

  • In addition, provider agencies are monitored with respect to: Recipient access to needed services identified in the Plan of Care and Individualized Service Plan, Quality of assessment and service planning, Appropriateness of services provided including content, intensity, frequency and recipient input and satisfaction, The presence of the personal outcomes as defined and prioritized by the recipient/guardian, and Internal quality improvement.

  • In the event that the balance owing under this Agreement exceeds the Maximum Amount, or in the event that said balance exceeds the percentage set forth above of the Value of Prime Accounts as determined by Lender, Borrower understands and agrees that Lender shall make no further Advances to the Borrower unless and until Borrower pays Lender the amount of such excess (each an "Overadvance"), and Borrower hereby promises to pay the Overadvance to Lender upon Lender's demand.

  • Most (87.4%) responded positively to the questions related to the Quality and Appropriateness of services, and 82.8% thought that the services were Accessible.

Related to Appropriateness of services

  • The Services means those services ancillary to the supply of the Goods, such as transportation and insurance, and any other incidental services, such as installation, commissioning, provision of technical assistance, training, and other such obligations of the Supplier covered under the Contract.

  • Medically Necessary Services means those covered services that are, under the terms and conditions of the contract, determined through contractor utilization management to be:

  • Cost of Services is FASC’s total Operating Costs incurred in providing the applicable Category of Services during the month to all investment advisers for which FASC provides that Category of Services. “Adviser’s Assets under Management” is the total average assets under management for the month for all Accounts or portions thereof for which the Adviser acts as investment adviser or subadvisor and which utilize the Category of Services.

  • Scope of Services or “Scope of Work” means the work to be performed by the Proposer or Consultant as described in Section 2.0 of this RFP, as amended thereto.

  • Registered in the System for Award Management (SAM) database means that—

  • Preventive services means preservation services, as defined

  • Nursing services means the provision of individual-specific advice, plans, or interventions by a nurse at a home based on the nursing process as outlined by the Oregon State Board of Nursing. Nursing services differ from administrative nursing services.

  • Independent living services means services and activities provided to a child in foster care 14 years

  • Supply of services means any transaction which does not constitute a supply of goods.

  • PECR means the Privacy and Electronic Communications (EC Directive) Regulations 2003 (SI 2426/2003).

  • Consulting Services means services of an advisory and intellectual nature provided by consultants using their professional skills to study, design, organize, and manage projects, encompassing multiple activities and disciplines, including the crafting of sector policies and institutional reforms, specialist advice, legal advice and integrated solutions, change management and financial advisory services, planning and engineering studies, and architectural design services, supervision, social and environmental assessments, technical assistance, and programme implementation;

  • export of services means the supply of any service when,––

  • Eligible next Michigan business means that term as defined in section 3 of the Michigan economic growth authority act, 1995 PA 24, MCL 207.803.

  • Finished Services means complete end-to-end services offered by CenturyLink to wholesale customers or retail End User Customers. Finished Services do not include Unbundled Network Elements or combinations of Unbundled Network Elements. Finished Services include Access Services, private lines, retail services, and resold services.

  • Training Services means access to Red Hat training courses, including online courses or courses provided at a site as may be agreed by the parties.

  • Registered in the System for Award Management (SAM means that–

  • Services means those functional services ancillary to the supply of the goods, such as transportation and any other incidental services, such as installation, commissioning, provision of technical assistance, training, catering, gardening, security, maintenance and other such obligations of the supplier covered under the contract.

  • Inpatient services means services provided to you as an admitted inpatient in a recognised private or public hospital for treatment that is in an included clinical category, has a Medicare item number allocated and a Medicare benefit is payable.

  • Extraordinary unspecifiable services means services which are specialized and qualitative in nature requiring expertise, extensive training and proven reputation in the field of endeavor.

  • Supportive services means those services and activities provided in con- nection with minority business enter- prise programs which are designed to increase the total number of minority businesses active in the highway pro- gram and contribute to the growth and eventual self-sufficiency of individual minority businesses so that such busi- nesses may achieve proficiency to com- pete, on an equal basis, for contracts and subcontracts.

  • Child in need of services means (i) a child whose behavior, conduct or condition presents or results