Clinical Criteria definition

Clinical Criteria means the criteria used by the Department or the Medically Fragile Children's Unit as described in OAR 411-300-0150 to assess the private duty nursing support needs of a child.
Clinical Criteria means the written policies, written screening
Clinical Criteria means the written policies, written screening procedures, drug formularies or lists of covered drugs, determination rules, determination abstracts, clinical protocols, practice guidelines, medical protocols and any other criteria or rationale used by the utilization review entity to determine the necessity and appropriateness of covered services.

Examples of Clinical Criteria in a sentence

  • Assessment of Clinical Criteria for Sepsis: For the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3).

  • Developing a New Definition and Assessing New Clinical Criteria for Septic Shock: For the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3).

  • The Clinical Criteria tool assesses and scores various care elements that the assessor expects to last six months or more.

  • Clinical Criteria After determination of legal eligibility, clinical eligibility is considered.

  • Clinical Criteria – criteria used to determine the most clinically appropriate and necessary level of care and intensity of services to ensure the provision of Medically Necessary services.


More Definitions of Clinical Criteria

Clinical Criteria means the criteria used by the Department to assess the initial and ongoing eligibility of a child for the Medically Fragile Children’s Program and their support needs.
Clinical Criteria means the criteria used by the Department to assess the nursing support needs of a child annually or as needed for determination of the overall assessed needs of the child.
Clinical Criteria means the criteria used by the Department or the Medically Fragile Children's Unit as described in OAR 411-350-0055 to assess the private duty nursing support needs of an individual aged 18 through 20.
Clinical Criteria means the written policies, written screening procedures, decision rules, decision abstracts, clinical protocols, practice guidelines, and medical protocols used by the utilization review agent to determine the necessity and appropriateness of health care services;
Clinical Criteria means the written policies, written screening procedures, drug
Clinical Criteria means any written policy, written
Clinical Criteria means the criteria used by the Department to assess the nursing support needs of a child or young adult every six months or as needed for determination of the overall assessed needs of the child or young adult.