Coordinated Care definition

Coordinated Care means the management of health care services by a third-party payer for a beneficiary. Examples include, but are not limited to, provider selection or referral, preadmission certification, length of stay determination and second surgical opinions.
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Coordinated Care means services directly related to covered school-based health services (SBHS) specified in the individualized education program (IEP) or individualized family service plan (IFSP), performed by medically qualified staff, and allowed under OAR 410-133-0080 Coverage to manage integration of those health services in an education setting. Coordinated care includes the following activities:
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Coordinated Care. Is the service provided to enrollees by doctors who are part of the preferred network of providers Primary Medical Group. The Primary Care physician is the leading provider of services for he is responsible to periodically evaluate their health and coordinate all medical services they need.
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Examples of Coordinated Care in a sentence

  • Therefore, all existing rules need to be repealed to avoid redundant or conflicting rules in the oversight of the State’s Coordinated Care Organizations (CCOs).

  • They are designed to improve OHA’s financial oversight of Coordinated Care Organizations (CCOs).

  • The State shall develop an outreach and education strategy to explain the changes to individuals who are impacted by the Coordinated Care Initiative.

  • If a PHP wishes to use their own disclosure statement form, they shall submit to their Coordinated Care Account Representative (CAR) for Authority approval prior to use.

  • Coordinated Care Initiative (CCI) Three-Way Contract, Section 2.6, eff January 1, 2018.

  • Coordinated Care: Members requiring coordinated care are those with severe and/or chronic behavioral health conditions that necessitate a team approach to providing medically necessary care.

  • A common technique for inhibiting password guessing is to disable an account after three consecutive failed login attempts.

  • Coordinated Care Initiative (CCI) Three-Way Contract, Section 2.8, eff January 1, 2018.

  • IEHP CPO services are offered in accordance with the Coordinated Care Initiative (CCI) guidelines.

  • Coordinated Care Organizations (CCOs) must keep and maintain books, documents and other records as prescribed by the Division of Medicaid for a period of no less than ten (10) years or until all issues are finally resolved whichever is later.


More Definitions of Coordinated Care

Coordinated Care means covered expenses that have been referred by a Participant’s designated Primary Care Physician. The following services do not require a referral (OBGYN, Behavioral Health, Fertility Services, Habilitative Services (i.e. physical, occupational, speech therapy), Acupuncture, Chiropractic Care, Laboratory and Pathology Services, Emergency Services and Urgent Care). All other services will require a referral in order to be covered as “Coordinated Care”. “Coordinated Care” requires the use of a physician or facility participating in the network. Fertility services are administered by Kindbody.
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Related to Coordinated Care

  • Child support services means any civil, criminal or administrative action taken by the Division of

  • Child care means continuous care and supervision of five or more qualifying children that is:

  • Program coordinator means a registered nurse responsible for administrative aspects of a state-approved nurse aide training course.

  • Services Coordinator means an employee of the community developmental disability program or other agency that contracts with the county or Department, who is selected to plan, procure, coordinate, and monitor Individual Support Plan services, and to act as a proponent for individuals with developmental disabilities.

  • Project Managers means the person at Developer responsible for the project management of Product and identified in Schedule 2;

  • Coordinator means the person designated by Canada to act as the Dispute Resolution Coordinator.

  • Project Management Plan means the management plan that (i) sets out a high level workplan to describe the manner in which the Design-Builder will manage the Project, including to address related matters such as traffic management and communications, and (ii) is prepared by or for the Design-Builder and submitted to the Owner;

  • Technical Support Services means the technical support and maintenance Services provided by us according to our then-current technical support policy and procedure listed at xxxxxxxxxxxxx.xxx (“Technical Support Policy”) when the Services are purchased.

  • Support Services the support services, as described in the Support Services Description, that We provide to You in respect of the Cloud Service.

  • Hospice Care means a coordinated program of active professional

  • Team means a team affiliated to a Club, including where a Club provides more than one team in the Competition in accordance with the Rules.

  • SBE Program Coordinator means the individual appointed, from time to time, by the City’s Community and Economic Development Director to administer the SBE Regulations.

  • Service coordination means a specialized care management service that is performed by a Service Coordinator and that includes but is not limited to:

  • Non-Administrator Coordinated Home Care Program means a Coordinated Home Care Program which does not have an agreement with the Claim Administrator or a Blue Cross Plan but has been certified as a home health agency in accordance with the guidelines established by Medicare.

  • Child Care Program means a person or business that offers child care.

  • Program Manager refers to the professional management firm selected by the Owner as the Owner’s representative for the Project, and its employees and consultants.

  • Manufacturing Services means the manufacturing, quality control, quality assurance, stability testing, packaging, and related services, set forth in this Agreement, required to manufacture Product or Products from Active Materials and Components;

  • Development Services “Target Market”; “Investment Areas”; and “Targeted Populations” have the meanings ascribed to such terms in 12 C.F.R. 1805.104.

  • Routine care means medical care which is not urgent or emergent in nature and can wait for a regularly scheduled physician appointment without risk of permanent damage to the patient’s life or health status. The condition requiring routine care is not likely to substantially worsen without immediate clinical intervention.

  • Pharmacist services means products, goods, and services, or any combination of products, goods, and services, provided as a part of the practice of pharmacy.