Managed Long Term Care Plan definition

Managed Long Term Care Plan or “MLTCP” means an entity that provides or arranges for the provision of health and long-term care services to adults with chronic illness or disabilities. MLTCP services include – but are not limited to – nursing, physical therapy, occupational therapy, speech pathology, medical equipment and supplies, podiatry, dentistry, optometry, respiration therapy, transportation and social day care. These services are provided under contract with the State and Federal governments.
Managed Long Term Care Plan means a plan which on a prepaid basis assumes the responsibility and the risk for delivery of the covered long-term care services set forth in the benefit agreement. Actual services are rendered by the plan through its own staff, through capitation, or other con- tractual arrangements with providers. Managed long-term care plans may include but are not limited to those offered by health maintenance organizations, and health care service contractors, if their services are provided through a managed long-term care delivery system.
Managed Long Term Care Plan means an entity that has received a certificate of authority pursuant to section 4403-f of the Public Health Law to provide or arrange for health and long term care services on a capitated basis for a population which the plan is authorized to enroll.

Examples of Managed Long Term Care Plan in a sentence

  • References [1] D.J. Margolis, J.M. Hoffman, R.J. Herfkens, R.B. Jeffrey, A.

  • CMS provided approval for the mandatory enrollment of dual eligible recipients, 21 years of age or older receiving more than 120 days of community based long term care services, into a Managed Long Term Care Plan (MLTCP) on August 31, 2012.

  • Additionally, you can find an electronic version of these documents on our website at www.centersplan.com or you may request them at any time by calling us at 1-855-270-1600.Membership Card Your CPHL Member Identification card (ID card), which will be provided shortly after enrollment, will let providers know that you are enrolled in the CPHL Managed Long Term Care Plan (MLTCP).

  • Individuals 21 years or older, who live in CPHL Service Area, are eligible for New York State Medicaid, and upon enrollment, require long-term care services from CPHL for 120 days or more are eligible to enroll in CPHL’s Managed Long Term Care Plan.

  • It is estimated that in 2022 and annually thereafter, approximately 3,700 new non-institutionalized applicants seeking Medicaid coverage of CBLTC through enrollment in a Managed Long Term Care Plan and approximately 70 new applicants through Medicaid fee-for-service would be subject to an average penalty period of 0.91 months as a result of an average $11,700 prohibited transfer during the 30-month transfer of assets lookback period.

  • Welcome to Centers Plan for Healthy LivingCenters Plan for Healthy Living (CPHL) is pleased to introduce you to our Managed Long Term Care Plan (MLTCP).

  • Individuals moving into this Supported Housing should be enrolled in a Health Home or Managed Long Term Care Plan (MLTC) to receive care coordination.

  • Should you decide to enroll in Montefiore Diamond Care, you will be participating in a Managed Long- Term Care Plan of New York State.

  • For each such incident, the State shall report to the Independent Reviewer, Class Counsel, and counsel for the United States the name of the Health Home, Managed Long Term Care Plan, or Housing Contractor, the type of incident, the outcome for the individual, any technical assistance or guidance provided to the Health Home, Managed Long Term Care Plan, or Housing Contractor, and any remedial measures taken by the State or any of its contractors.

  • As of April 2021, New York State’s Department of Health website reflected that it was contracting with between 40 and 50 MLTCs. See N.Y. STATE DEP’T OF HEALTH, Managed Long- Term Care Plan Directory (Apr.


More Definitions of Managed Long Term Care Plan

Managed Long Term Care Plan means an entity that has received a certificate of authority pursuant to this section to provide, or arrange for, health and long term care services, on a capitated basis in accordance with this section, for a population, age eighteen and over, which the plan is authorized to enroll.
Managed Long Term Care Plan means an entity that has received a certificate of authority pursuant to this section to provide, or arrange

Related to Managed Long Term Care Plan

  • Qualified long-term care services means services that meet the requirements of Section 7702(c)(1) of the Internal Revenue Code of 1986, as amended, as follows: necessary diagnostic, preventive, therapeutic, curative, treatment, mitigation and rehabilitative services, and maintenance or personal care services which are required by a chronically ill individual, and are provided pursuant to a plan of care prescribed by a licensed health care practitioner.

  • Long-term inpatient care means inpatient services for

  • Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

  • Long-term care services means the services admin- istered directly or through contract by the aging and disability services administration and identified in WAC 388-106- 0015.

  • Long-term care means the system through which the Department provides a broad range of social and health services to eligible adults who are aged, blind, or have disabilities for extended periods of time. This includes nursing homes and state hospitals (Eastern Oregon and Oregon State Hospitals).

  • Long-term care facility means a nursing home, retirement care, mental care, or other facility or institution that provides extended health care to resident patients.

  • Group long-term care insurance means a long-term care insurance policy which is delivered or issued for delivery in this State and issued to:

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

  • Long-term contract means a contract with a duration period exceeding one year;

  • Nursing Care Plan means a plan of care developed by a nurse that describes the medical, nursing, psychosocial, and other needs of a child and how those needs shall be met. The Nursing Care Plan includes which tasks shall be taught, assigned, or delegated to the qualified provider or family.

  • Long-term care insurance means group insurance that is authorized by the retirement system for retirants, retirement allowance beneficiaries, and health insurance dependents, as that term is defined in section 91, to cover the costs of services provided to retirants, retirement allowance beneficiaries, and health insurance dependents, from nursing homes, assisted living facilities, home health care providers, adult day care providers, and other similar service providers.

  • Dependent care assistance program means a benefit plan

  • Care Plan means a licensee's written description of a resident's needs, preferences, and capabilities, including by whom, when, and how often care and services are to be provided.

  • Non-Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has not been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • long-term insurance business means the business of providing or undertaking to provide policy benefits under long-term policies, but does not include -

  • Managed Care Program means the process that determines Medical Necessity and directs care to the most appropriate setting to provide quality care in a cost-effective manner, including Prior Authorization of certain services.

  • Participating Retail Health Clinic means a Retail Health Clinic which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Number of Students Who Began Program means the number of students who began the program who are scheduled to complete the program within the reporting calendar year.

  • Educational program means a program for educating and preparing physician assistants which is approved by the board.

  • Nursing program means a series of courses leading to an LPN certificate or an ADN degree provided through a Wyoming community college; or a BSN degree or a Master’s degree provided through the University of Wyoming; or, in the case of a candidate for a doctoral degree, provided through an institution offering the required nursing education courses under contract with the WICHE, or in a distance nursing education program provided through a university that is regionally accredited.

  • Medicare Advantage plan means a plan of coverage for health benefits under Medicare Part C as defined in 42 U.S.C. 1395w-28(b)(1), and includes:

  • Health plan or "health benefit plan" means any policy,

  • Non-Participating Retail Health Clinic means a Retail Health Clinic which does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Child welfare services means social services including