Special Health Care Needs definition

Special Health Care Needs means individuals who have high health care needs, multiple chronic conditions, mental illness or Substance Use Disorders and either:

Special Health Care Needs means Member with an increased prevalence of risk of disability, including but not limited to: chronic physical or developmental condition; severe and persistent mental illness; behavioral or emotional condition that accompanies the Member's physical or developmental condition.

Special Health Care Needs means Enrollees who have or are at increased risk for chronic physical, developmental, behavioral, or emotional conditions and who also require health and related services of a type or amount beyond that required by adults and children generally. Enrollment Area or Service Area means the counties enumerated in Article 1.4 of this Contract.

Examples of Special Health Care Needs in a sentence

• SPECIAL HEALTH CARE NEEDS AHCCCS has specified in its Quality Strategy certain populations with special health care needs including members enrolled in DDD, CRS and those receiving behavioral health services.

• INDIVIDUALS WITH SPECIAL HEALTH CARE NEEDS - November 6, 2000 Report to Congress - Individuals with special health care needs are adults and children who daily face physical, mental, or environmental challenges that place at risk their health and ability to fully function in society.

• SPECIAL HEALTH CARE NEEDS AHCCCS has specified in its Quality Assessment and Performance Improvement Strategy certain populations with special health care needs as defined by the State [42 CFR 438.208(c)(1)].v Members with special health care needs are those members who have serious and chronic physical, developmental, or behavioral conditions requiring medically necessary health and related services of a type or amount beyond that required by members generally.

• SPECIAL HEALTH CARE NEEDS The Contractor must implement mechanisms to identify persons with special health care needs in accordance with the guidelines provided in the AMPM.

• CHILDREN with SPECIAL HEALTH CARE NEEDS (CSHCN)Children under age 19 who are: Blind/Disabled Children and Related Populations (eligible for SSI under Title XVI).

More Definitions of Special Health Care Needs

Special Health Care Needs means the consumer has health conditions that are predictable and stable, as determined by the individual health care plan team, and for which the individual requires nursing supports for any of the following types of care:

Special Health Care Needs means members with special health care needs are those members who have serious and chronic physical, developmental or behavioral conditions, and who also require medically necessary health and related services of a type or amount beyond that required by members generally.

Special Health Care Needs means individuals who have high health care needs, multiple chronic conditions, mental illness or Substance Use Disorders and either 1) have functional disabilities, 2) live with health or social conditions that place them at risk of developing functional disabilities (for example, serious chronic illnesses, or certain environmental risk factors such as homelessness or Family problems that lead to the need for placement in foster care), or 3) are a Member of the Prioritized Populations listed in the Contract.

Special Health Care Needs means Enrollees who have or are at increased risk for chronic physical, developmental, behavioral, or emotional conditions and who also require health and related services of a type or amount beyond that required by adults and children generally. Enrollment Area or Service Area means the counties enumerated in Article 1.4 of this Contract.Excluded Parties List System or EPLS means the electronic version of the Lists of Parties Excluded from Federal Procurement and Non-procurement Programs (List) that identifies those individual and firms excluded from receiving Federal contracts or Federally-approved subcontracts and from certain types of Federal financial and non-financial assistance and benefits. The EPLS website is located at xxxx://xxxx.xxx. Exclusion or Excluded means the temporary or permanent barring of a person or other entity from participation in the Medicare or Medicaid program and that services furnished or ordered by that person are not paid for under either program. External Quality Review or EQR means the analysis and evaluation of information on quality, timeliness, and access to the health care services that a Health Plan, or its Providers, furnished to its Enrollees.

Special Health Care Needs means persons as defined in 10 C.C.R. 2505-10, Section 8.205.9.

Special Health Care Needs means individuals who either 1) have functional disabilities, or 2) live with health or social conditions that place them at risk of developing functional disabilities (for example, serious chronic illnesses, or certain environmental risk factors such as homelessness or family problems that lead to the need for placement in xxxxxx care.

Special Health Care Needs or “SHCN” means serious and chronic physical, developmental, or behavioral conditions