Activities of Daily Living (ADL. Basic tasks of everyday life which include, dressing, grooming, bathing, eating, transferring in and out of bed or a chair, walking, climbing stairs, toileting, bladder/bowel control, and the wearing and changing of incontinence briefs.
Activities of Daily Living (ADL mobility skills re- quired for independence in normal everyday living. Recrea- tional, leisure, or sports activities are not included. Acute Care — care rendered in the course of treating an illness, injury or condition marked by a sudden onset or change of status requiring prompt attention, which may in- clude hospitalization, but which is of limited duration and which is not expected to last indefinitely. Allowable Amount — the Blue Shield of California Xx- xxxxxxx (as defined below) for the Service (or Services) rendered, or the provider’s billed charge, whichever is less. The Blue Shield of California Allowance, unless otherwise specified for a particular service elsewhere in this booklet, is:
Activities of Daily Living (ADL mobility skills required for independence in normal everyday living. Recreational, leisure, or sports activities are not included. Allowed Charges — the amount a Plan Provider agrees to accept as payment from Blue Shield or the billed amount for non-Plan Providers (except that Physicians rendering Emer- gency Services, Hospitals which are not Plan Providers xxx- xxxxxx any Services, and non-contracting dialysis centers xxx- xxxxxx any Services when authorized by the Plan will be paid based on the Reasonable and Customary Charge, as defined). Ambulatory Surgery Center — an Outpatient surgery facili- ty which:
Activities of Daily Living (ADL mobility skills required for independence in normal everyday living. Recreational, leisure, or sports activities are not considered ADL. Advance Payments of the Premium Tax Credit – payment of the tax credits provided on an advance basis for an eligible individual enrolled in a QHP through Covered California in accordance with federal law. Agreement (Evidence of Coverage and Health Service Agreement) — this contract, including this Evidence of Coverage and Health Service Agreement, Summary of Benefits, all endorsements, and all applications for coverage. Allowable Amount (Allowance) — the total amount Blue Shield allows for Covered Service(s) rendered, or the provider’s billed charge for those Covered Services, whichever is less. The Allowable Amount, unless specified for a particular service elsewhere in this Evidence of Coverage, is:
Activities of Daily Living (ADL mobility skills required for independence in normal everyday living. Recreational, leisure, or sports activities are not included. Acute Care— care rendered in the course of treating an ill- ness, injury or condition marked by a sudden onset or change of status requiring prompt attention, which may include hos- pitalization, but which is of limited duration and which is not expected to last indefinitely. Agreement — this contract, the appendices, all endorsements to it, and all applications for coverage and health statements. Allowable Amount — the Blue Shield of California Allow- ance (as defined below) for the Service (or Services) ren- dered, or the provider's billed charge, whichever is less. The Blue Shield of California Allowance, unless otherwise speci- fied for a particular Service elsewhere in this Agreement, is:
Activities of Daily Living (ADL. (A) Provide a complete description of the DDDS claimant’s (or child’s) typical daily activities;
Activities of Daily Living (ADL. Basic personal everyday activities that include bathing, dressing, transferring (e.g. from bed to chair), toileting, mobility and eating. The extent to which a person requires assistance to perform one or more ADLs is often a level of care criteria. Actuarially Sound Rates — Rates that reflect, among other elements: the populations and Covered Services. the rating groups. the projected Participant months for each category of aid. the historical and projected future medical costs expected to be incurred by an efficiently and effectively operated Medicaid managed care program in the respective county/zone. program changes to the extent they impact actuarial soundness of the rates; trend levels for each type of service. administrative costs expected to be incurred by an efficiently and effectively operated Medicaid managed care program, including assessment costs and profit consideration. Adjudicated Claim — A Claim that has been processed to payment or denial. Adult Protective Services (APS) - A program of protective services administered by the Department to detect, prevent, reduce and eliminate abuse, neglect, exploitation and abandonment of adults between 18 and 59 years of age who have a physical or mental impairment that substantially limits one or more major life activity. Advanced Healthcare Directive - A healthcare power of attorney, living will or a written combination of a healthcare power of attorney and living will. Adverse Action – Any action taken by the CHC-MCO, whether in response to a request for approval or otherwise, to deny, reduce, terminate, delay or suspend a Covered Service which serves to: disapprove a request completely; or approve provision of the requested service(s), but for a lesser amount, scope or duration than requested; or disapprove provision of the requested service(s), but approves provision of an alternative service(s); or reduces, suspends or terminates a previously authorized service. An approval of a requested service which includes a requirement for a Concurrent Review by the CHC-MCO during the authorized period does not constitute a denial of service. Also includes any other acts or omissions of the CHC-MCO which impair the quality, timeliness or availability of such Covered Services. Affiliate — Any individual, corporation, partnership, joint venture, trust, unincorporated organization or association, or other similar organization ("Person"), controlling, controlled by or under common control with...
Activities of Daily Living (ADL. Activities such as eating, bathing, grooming, dressing, ambulating, transferring, and continence.
Activities of Daily Living (ADL mobility skills required for independence in normal, every- day living. Recreational, leisure, or sports activi- ties are not considered ADL.
