Continued Eligibility for Services Clause Samples
The Continued Eligibility for Services clause defines the conditions under which a party may remain entitled to receive certain services under an agreement. Typically, this clause outlines specific requirements or standards—such as timely payment, compliance with terms, or ongoing need—that must be met for services to continue. For example, a customer may need to maintain an active account status or avoid breaching contract terms to keep accessing support or maintenance. The core function of this clause is to ensure that services are only provided to parties who fulfill their contractual obligations, thereby protecting the service provider from misuse or non-compliance.
Continued Eligibility for Services. (1) Reassessment by the provider and reauthorization of services by Grantee determine whether a continued need for services is warranted. This activity is completed according to the UA protocols and TRR UM Guidelines every 90days or more frequently, as needed;
(2) Assignment of diagnosis in CARE is required at any time the primary diagnosis changes and at least annually from the last diagnosis entered into CARE.
Continued Eligibility for Services. (1) Reassessment by the provider and reauthorization of services by Grantee determines continued need for services. This activity is completed according to the UA protocols), incorporated by reference and posted at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/doing-business-hhs/provider-portals/behavioral-health- services-providers/local-mental-health-authorities/adult-needs-strengths- assessment, and TRR UM Guidelines, incorporated by reference and posted at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/doing-business-hhs/provider-portals/behavioral-health- services-providers/behavioral-health-provider-resources/utilization-management- guidelines-manual.
(2) Assignment of diagnosis in Client Assignment and Registration System (CARE) is required any time the diagnosis changes and at least annually from the last diagnosis entered into CARE.
Continued Eligibility for Services. (1) Reassessment by the provider and reauthorization of services by Contractor determine whether a continued need for services is warranted. This activity is completed according to the UA protocols and TRR UM Guidelines every 90days or more frequently, as needed;
(2) Assignment of diagnosis in CARE is required at any time the primary diagnosis changes and at least annually from the last diagnosis entered into CARE. f) The LPHA’s determination of diagnosis shall include an interview with the individual and/or guardian/LAR, conducted either face-to-face or via tele- medicine/tele-health. In order to assign a diagnosis to an individual, documentation of the required diagnostic criteria shall be included in the client record. This information shall be included as part of the required assessment information.
Continued Eligibility for Services. (1) Reassessment by the provider and reauthorization of services by Contractor determines continued need for services. This activity is completed according to the UA protocols and TRR UM Guidelines.
(2) Assignment of diagnosis in Client Assignment and Registration System (CARE) is required any time the diagnosis changes and at least annually from the last diagnosis entered into CARE.
