Homemaker Services Clause Samples

Homemaker Services. 7. Services not preauthorized by the Health Plan. 8. Care that a Plan Provider determines may be appropriately provided in a Plan Facility or a Skilled Nursing Facility, and we provide or offer to provide that care in one of these facilities.

Homemaker Services. Services consisting of general household activities (meal preparation and routine household care) provided by a trained homemaker, when the individual regularly responsible for these activities is temporarily absent or unable to manage the home and care for him or herself or others in the home.

Homemaker Services. General household activities such as meal preparation and routine household care provided by a trained homemaker.

Homemaker Services. General household tasks including basic home and household assistance for a health condition or to address functional limitations. The services include meal preparation, essential shopping, laundry, and cleaning for an individual without a social support system able to perform these services for him/her. These services may be performed and covered on a short term basis after an individual is discharged from an institution and is not capable of performing these activities himself/herself.

Homemaker Services. The following costs and Services for infertility consultation services, in vitro fertilization or artificial insemination: - The cost of equipment and of collection, storage and processing of sperm or eggs. - In vitro fertilization that does not meet state law requirements. - Artificial insemination and in vitro fertilization that do not meet Health Plan and Medical Group requirements and criteria. - Services related to conception by artificial means other than artificial insemination or in vitro fertilization, such as ovum transplants, gamete intrafallopian transfer (GIFT) and zygote intrafallopian transfer (ZIFT), including prescription drugs related to such Services and donor sperm and donor eggs used for such Services. - Services to reverse voluntary, surgically-induced infertility. - Stand-alone ovulation induction Services. • Non FDA-approved drugs and devices. • Certain exams and Services. Certain Services and related reports/paperwork, in connection with third party requests, such as those for: employment, participation in employee programs, sports, camp, insurance, disability, licensing, or on court-order or for parole or probation. Physical examinations that are authorized and deemed medically necessary by a ▇▇▇▇▇▇ Permanente physician and are coincidentally needed by a third party are covered according to the member’s benefits. • Long term physical therapy, occupational therapy, speech therapy; maintenance therapies; routine vision services; services provided by family or household members; duplicate services provided by another therapy or available through schools and/or government programs. • Services not generally and customarily available in the Hawaii service area. • Services and supplies not medically necessary. A service or item is medically necessary (in accord with medically necessary state law definitions and criteria) only if, 1) recommended by the treating ▇▇▇▇▇▇ Permanente physician or treating ▇▇▇▇▇▇ Permanente licensed health care practitioner, 2) is approved by ▇▇▇▇▇▇ Permanente’s medical director or designee, and 3) is for the purpose of treating a medical condition, is the most appropriate delivery or level of service (considering potential benefits and ▇▇▇▇▇ to the patient), and known to be effective in improving health outcomes. Effectiveness is determined first by scientific evidence, then by professional standards of care, then by expert opinion. Coverage is limited to the services which are cost effective and adequately me...

Homemaker Services. Home health care is provided in a setting other than a hospital, nursing care facility or assisted living facility. It refers to the insured receiving medical or non-medical services from a licensed home health care provider in the insured's private home or an adult day care center. A licensed home health care provider or licensed adult day care center or home health care giver. This also includes an employee of a hospital acting in the capacity of providing care in a private home. All services and facilities required to be available in the state where the agreement was issued will be covered even If the state does not require a provider of such services to be licensed, certified or registered, or if the state licenses, certifies or registers the provider of services under another name. HOMEMAKER SERVICES Homemaker services are necessary services provided in a home as required pursuant to a plan of care for a chronically ill individual. HOSPITAL A hospital is an institution or facility that is licensed as a hospital by the proper authority of the state in which it is located; or accredited as a hospital by the Joint Commission on Accreditation of Hospitals.

Homemaker Services. 8.7.1 Under the direct supervision of a licensed nurse, homemaker services will be provided to clients who require intensive home and/or community-based services. Homemaker services consist of general household activities. Services will include, but not be limited to: (1) Sweeping; (2) Vacuuming; (3) Washing and waxing floors; (4) Washing kitchen counters and sinks; (5) Cleaning the oven and stove; (6) Cleaning and defrosting the refrigerator; (7) Cleaning the bathroom; (8) Taking out the garbage; (9) ▇▇▇▇▇▇▇ and picking up; (10) Changing bed linen; (11) Preparing meals; (12) Ironing, folding and putting away laundry; (13) Shopping and running errands; (14) Storing food and supplies; (15) Accompanying clients to medical appointments; (16) Performing other services as necessary to allow client to continue to live independently. The NCM will determine the total number of hours needed.

Homemaker Services. Home health care is provided in a setting other than a hospital, nursing care facility or assisted living facility. It refers to the insured receiving medical or non-medical services from a licensed home health care provider in the insured's private home or an adult day care center. A licensed home health care provider or licensed adult day care center or home health care giver. This also includes an employee of a hospital acting in the capacity of providing care in a private home. HOMEMAKER SERVICES Homemaker services are necessary services provided in a home as required pursuant to a plan of care for a chronically ill individual. HOSPITAL A hospital is an institution or facility that is licensed as a hospital by the proper authority of the state in which it is located; or accredited as a hospital by the Joint Commission on Accreditation of Hospitals.

Homemaker Services. The following costs and Services for infertility services, in vitro fertilization or artificial insemination: - The cost of equipment and of collection, storage and processing of sperm. - In vitro fertilization using either donor sperm or donor eggs. - In vitro fertilization that does not meet state law requirements. - Services related to conception by artificial means other than artificial insemination or in vitro fertilization, such as ovum transplants, gamete intrafallopian transfer (GIFT) and zygote intrafallopian transfer (ZIFT), including prescription drugs related to such Services and donor sperm and donor eggs used for such Services. - Services to reverse voluntary, surgically-induced infertility. • The following mental health costs and Services: - Services that, in the opinion of a ▇▇▇▇▇▇ Permanente physician, are not necessary or reasonably expected to improve the member's condition. - Continuation in a course of treatment for members who are disruptive or physically abusive. - Services on court order or as a condition of parole or probation unless determined by a ▇▇▇▇▇▇ Permanente physician to be medically necessary and appropriate. - Testing or treatment requested or required by a non-▇▇▇▇▇▇ Permanente outside agency/body, in connection with administrative or court proceedings (such as divorce or child custody proceedings), hearings, gun permit applications, employment or disability matters, unless the test or treatment is determined by a ▇▇▇▇▇▇ Permanente physician to be medically necessary and appropriate. - Testing for ability, aptitude, intelligence, learning disability or interest. - Occupational therapy supplies. - Mental health services for mental retardation, after diagnosis. • The following residential chemical dependence costs and Services: - Services that, in the opinion of a ▇▇▇▇▇▇ Permanente physician, are not necessary or reasonably expected to improve the member's condition. - Continuation in a course of treatment for members who are disruptive or physically abusive. - Services on court order or as a condition of parole or probation unless determined by a ▇▇▇▇▇▇ Permanente physician to be medically necessary and appropriate. - Testing or treatment requested or required by a non-▇▇▇▇▇▇ Permanente outside agency/body, in connection with administrative or court proceedings (such as divorce or child custody proceedings), hearings, gun permit applications, employment or disability matters, unless the test or treatment is determined by...