Institutional services definition

Institutional services means services paid for by Washington apple health, and provided:
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Institutional services means care furnished in an institutional care facility.
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Institutional services means services paid for by medicaid or state funds and provided in a medical institution, through a home and community based (HCB) waiver or pro- gram of all-inclusive care for the elderly (PACE).
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Examples of Institutional services in a sentence

  • Institutional services (i.e., routine home care - 651, continuous home care - 652, inpatient respite care - 655, and general inpatient care - 656) shall be reported on an institutional claim format while hospice physician services (revenue code 657 and accompanying Current Procedural Terminology (CPT) codes) shall be reported on a non-institutional format.

  • The services that can be sanctioned are: Institutional services which are provided to individuals who are in a nursing facility (NF), intermediate care facility for the mentally retarded (ICF-MR), swing bed or inappropriate level of care bed, Community Alternatives Program (CAP), or the Program of All-Inclusive Care for the Elderly (PACE).

  • Each LTSS group receives a distinct package of Home and Community-Based Services (HCBS) or Institutional services as described in HAR §17-1720-18 – HCBS or HAR §17-1720-22 – Institutional care.

  • LOC Determination: Members who will receive HCBS or Institutional services need an approved LOC determination completed on the DHS 1147 form (refer to the “Level of Care and At-Risk Evaluation” appendix in the “Health Plan Manual - Appendices” document).

  • LTSS Eligibility Determination: In general, Members who meet nursing facility LOC on the DHS 1147 form and want to receive HCBS or Institutional services, will be subject to an asset test and are required to submit an additional LTSS application packet to the DHS eligibility worker (EW) for LTSS eligibility approval.


More Definitions of Institutional services

Institutional services means services described in section
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Institutional services means those healthcare facility services provided and billed by a duly licensed Healthcare Facility exclusive of any professional services).
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Institutional services means care furnished in an institutional care facility. (126)(128) “Institutionalized person” means a person who is:
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Institutional services means services described in section 36-2939, subsection A, paragraph 1 and subsection B, paragraph 1.
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Institutional services means those non-professional Covered Services provided by or through a State licensed or Medicare/Medicaid certified facility. Such services include, but are not limited to: inpatient or outpatient hospital services, skilled nursing facility services, and emergency room services.
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Institutional services means all services which are not Professional Services, including, without limitation, accommodations and use of facility; nursing, technician and related services; pharmacy services; drugs biologicals, supplies, appliances and equipment; diagnostic or therapeutic items or services; administrative services and housekeeping; durable medical equipment and home health services. Those services which constitute Institutional Services may be specifically set forth in a contract between IPA and a payer, in which case the provisions of such contract shall control and supersede the definition of Institutional Services contained herein.
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Institutional services means all hospital inpatient and outpatient services, inpatient hospice care, and services provided by a skilled nursing facility; provided that all such services are Covered Services.
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