Medical Home Sample Clauses

Medical Home. A health care setting that facilitates partnerships between individual patients, their Primary Care Providers, and when appropriate, the patient’s family to provide comprehensive primary care.
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Medical Home. Contractor shall educate Affiliated Providers about the Medical Home model and the importance of using it to integrate all aspects of each Enrollee’s care, as well as how to become a Medical Home.
Medical Home. Contractor’s Affiliated Provider network shall include Providers that serve as Medical Homes, which may include FQHCs, CMHCs and multi-specialty PCP-centered medical groups, private practice PCP offices and nurse practitioner-led clinics. Medical Homes will be patient- centered in approach with the capacity to provide access to a personal clinician and care team that offers individualized, high quality comprehensive primary care and coordinates specialty and other needed services. Medical Homes will demonstrate competence in the following areas: effective care coordination; family and caregiver involvement; health promotion and Wellness Programs; self-management strategies; and Chronic Health Condition management. Medical Homes shall provide all PCP services and be supported by Integrated Care Teams and Health Information Technology. Contractor will support Medical Homes and the integration of behavioral and physical health care at FQHCs, CMHCs and high volume Providers that agree to this approach.
Medical Home. Contractor’s Affiliated Provider network shall include Providers that act as Medical Homes, with a focus on FQHCs, CMHCs and multi-specialty PCP-centered medical groups and private practice PCP offices. Medical Homes shall be patient-centered medical homes that provide and coordinate high quality, planned, family-centered health promotion; Wellness Programs; acute illness care; and Chronic Health Condition management. Medical Homes shall provide all PCP services and be supported by Integrated Care Teams and Health Information Technology. Contractor will support Medical Homes and the integration of behavioral and physical health care by providing embedded Care Coordinators, as appropriate, onsite at FQHCs, CMHCs and high volume Providers that agree to this approach.
Medical Home. The meaning assigned to a patient-centered Medical Home in Texas Government Code § 533.0029(a).
Medical Home. An approach to providing comprehensive primary care that facilitates partnerships between individual Members, their providers, and, where appropriate, the Member's family. The primary care practice selected by or for a Member, through which Members receive continuous, comprehensive, and coordinated care within the PCCM Program.
Medical Home. Contractor shall assign each Enrollee to a Medical Home, which may be a single provider, Facility, or health care team that maintains the Enrollee’s medical information and coordinates Enrollee’s health care services. The Medical Homes shall meet the requirements of Welfare and Institutions Code Section 15910.2(b)(2).
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Medical Home. County will initially assign each Eligible Member to a Medical Home in accordance with Welfare & Institutions Code Section 15910.2(b)(2) and shall transmit the assignment to Alliance through the daily eligibility file. The Medical Home shall provide a primary health care contact; an intake assessment; care coordination, care management, case management, and transitions among levels of care, if needed and as agreed to between the Medical Home and Alliance. Use of clinical guidelines and other evidence-based medicine when applicable will focus on continuous improvement in quality of care; timely access to qualified health care interpretation as needed and as appropriate; and health information, education, and support in a culturally competent manner. Alliance may change a Member’s Medical Home at the request of the Member.
Medical Home. Children born with a metabolic or genetic condition often “require an extensive range of different services” and could need these services over the course of their entire life (2). The medical home is a concept developed to alleviate some of the challenges faced by patients and their families in the medical system. “Families have had to navigate a maze of organizations, providers, and geographic and financial barriers” in order to get appropriate care (2). Pass, et al. presented the medical home as a place where “all providers and parents share responsibility for ensuring that a child has access to the medical and non-medical services needed to help him or her achieve maximum potential” (2). Put another way, “the medical home is defined as care that is accessible, continuous, comprehensive, family-centered, coordinated, compassionate, and culturally effective” (9). “Most often the medical home is provided by primary care physicians; however, in a limited number of cases, specialty clinics can provide a full range of services (including primary care) and be considered the medical home for a child with complex health care needs” (9). The medical home is an integral part of ensuring that children are actually receiving adequate care for their conditions and are not lost to follow-up. A 2003 survey regarding the medical home found that twelve states (24%) indicated there was a procedure in place for identifying the infant’s medical home before the child’s birth (9). By 2006, 69% of states (n = 38) ensured that patients had access to a medical home over their lifespan (18).

Related to Medical Home

  • Medical Care The Parents must comply with the School Welfare Officer's recommendations which may include a reasonable decision to release the Pupil home or to his / her education guardian when s/he is unwell.

  • Medical Care Leave An Employee who is unable to make the necessary arrangements for maintenance of personal health care outside of scheduled work time, shall be granted time off with pay. Such time off shall not exceed sixteen (16) working hours per calendar year. Hours in excess of sixteen (16) hours per calendar year shall be deducted from the Employee's sick leave accumulation.

  • Orthodontics We Cover orthodontics used to help restore oral structures to health and function and to treat serious medical conditions such as: cleft palate and cleft lip; maxillary/mandibular micrognathia (underdeveloped upper or lower jaw); extreme mandibular prognathism; severe asymmetry (craniofacial anomalies); ankylosis of the temporomandibular joint; and other significant skeletal dysplasias. Procedures include but are not limited to: • Rapid Palatal Expansion (RPE); • Placement of component parts (e.g. brackets, bands); • Interceptive orthodontic treatment; • Comprehensive orthodontic treatment (during which orthodontic appliances are placed for active treatment and periodically adjusted); • Removable appliance therapy; and • Orthodontic retention (removal of appliances, construction and placement of retainers).

  • MEDICALLY FRAGILE STUDENTS 1. If a teacher will be providing instructional or other services to a medically fragile student, the teacher or another adult who will be present when the instruction or other services are being provided will be advised of the steps to be taken in the event an emergency arises relating to the student's medical condition.

  • Mental Health Services This agreement covers medically necessary services for the treatment of mental health disorders in a general or specialty hospital or outpatient facilities that are: • reviewed and approved by us; and • licensed under the laws of the State of Rhode Island or by the state in which the facility is located as a general or specialty hospital or outpatient facility. We review network and non-network programs, hospitals and inpatient facilities, and the specific services provided to decide whether a preauthorization, hospital or inpatient facility, or specific services rendered meets our program requirements, content and criteria. If our program content and criteria are not met, the services are not covered under this agreement. Our program content and criteria are defined below.

  • Medical Examination Where the Employer requires an employee to submit to a medical examination or medical interview, it shall be at the Employer's expense and on the Employer's time.

  • Prosthodontics We Cover prosthodontic services as follows: • Removable complete or partial dentures, for Members 15 years of age and above, including six (6) months follow-up care; • Additional services including insertion of identification slips, repairs, relines and rebases and treatment of cleft palate; and • Interim prosthesis for Members five (5) to 15 years of age. We do not Cover implants or implant related services. Fixed bridges are not Covered unless they are required: • For replacement of a single upper anterior (central/lateral incisor or cuspid) in a patient with an otherwise full complement of natural, functional and/or restored teeth; • For cleft palate stabilization; or • Due to the presence of any neurologic or physiologic condition that would preclude the placement of a removable prosthesis, as demonstrated by medical documentation.

  • Paramedical Services Services of the following registered/certified practitioners up to the maximums shown on the "Summary of Benefits" pages:

  • Medical There shall be an open enrollment period for medical coverage in each year of this Agreement. An employee may elect no medical coverage during any open enrollment period. An employee who has elected no medical coverage may elect medical coverage during an open enrollment period. No pre-existing condition limitations will apply.

  • Medical Care and Emergency Leave An employee is entitled to a leave of absence without pay because of any of the following:

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