Medically Complex Patients Sample Clauses

Medically Complex Patients. In order develop proposals for medically complex patients, both post-discharge and on- going, the Parties agree to develop demonstration projects to measure results, to be evaluated after one year. To that end, the Ministry agrees to reserve $10M for the period October 2013 to October 2014 for this initiative. The Parties agree to the following physician contribution schedule for Canadian Medical Protective Association (CMPA) fees. Should Ontario CPI exceed 4%, the physician contribution schedule below may be revised as agreed to by the Parties. New Rate - Physician Contribution $300 Interns and Residents; Clinical Fellows $300 $300 $300 $300 $300 $300 $300 $300 $300 $300 $400 Administrative Medicine; Pathology (Anatomic,General,Haematological); Medical Biochemistry; Medical Microbiology; Pathology (Neurological); Physical Medicine and Rehabilitation; Community Medicine (Public Health) $600 $615 $625 $640 $650 $665 $680 $695 $710 $725 $650 Clinical Associates (Medical, Surgical); Assistance at surgery - no other professional work; Family Med or Geeral Practice (excl emergency shifts, incl emergency shifts); Psychiatry; Surgical practice - without operative treatment. $850 $870 $885 $905 $925 $945 $965 $985 $1,005 $1,025 $900 Chronic Pain Management-without general or spinal anesthesia; Obstetrical Practice - without labour and delivery; Allergy; Clinical Immunology; Dermatology; Diagnostic Imaging; Endocrinology; Gastroenterology; Genetics; Haematology; Occupational Medicine; Infectious Diseases; Intensive Care - full time; Internal Medicine and its specialties not elsewhere noted; Nephrology; Neurology; Nuclear Medicine; Medical Oncology; Ophthalmology; Paediatric - may include shift in Emergency Department; Respiratory Medicine; Rheumatology; Sports Medicine; Therapeutic Radiology/Radiation Oncology; Neonatology. $1,100 $1,125 $1,145 $1,170 $1,195 $1,220 $1,245 $1,270 $1,300 $1,325 $1,200 Family/General Practice with Obstetrics; Fam/Gen Practice with Anaesthesia/Surgery/Emerg Dept Work. $1,464 $1,495 $1,525 $1,560 $1,590 $1,625 $1,660 $1,695 $1,730 $1,765 $1,500 Cardiology; Otolaryngology; Emergency Medicine/Emergentology. $1,830 $1,870 $1,910 $1,950 $1,990 $2,030 $2,075 $2,115 $2,160 $2,205 $3,500 General Surgery; Gynaecologic Surgery - without labour and delivery; Paediatric Surgery; Plastic Surgery; Thoracic Surgery; Urology; Vascular Surgery. $4,270 $4,360 $4,450 $4,545 $4,640 $4,740 $4,835 $4,940 $5,040 $5,150 $4,900 Anesthesia; Cardiovascular Surge...
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Related to Medically Complex Patients

  • Medically Necessary In general, We will not Cover any dental service, procedure, treatment, test or device that We determine is not Medically Necessary. If an External Appeal Agent certified by the State overturns Our denial, however, We will Cover the service, procedure, treatment, test or device for which coverage has been denied, to the extent that such service, procedure, treatment, test or device, is otherwise Covered under the terms of this Contract.

  • Abnormally High Tenders 36.4 An abnormally high price is one where the tender price, in combination with other constituent elements of the Tender, appears unreasonably too high to the extent that the Procuring Entity is concerned that it (the Procuring Entity) may not be getting value for money or it may be paying too high a price for the contract compared with market prices or that genuine competition between Tenderers is compromised. 36.5 In case of an abnormally high tender price, the Procuring Entity shall make a survey of the market prices, check if the estimated cost of the contract is correct and review the Tender Documents to check if the specifications, scope of work and conditions of contract are contributory to the abnormally high tenders. The Procuring Entity may also seek written clarification from the tenderer on the reason for the high tender price. The Procuring Entity shall proceed as follows: i) If the tender price is abnormally high based on wrong estimated cost of the contract, the Procuring Entity may accept or not accept the tender depending on the Procuring Entity's budget considerations. ii) If specifications, scope of work and/or conditions of contract are contributory to the abnormally high tender prices, the Procuring Entity shall reject all tenders and may retender for the contract based on revised estimates, specifications, scope of work and conditions of contract, as the case may be. 36.6 If the Procuring Entity determines that the Tender Price is abnormally too high because genuine competition between tenderers is compromised (often due to collusion, corruption or other manipulations), the Procuring Entity shall reject all Tenders and shall institute or cause relevant Government Agencies to institute an investigation on the cause of the compromise, before retendering.

  • Diagnostic procedures to aid the Provider in determining required dental treatment.

  • Physical/Occupational Therapy This plan covers physical and occupational therapy when: • ordered by a physician; • received from a licensed physical or occupational therapist; • a program is implemented to provide habilitative or rehabilitative services. See Autism Services when physical therapy and occupational therapy services are rendered as part of the treatment of autism spectrum disorder. The amount you pay and any benefit limit will be the same whether the services are provided for habilitative or rehabilitative purposes.

  • Abnormally Low Tenders 35.1 An Abnormally Low Tender is one where the Tender price, in combination with other constituent elements of the Tender, appears unreasonably low to the extent that the Tender price raises material concerns with the Procuring Entity as to the capability of the Tenderer to perform the Contract for the offered Tender price. 35.2 In the event of identification of a potentially Abnormally Low Tender by the evaluation committee, the Procuring Entity shall seek written clarification from the Tenderer, including a detailed price analyses of its Tender price in relation to the subject matter of the contract, scope, delivery schedule, allocation of risks and responsibilities and any other requirements of the tendering document. 35.3 After evaluation of the price analysis, in the event that the Procuring Entity determines that the Tenderer has failed to demonstrate its capability to perform the contract for the offered Tender price, the Procuring Entity shall reject the Tender.