Care Management means the overall method of providing ongoing health care in which the MCO manages the provision of primary health care services with additional appropriate services provided to an Enrollee. See section 6.1.5.

Care Management means a set of services, delivered by Care Coordinators, designed to improve the health of enrollees. Care management includes a health assessment, development of a care plan and monitoring of enrollee status, care coordination, ongoing reassessment and consultation and crisis intervention and case conferencing as needed to facilitate improved outcomes and appropriate use of health services, including moving the enrollee to a less intensive level of care management as warranted by enrollee improvement and stabilization. Effective care management includes the following:

Care Management means services that assist Enrollees in gaining access to needed services, including medical, social, educational and other services, regardless of the funding source for the services.

Examples of Care Management in a sentence

CTTP Teams will be expected to participate in any CTTP Team learning communities; complete all required trainings; access the Care Management Institute, utilize I-CONECT and any other OMH identified training resources; and attend meetings to review progress, outcomes and develop best practices for CTTP Teams.
Member, Provider and Practitioner issues, excluding Member eligibility, should be directed to the Behavioral Health and Care Management Teams.
Using the Care Management System, Community Program Officers complete an annual desk review for each case management team that administers the waiver.
The DOA includes oversight for QM, UM, Credentialing, Compliance, HIPAA, and Care Management.
The information will be shared with the Primary Care Manager and the Care Management Supervisor.

More Definitions of Care Management

Care Management means services that assist Enrollees in gaining access to needed services, including medical, social, educational, and other services, regardless of the funding source for the services.

Care Management means activities performed on behalf of members that include services described in rule 5160-26-03.1 of the Administrative Code.

Care Management means observation, assessment, care planning and documentation of the resident's physical, cognitive and psycho- social needs and the supervision and coordination of the services provided to meet those needs by a licensed professional nurse.

Care Management means arranging for continuity of care and coordinating the array of service necessary for treating the child; communicating with responsible individuals, and providers at least every thirty (30) calendar days to assure services are being delivered as planned and adequate progress is being made; and the authority to rescind authorization for any treatment services with proper notice.

Care Management means a set of services designed to improve the health of Enrollees. Care management includes a health assessment, development of a care plan and monitoring of Enrollee status, care coordination, ongoing reassessment and consultation and crisis intervention and case conferencing as needed to facilitate improved outcomes and appropriate use of health services,. Effective care management includes the following:

Care Management means a type of case management in residential substance use disorder (ASAM Level 3) treatment settings that includes assessment, development of a care plan, and referral and linkage to community supports and community-based or lower level of care services to promote continued recovery after the individual discharges from the treatment facility.