Client Information System means a comprehensive, integrated system of clinical, administrative, and financial records that provides information necessary and useful to deliver client services. Information may be maintained electronically, in hard copy, or both.
Client Information System. The Department's database of Recipients. The data base contains demographic and eligibility information for all Recipients. Community Based Organization (CBO) - Nonprofit organizations that work at a local level to improve life for residents and normally focus on building equality across society in many areas, including but not limited to access to social services. These organizations must also be registered as a 501(c)(3) nonprofit corporation in Pennsylvania. A health care provider is not considered a CBO. Community HealthChoices — Community HealthChoices is a new initiative that will use managed care organizations to coordinate physical health care and long- term services and supports (LTSS) for older persons, persons with physical disabilities, and Pennsylvanians who are dually eligible for Medicare and Medicaid (dual eligible). Community Provider — Private and public service organizations, that are not part of the PH-MCO’s Provider Network, with which the PH-MCO coordinates Out-of- Plan Services for their Members. Complaint —
Client Information System. The Department's database of Recipients. The data base contains demographic and eligibility information for all Recipients. Community HealthChoices — Community HealthChoices is a new initiative that will use managed care organizations to coordinate physical health care and long- term services and supports (LTSS) for older persons, persons with physical disabilities, and Pennsylvanians who are dually eligible for Medicare and Medicaid (dual eligible). Community Provider — Private and public service organizations, that are not part of the PH-MCO’s Provider Network, with which the PH-MCO coordinates Out-of- Plan Services for their Members. Complaint —
Examples of Client Information System in a sentence
Medicaid Eligibility Determination Automation (MEDA) — Part of the Client Information System (CIS) that automates the determination of Medicaid eligibility.
Client Information System (CIS) — The Department's database of Beneficiaries, including Participants, containing demographic and eligibility information for all Participants.
Client Information System (CIS) — The Department's database of Recipients.
Client Information System (eCIS) — The Department's database of Beneficiaries, including Participants, containing demographic and eligibility information for all Participants.
Client Information System — The Department's database of Beneficiaries, including Participants, containing demographic and eligibility information for all Participants.
More Definitions of Client Information System
Client Information System means the automated, department-wide information system that which supports the planning, budgeting, management, administration, and delivery of services.
Client Information System means the data system used by DHS.
Client Information System. (CIS) means the data collection and information system currently used by ADHS/DBHS.
Client Information System. The Department's database of Recipients. The data base contains demographic and eligibility information for all Recipients. Community HealthChoices — Community HealthChoices is a new initiative that will use managed care organizations to coordinate physical health care and long- term services and supports (LTSS) for older persons, persons with physical disabilities, and Pennsylvanians who are dually eligible for Medicare and Medicaid (dual eligible). Community Provider — Private and public service organizations, that are not part of the PH-MCO’s Provider Network, with which the PH-MCO coordinates Out-of-Plan Services for their Members. Complaint — A dispute or objection regarding a participating Health Care Provider or the coverage, operations, or management policies of a PH-MCO, which has not been resolved by the PH-MCO and has been filed with the PH- MCO or with the DOH or the PID of the Commonwealth, including but not limited to: ▪ a denial because the requested service or item is not a covered benefit; ▪ a failure of the PH-MCO to meet the required time frames for providing a service or item; ▪ a failure of the PH-MCO to decide a Complaint or Grievance within the specified time frames; ▪ a denial of payment by the PH-MCO after a service or item has been delivered because the service or item was provided without authorization by a Provider not enrolled in the Pennsylvania MA; or ▪ a denial of payment by the PH-MCO after a service or item has been delivered because the service or item is not a covered service or item for the Member. The term does not include a Grievance. Concurrent Review — A review conducted by the PH-MCO during a course of treatment to determine whether the amount, duration and scope of the prescribed services continue to be Medically Necessary or whether any service, a different service or lesser level of service is Medically Necessary. County Assistance Office — The county offices of the Department that administer all benefit programs, including MA, on the local level. Department staff in these offices perform necessary functions such as determining and maintaining Recipient eligibility. Covered Outpatient Drug -- A brand name drug, a generic drug, or an OTC drug which:
Client Information System means the data system used by DHS. “Clinical Liaison” means a behavioral health professional or a behavioral health technician who has been credentialed and privileged by the T/RBHA or their designee in accordance with ADHS/DBHS requirements to perform this function. The Clinical Liaison: (1) Assumes the primary responsibility of clinical oversight of the person’s care (2) Ensures the clinical soundness of the assessment/treatment process (3) Serves as the point of contact, coordination and communication with the person’s team and other systems where clinical knowledge of the case is important.
Client Information System means the data system used by ADHS.
Client Information System. The Department's database of Beneficiaries, including Participants, containing demographic and eligibility information for all Participants. Clinical Eligibility Determination – A determination of an individual’s clinical eligibility for LTSS. Complaint — A dispute or objection regarding a participating Provider or the coverage, operations, or management policies of a CHC-MCO, which has not been resolved by the CHC-MCO and has been filed with the CHC-MCO or with the DOH or the PID, including but not limited to: a denial because the requested service or item is not a Covered Service; a failure of the CHC-MCO to meet the required time frames for providing a service or item; or a failure of the CHC-MCO to decide a Complaint or Grievance within the specified time frames; a denial of payment by the CHC-MCO after a service has been delivered because the service or item was provided without authorization by a Provider not enrolled in the Pennsylvania MA Program; or a denial of payment by the CHC-MCO after a service or item has been delivered because the service or item provided is not a Covered Service for the Participant. The term does not include a Grievance. Comprehensive Medical and Service Record – A record kept by the CHC- MCO and available to the Participant and relevant Providers that contains, at a minimum, documentation of care and services rendered to the Participant by Providers. Concurrent Review — A review conducted by the CHC-MCO during a course of treatment to determine whether the amount, duration and scope of the prescribed services continue to be Medically Necessary or whether any service, a different service or lesser level of service is Medically Necessary. Consumer Assessment of Healthcare Providers and Systems – A comprehensive and evolving family of survey instruments to evaluate Participant experience and quality of care on various aspects of services.