Commonwealth Coordinated Care definition

Commonwealth Coordinated Care. "CCC," or "CCC program" means the program for the Virginia Medicare- Medicaid Financial Alignment Demonstration Model.
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Commonwealth Coordinated Care. Plus (CCC Plus): The program name for DMAS’ mandatory integrated care initiative for certain qualifying individuals, including dual eligible individuals, and individuals receiving long term services or supports (LTSS).”
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Examples of Commonwealth Coordinated Care in a sentence

  • A D-SNP covers all of your Medicare and prescription drug benefits (Medicare Part D) and provides all of your Medicaid services and drugs under the Commonwealth Coordinated Care Plus (CCC Plus) program.The Commonwealth Coordinated Care Plus (CCC Plus) program is a mandatory Medicaid managed care program through the Department of Medical Assistance Services (DMAS).

  • This same process will also apply for Commonwealth Coordinated Care Plus Waiver providers in that a communication will be sent to the member reminding them of their obligation to pay and the potential loss of the continued use of services being provided by the Commonwealth Coordinated Care Plus Waiver provider.

  • Convene a formal meeting with the nursing facility leadership and/or Commonwealth Coordinated Care Plus Waiver provider, member and/or responsible party, long-term care ombudsman/coordinated care advocates, Adult Protective Services representative, other representative of the state as applicable, and other parties key to the discussion.2. Review the patient pay obligation and potential consequences of continued nonpayment.3. Attempt to resolve the payment gap with a mutually agreed-upon plan.

  • The PASteam also documents the member’s preferences for institutional nursing home care or community-based care through the Commonwealth Coordinated Care Plus Waiver.

  • In addition to member contact directly with DMAS, other member and public interactions are handled through Agency contractors and partner agencies such as Virginia Department of Social Services (VDSS), Virginia Department of Behavioral Health and Developmental Services, Virginia Department of Health (VDH), Cover VA, and the managed care organizations that administer the Medallion 4.0 and Commonwealth Coordinated Care Plus (CCC Plus) managed care programs, to name a few.

  • Expand the accessibility and availability of adult day services, the Commonwealth Coordinated Care Plus (CCC+) waiver, hospice and palliative programs, and Program of the All-inclusive Care for the Elderly (PACE).

  • The Commonwealth Coordinated Care Plus (CCC Plus) program is a Medicaid managed care program through the Department of Medical Assistance Services (DMAS).

  • MCOs that are participating in the Commonwealth Coordinated Care dual eligible financial alignment demonstration are permitted to utilize existing care coordinators and Plans of Care for ARTS-related treatment planning and care coordination, where applicable.

  • Cardinal Care includes members currently served through the Medicaid Family Access to Medical Insurance Security (FAMIS) fee-for-service programs and managed care programs, including Medallion 4.0 and Commonwealth Coordinated Care Plus (CCC Plus).

  • The care manager will coordinate with the home care agency to authorize and implement needed services, including Commonwealth Coordinated Care Plus Waiver services.Home care agency staff may also be requested and given authorization to provide medication monitoring and assist with transition coordination.

Related to Commonwealth Coordinated Care

  • Service coordination means a specialized care management service that is performed by a Service Coordinator and that includes but is not limited to:

  • Health and Human Services Commission or “HHSC” means the administrative agency established under Chapter 531, Texas Government Code, or its designee.

  • Service Coordinator has the meaning set forth in Section 2.2.

  • Health and Human Services or “HHS” includes HHSC and DSHS.

  • Licensed health care professional means a person who possesses a professional medical license that is valid in Oregon. Examples include, but are not limited to, a registered nurse (RN), nurse practitioner (NP), licensed practical nurse (LPN), medical doctor (MD), osteopathic physician (DO), respiratory therapist (RT), physical therapist (PT), physician assistant (PA), or occupational therapist (OT).

  • Reliability Coordinator or “RC” shall mean the entity that is the highest level of authority who is responsible for the reliable operation of the Bulk Electric System, has the wide area view of the Bulk Electric System, and has the operating tools, processes and procedures, including the authority to prevent or mitigate emergency operating situations in both next day analysis and real-time operations. The Reliability Coordinator has the purview that is broad enough to enable the calculation of Interconnection Reliability Operating Limits, which may be based on the operating parameters of transmission systems beyond any Transmission Operator’s vision.

  • Natural Resources Assistance Council means the natural resources assistance council created pursuant to Ohio Revised Code Section 164.21 as well as its members and officers.

  • Services Coordinator means an employee of the community developmental disability program or other agency that contracts with the county or Division, who is selected to plan, procure, coordinate, monitor Individual Support Plan services, and to act as a proponent for individuals with developmental disabilities.

  • Participating Clinical Professional Counselor means a Clinical Professional Counselor who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Project Managers means the person at Developer responsible for the project management of Product and identified in Schedule 2;

  • Urban Coordinating Council Empowerment Neighborhood means a neighborhood given priority access to State resources through the New Jersey Redevelopment Authority.

  • Virginia Stormwater Management Program authority or "VSMP authority" means an authority approved by the State Board after September 13, 2011, to operate a Virginia Stormwater Management Program.

  • Care coordination means a process-oriented activity to facilitate ongoing communication and collaboration to meet multiple needs. Care coordination includes facilitating communication between the family, natural supports, community resources, and involved providers and agencies; organizing, facilitating and participating in team meetings; and providing for continuity of care by creating linkages to and managing transitions between levels of care and transitions for young adults in transition to adult services.

  • Program coordinator means a registered nurse responsible for administrative aspects of a state-approved nurse aide training course.

  • District Manager means the District Manager of the appropriate local district office of the Ministry, where the

  • Project Management Plan means the management plan that (i) sets out a high level workplan to describe the manner in which the Design-Builder will manage the Project, including to address related matters such as traffic management and communications, and (ii) is prepared by or for the Design-Builder and submitted to the Owner;

  • Department of Health and Human Services means the Department of Health and Human Services

  • Non-Administrator Coordinated Home Care Program means a Coordinated Home Care Program which does not have an agreement with the Claim Administrator or a Blue Cross Plan but has been certified as a home health agency in accordance with the guidelines established by Medicare.

  • Health care professional means a physician or other health care practitioner licensed, accredited or certified to perform specified health care services consistent with state law.

  • Project Coordinator means the employee of Alamo Colleges District designated in Exhibit A hereto who will manage the relationship between Alamo Colleges District and Contractor. The designated employee will be knowledgeable of the Project and be experienced in managing projects similar to the one established herein.

  • Virginia Stormwater Management Act means Article 2.3 (§ 62.1-44.15:24 et seq.) of Chapter 3.1 of Title 62.1 of the Code of Virginia.

  • Care Coordinator means the professional who assists members in care coordination as described in paragraph 78.53(1)“b.”

  • Health planning region means a contiguous geographical area of the Commonwealth with a

  • Virginia Stormwater Management Program or “VSMP” means a program approved by the State Board after September 13, 2011, that has been established by a locality to manage the quality and quantity of runoff resulting from land-disturbing activities and shall include such items as local ordinances, rules, permit requirements, annual standards and specifications, policies and guidelines, technical materials, and requirements for plan review, inspection, enforcement, where authorized in this article, and evaluation consistent with the requirements of this article and associated regulations.

  • District Evaluation Advisory Committee means a group created to oversee and guide the planning and implementation of the Board of Education's evaluation policies and procedures as set forth in N.J.A.C. 6A:10-2.3.

  • Home health aide services means the personal care and maintenance activities provided to individuals for the purpose of promoting normal standards of health and hygiene.