Complex case definition

Complex case means a case allocated to the Complex category under rule 23 (allocation of cases to categories);
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Complex case means a project which for the implementation of a New Service involves significant changes to the Access Seeker’s existing Network features and services and/or significant systems development and/or work with external suppliers and/or has a major impact on and/or requires major interaction or negotiation with one or more Licensed Operators. Connection means a subset of a Service, which may refer to an individual physical and/ or logical connection or circuit to the End User or a facility of the Access Seeker or another Licensed Operator; as applicable; in relation to the specific Service as further described in Schedule 6 (Service Descriptions).
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Complex case means a case that may require case management due to its rarity and high cost that is not adequately compensated for by XXXX methodology, and where there is a significant financial risk that neither DHBs nor the Ministry can control. Special high cost treatment includes the following treatments: medical treatments overseas complex cases treatments currently available generally only outside public hospitals.
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Examples of Complex case in a sentence

  • Complex case management care plans will include all elements of disease management and care management, as well as higher levels of support.

  • In accordance with 42 CFR 438.10(d), the Contractor must arrange for oral interpretation services to its members free of charge for services it provides, including: • Member services helpline as described further in Section 4.6.1; • Twenty-four (24) hour nurse call line; • Transportation; • Assessment and stratification; • Disease management; • Care management; • Complex case management; and • Right Choices Program.

  • Complex case management includes all of the services and benefits from disease management and care management.

  • Complex case designation A plaintiff may designate an action as a complex case by filing and serving with the initial complaint the Civil Case Cover Sheet (form CM-010) marked to indicate that the action is a complex case.

  • Complex case counterdesignations (a) Noncomplex counterdesignation If a Civil Case Cover Sheet (form CM-010) designating an action as a complex case has been filed and served and the court has not previously declared the action to be a complex case, a defendant may file and serve no later than its first appearance a counter Civil Case Cover Sheet (form CM-010) designating the action as not a complex case.

  • Complex case management services are defined by multiple medical needs, high risk issues such as significant deterioration in health status or ongoing lack of self- management skills due to personal issues, cognitive impairment, mental illness, lack of social supports, or multiple co-morbidities.

  • Complex case management with provider focus is the active coordination by the Contractor of care and services between providers while navigating the extensive systems and resources required for the member.

  • Complex case management with a provider focus is appropriate for members who either choose not to be actively involved or are unable to actively participate in their health care.

  • In accordance with 42 CFR 438.10(d), the Contractor must arrange for oral interpretation services to its members free of charge for services it provides, including:  Member services helpline as described further in Section 4.6.1;  Twenty-four (24) hour nurse call line;  Transportation;  Assessment and stratification;  Disease management;  Care management;  Complex case management; and  Right Choices Program.

  • Complex case management targets members with two (2) or more disease states who need assistance with care coordination, making preventive care appointments, or accessing care to address the members’ chronic health conditions or members who have had an inpatient hospital stay in the last ninety (90) days or members with high dollar claims of over fifty thousand dollars (>$50,000) in six (6) months.


More Definitions of Complex case

Complex case means a case in which the provision of adequate legal representation requires significantly more time or resources because of:
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Complex case means a case allocated to the Complex category under rule 24;
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Complex case means a probate and bereavement case which had to be processed
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Complex case means a case assessed as a complex case by the Contact Organisation, having regard to the Case Coordination Assessment Criteria, set out in this Direction.
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Complex case means an Assessment Appeal Application in which the amount of taxable value is $30,000,000 or more for any one year, or any other Application that the Board in its discretion deems complex.
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Complex case means a case in which the legal or factual issues are unusual, thus requiring expenditure of more time, skill, and effort than would be required in the average case.
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Related to Complex case

  • COVID-19 case means a person who:

  • Business Case means the written reasoning behind the initiation of a Procurement Project, prepared in the form set out in Part 1 of the Procurement Project Plan at Appendix A of the Procurement Project Planning Protocol.

  • business vertical means a distinguishable component of an enterprise that is engaged in the supply of individual goods or services or a group of related goods or services which is subject to risks and returns that are different from those of the other business verticals.

  • Complex means the group of registered investment companies for which Prudential Investments Fund Management LLC serves as Manager; provided, however, that with respect to Access Persons of the Subadviser (including any unit or subdivision thereof), "Complex" means the group of registered investment companies in the Complex advised by the Subadviser or unit or subdivision thereof. A list of such registered investment companies will be maintained by the Compliance Officer.

  • Behind The Meter Generation shall refer to a generation unit that delivers energy to load without using the Transmission System or any distribution facilities (unless the entity that owns or leases the distribution facilities has consented to such use of the distribution facilities and such consent has been demonstrated to the satisfaction of the Office of the Interconnection); provided, however, that Behind The Meter Generation does not include (i) at any time, any portion of such generating unit’s capacity that is designated as a Generation Capacity Resource; or (ii) in an hour, any portion of the output of such generating unit that is sold to another entity for consumption at another electrical location or into the PJM Interchange Energy Market.

  • Flocculation means a process to enhance agglomeration or collection of smaller floc particles into larger, more easily settleable particles through gentle stirring by hydraulic or mechanical means.

  • Production Facilities (7 9) means "production equipment" and specially designed software therefor integrated into installations for "development" or for one or more phases of "production".

  • Onshore facility means any facility any part of which is located in, on, or under any land of the state, other than submerged land, that because of its location, could reasonably be expected to cause substantial harm to the environment by discharging oil into or on the navigable waters of the state or the adjoining shorelines.

  • Diameter means the diameter of the stem of a tree measured outside the bark at a specified point of measurement.

  • Tourism destination project means a qualified non-gaming

  • Related facilities means any ancillary facilities owned by the Company which are —

  • Production facility means a facility in California at which gasoline or CARBOB is produced. Upon request of a producer, the executive officer may designate, as part of the producer's production facility, a physically separate bulk storage facility which (A) is owned or leased by the producer, and (B) is operated by or at the direction of the producer, and (C) is not used to store or distribute gasoline or CARBOB that is not supplied from the production facility.

  • Generating Facility means the Generating Unit(s) comprising Seller’s power plant, as more particularly described in Section 1.02 and Exhibit B, including all other materials, equipment, systems, structures, features and improvements necessary to produce electric energy and thermal energy, excluding the Site, land rights and interests in land.

  • Offshore facility ’ means any facility of any kind located in, on, or under any of the navigable waters of the United States, and any facility of any kind which is subject to the ju- risdiction of the United States and is located in, on, or under any other waters, other than a vessel or a public vessel;

  • Planned Financed Generation Capacity Resource means a Planned Generation Capacity Resource that, prior to August 7, 2015, has an effective Interconnection Service Agreement and has submitted to the Office of the Interconnection the appropriate certification attesting achievement of Financial Close.

  • Business Facility means any property including the land, improvements, indoor air, groundwater, and surface water that is or at any time has been owned, operated, occupied, controlled or leased by the Company, its Subsidiaries or any of their predecessors in connection with the operation of their respective business.

  • Cannabis testing facility means an entity registered by

  • Coal preparation plant means a facility where coal is crushed, screened, sized, cleaned, dried, or otherwise prepared and loaded for transit to a consuming facility. “Coal preparation plant associated areas” means the coal preparation plant yards, immediate access roads, coal refuse piles, and coal storage piles and facilities. “Coal preparation plant water circuit means all pipes, channels, basins, tanks, and all other structures and equipment that convey, contain, treat, or process any water that is used in coal preparation processes within a coal preparation plant.

  • Triage facility means a short-term facility or a portion

  • Antenna coating means a coating labeled and formulated exclusively for application to equipment and associated structural appurtenances that are used to receive or transmit electromagnetic signals.

  • Dry cleaning facility means an establishment with one or more dry cleaning systems.

  • Skilled Nursing Facility means an institution or part thereof that is licensed as a Skilled Nursing Facility by the State of Florida, and is accredited as a Skilled Nursing Facility by The Joint Commission or recognized as a Skilled Nursing Facility by the Secretary of Health and Human Services of the United States under Medicare.

  • Adult foster care facility means an adult foster care facility licensed under the adult foster care facility licensing act, 1979 PA 218, MCL 400.701 to 400.737.

  • Commercial building means any building other than a residential building,

  • Diameter at breast height (dbh) means the diameter of a tree at 4 1/2 feet above the ground measured from the uphill side.

  • essential facilities means facilities of a public telecommunications network or service that: