Continuation of care definition

Continuation of care means the provision of in‑network level benefits for services rendered by certain out‑of‑network providers for a definite period of time in order to ensure continuity of care for covered persons for a serious medical condition. Continuation of care must be provided for ninety days or until the termination of the benefit period, whichever is greater.
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Continuation of care means the obligation of Dental Office to provide services to a Member beyond the termination date of this Agreement, as set forth in Section 4.3(b).
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Examples of Continuation of care in a sentence

  • Continuation of care is subject to all other terms and conditions of this Contract, including regular Benefit limits.

  • Other covered services must be available on a 24-hour basis when reasonable and necessary to meet the needs of the patient and family.(d) Standard: Continuation of care.

  • Continuation of care requires approval from our medical management team.

  • Continuation of care to facility residents may include closure of the facility and transfer of residents to another facility.

  • Continuation of care from a Non-Network Provider beyond that needed to evaluate or Stabilize your condition in an Emergency will not be covered unless we authorize the continuation of such care and it is Medically Necessary.

  • Continuation of care, when inpatient care is on-going in accordance with the requirements of the Contract.

  • Continuation of care is subject to all other terms and conditions of the Contract, including regular benefit limits.

  • Continuation of care is subject to all other terms and conditions of this Contract, including regular benefit limits.

  • Continuation of care from a Non-Participating Provider beyond that needed to evaluate or Stabilize Your condition in an Emergency may be Covered if We authorize the continuation of care and it is Medically Necessary.

  • Continuation of care from an Out-of-Network Provider beyond that needed to evaluate or Stabilize the condition in an Emergency will not be covered unless IU Health Plans authorizes the continuation of care and it is Medically Necessary.Extended Care/Skilled NursingCoverage for an Extended Care Facility or skilled nursing stay is subject to Precertification.

Related to Continuation of care

  • Continuum of care means a full range of economic, physical, psychological, social and support programs and services necessary to maintain or restore older individuals to their optimal environment.

  • Episode of Care means a period of continuous hospital treatment, including readmission within a seven

  • Continuity of Care means care provided to a Member by the same PCP or specialty provider to ensure that the delivery of care to the Member remains stable, and services are consistent and unduplicated. Contract or Agreement means this formal, written, and legally enforceable contract and amendments thereto between the Parties. Contract Period or Contract Term means the Initial Contract Period plus any and all Contract extensions.

  • Plan of care means a written document developed for each individual by the support team using a person-centered approach that describes the supports, services, and resources provided or accessed to address the needs of the individual.

  • Level of Care means the range of available services provided from the most integrated setting to the most restrictive and most intensive in an inpatient setting.

  • Standard of Care has the meaning set forth in Section 6(A) of the Agreement.

  • System of care means the coordination of a system of services and supports to individuals and their families that ensures they optimally live, work, and recreate in integrated communities of their choice.

  • Cessation of practice means any calendar month during which respondent is

  • Routine care means medical care which is not urgent or emergent in nature and can wait for a regularly scheduled physician appointment without risk of permanent damage to the patient’s life or health status. The condition requiring routine care is not likely to substantially worsen without immediate clinical intervention.

  • Coordination of Benefits or “COB” means a provision establishing an order in which plans pay their claims, and permitting secondary plans to reduce their benefits so that the combined benefits of all plans do not exceed total allowable expenses.

  • General Provisions means those portions of the Subscription Agreement headed “General Provisions” and contained on pages 7 to 12;

  • Promotion of Access to Information Act ’ means the Promotion of Access to Information Act, 2000 (Act No. 2 of 2000);

  • Assignment of Benefits means an arrangement whereby the Plan Participant assigns their right to seek and receive payment of eligible Plan benefits, in strict accordance with the terms of this Plan Document, to a Provider. If a provider accepts said arrangement, Providers’ rights to receive Plan benefits are equal to those of a Plan Participant, and are limited by the terms of this Plan Document. A Provider that accepts this arrangement indicates acceptance of an “Assignment of Benefits” as consideration in full for services, supplies, and/or treatment rendered.

  • Palliative care means medical service rendered to reduce or moderate temporarily the intensity of an otherwise stable medical condition, but does not include those medical services rendered to diagnose, heal or permanently alleviate or eliminate a medical condition.

  • Sexual Exploitation and Abuse “(SEA)” means the following:

  • Servicer Policies and Practices means, with respect to the Servicer’s duties under Exhibit A to the Servicing Agreement, the policies and practices of the Servicer applicable to such duties that the Servicer follows with respect to comparable assets that it services for itself and, if applicable, others.

  • Medicaid Notification of Termination Requirements Any Contractor accessing payments for services under the Global Commitment to Health Waiver and Medicaid programs who terminates their practice will follow the Department of Vermont Health Access, Managed Care Organization enrollee notification requirements.

  • Normal Fare means the highest priced fare established for a first, business or economy class service during the period of applicability.

  • Subsidized Xxxxxxxx Loan means a Loan for which the interest rate is governed by Section 427A(a) or 427A(d) of the Higher Education Act.

  • Period of Affordability means the time during which HOME Loan financed units must remain affordable to eligible households, as defined by HOME program regulations and this Plan. The Period of Affordability shall commence upon completion of the project and shall run for the period required under HOME regulations or the term of the HOME Loan, whichever is greater. Completion shall be defined as set forth in the HUD regulations for the HOME program.

  • Child care means continuous care and supervision of five or more qualifying children that is:

  • Special Provisions Special Provisions are specific conditions or requirements peculiar to the contract under consideration and are supplemental to the General Provisions. Should the Special Provisions conflict with the General Provisions, the Special Provisions shall prevail.

  • Palliative and supportive care means care and support aimed mainly at lessening or controlling pain or symptoms; it makes no attempt to cure the Covered Person's terminal Illness or terminal Injury.

  • predatory or similar loan under any other applicable state, federal or local law (or a similarly classified loan using different terminology under a law imposing heightened regulatory scrutiny or additional legal liability for residential mortgage loans having high interest rates, points and/or fees).

  • Incapable of self-care means that the individual requires active assistance or supervision to provide daily self-care in three or more of the "activities of daily living (ADL) or "instrumental activities of daily living" (IADLs). Activities of daily living include adaptive activities such as caring appropriately for one's grooming and hygiene, bathing, dressing, and eating. Instrumental activities of daily living include cooking, cleaning, shopping, taking public transportation, paying bills, maintaining a residence, using telephones and directories, using a post office, etc.

  • Adult day care means a program for six (6) or more individuals, of social and health-related services provided during the day in a community group setting for the purpose of supporting frail, impaired elderly or other disabled adults who can benefit from care in a group setting outside the home.