Exceptional Needs Care Coordination (ENCC) definition

Exceptional Needs Care Coordination (ENCC) means for PHPs a specialized case management service provided by FCHPs to members identified as aged, blind, or disabled who have complex medical needs, consistent with OAR 410-141-0405. ENCC includes:
Exceptional Needs Care Coordination (ENCC) means for PHPs a specialized case management service provided to members identified as aged, blind, or disabled members who have complex health needs, high health care needs, multiple chronic conditions, behavioral health issues including chemical dependency, or those with severe and persistent behavioral health issues, or those receiving Medicaid-funded
Exceptional Needs Care Coordination (ENCC) means for PHPs a specialized case management service provided to members identified as aged, blind, or disabled members who have complex health needs, high health care needs, multiple chronic conditions, behavioral health issues including chemical dependency, or those with severe and persistent behavioral health issues, or those receiving Medicaid-funded long-term care or long-term services and supports. Children and youth shall be provided intensive care coordination and behavioral health services according to presenting needs consistent with OAR 410-141-3170.

Examples of Exceptional Needs Care Coordination (ENCC) in a sentence

  • COORDINATION - Medical Group shall ensure the provision of Exceptional Needs Care Coordination ("ENCC") to OMAP Members who are aged, blind and disabled in accordance with the requirements set forth in Oregon Administrative Rules (OAR) ▇▇▇-▇▇▇-▇▇▇.


More Definitions of Exceptional Needs Care Coordination (ENCC)

Exceptional Needs Care Coordination (ENCC) means a specialized case management service provided by fully capitated health plans to members identified as aged, blind or disabled who have complex medical needs, including:
Exceptional Needs Care Coordination (ENCC) means a process-oriented activity to facilitate ongoing communication and collaboration with the Individual to arrange Services appropriate to their needs, preferences and choices, including but not limited to: