Health Home Participant definition

Health Home Participant means a Health Home Candidate who agrees to receive Health Home services, as documented by a signed Health Home Services Consent Form.
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Health Home Participant means a Health Home Candidate who is assigned to Health Home by the MCO and assigned a Health Home Services Provider for case management by the Health Home.
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Health Home Participant or “Participant” means a Medicaid recipient who is deemed eligible for the New York State Health Home program according to New York State Health Home eligibility requirements and has consented to enroll into the program and receive Health Home Services.
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Examples of Health Home Participant in a sentence

  • Health Home Participant: A Health Home Candidate who is participating in the AHI Health Home and is assigned to an AHI Health Home Services Provider for care management.

  • Health Home Network Partners: The group of medical, behavioral, social services, and other community- based organizations by which a Health Home Participant receives services to address needs identified in the comprehensive care management plan developed by the Health Home Participant’s AHI Health Home Services Provider.

  • Upon prior reasonable notice to Health Home, MCO shall have the authority to De-Activate a Health Home Participant or Re-Assign Health Home Participants to another designated health home if the Health Home is not effectively providing or managing Health Home Services to the Member, not achieving quality goals, not adhering to the MCO’s protocols, or not meeting specific Members needs, as determined by the MCO after consultation with the Health Home.

  • The Health Home, in the development of a plan of care for a Health Home Participant, shall ensure that such plan of care is in accordance with the MCO’s Participating Provider manual, as applicable to care management and Health Home Services.

  • The Health Home Participant, and/or legal guardian/representative, will be involved to the greatest degree possible in developing the care management plan and play an active and central role in the development and execution of their Plan of Care.

  • AHIHH: AHI Health Home Health Home Candidate: a person who is potentially eligible to become a Health Home Participant and is assigned by an MCO or NYSDOH to AHI or who has been referred to the HHSP or to AHIHH.

  • The parties recognize that there are many ways in which Health Home Participant status may change that may result in Re-Assignment or De-Activation.

  • DefinitionsAHIHH: AHI Health Home, a designated lead Health Home by the New York State Department of Health Health Home Network Partners: The group of medical, behavioral, social services, and other community- based organizations by which a Health Home Participant receives services to address needs identified onthe comprehensive care management plan developed by the Health Home Participant’s AHI Health Home Services Provider.

  • In addition, MCO may Re-Assign a Health Home Participant to another Health Home if the Member: a) requests Re-Assignment, b) relocates, or c) transfers to a Primary Care Participating Provider who is affiliated with another health home.

  • DefinitionsHealth Home Service Provider (HHSP): an organization that has a fully executed contract (the “Health Home Services Provider Agreement”) with the Adirondack Health Institute to provide health home outreach and/or care management services.Health Home Candidate: a person who is potentially eligible to become a Health Home Participant and is assigned by an MCO or NYSDOH to AHI or is referred by an organization.

Related to Health Home Participant

  • Participant has the meaning specified in Section 10.06(d).

  • Program participant means an individual certified by the secretary as a program participant under Iowa Code section 9E.3.

  • Plan Participant means a person who is eligible to receive, and is receiving, a pension benefit from the Plan.

  • Eligible Employee means full-time and part-time employees in the bargaining unit who have completed four hundred and fifty (450) hours of service and who are not prohibited from contributing to the Plan by legislation or the Plan rules because of their age or because they are in receipt of a pension from the Plan.

  • Former Participant means a person who has been a Participant, but who has ceased to be a Participant for any reason.

  • FTR Participant means any Market Participant that provides or is required to provide Collateral in order to participate in PJM’s FTR auctions.

  • Eligible employer means any municipality with a municipal

  • Study Participant means a person recruited to participate in the Study.

  • Mental health service provider means a public or private

  • Active Participant means, with respect to any day or date, a Participant who is in Service on such day or date; provided, that a Participant shall cease to be an Active Participant (i) immediately upon a determination by the Committee that the Participant has ceased to be an Employee or Independent Contractor, or (ii) at the end of the Plan Year that the Committee determines the Participant no longer meets the eligibility requirements of the Plan.

  • Current Participant means a person who participated in the Plan during the Class Period and had an Active Account on May 11, 2018.

  • Disabled Participant with respect to a loan if it has no right to exercise any voting or other control rights with respect to such loan (other than the right to approve amendments to the material economic terms of such loan).

  • Inactive Participant means each Participant (other than a Retired Participant, Deceased Participant or Disabled Participant) who is not in active service as an Outside Director and is not actively employed by a Participating Company.

  • Other Participant means a cooperative project participant other than the United States.

  • Living Wage Employee means any and all employees of the Contractor and all Subcontractors of the Contractor that perform any part of the Work on a property owned by or leased to the City, including all streets, sidewalks and other public rights of way, for at least one consecutive hour, but excluding Students, volunteers and employees of Social Enterprises;

  • Large employer means, in connection with a group health plan or health insurance coverage with

  • Service employee, means any person engaged in the performance of this contract other than any person employed in a bona fide executive, administrative, or professional capacity, as these terms are defined in Part 541 of Title 29, Code of Federal Regulations, as revised. It includes all such persons regardless of any contractual relationship that may be alleged to exist between a Contractor or subcontractor and such persons.

  • Retired Participant means a person who has been a Participant, but who has become entitled to retirement benefits under the Plan.

  • Qualified Participant means a Participant who has attained age 55 and who has completed at least 10 years of participation in the Plan.

  • Participating employee means an employee whose election to participate in a Plan has been approved by the employer.

  • New Mexico Employee means any resident of the State of New Mexico employed by Contractor who performs the majority of the employee’s work for Contractor within the State of New Mexico, regardless of the location of Contractor’s office or offices; and

  • Designated Participant means a key Employee of the Company or any other Participating Company who is designated by the Committee in writing to participate in the Program.

  • Eligible Executive means an employee of the Company selected as being eligible to participate in this Plan under Section C.1.a.

  • Health Service Provider has the meaning set out in section 2 of the LHSIA.

  • Designated Employee means an employee who has been designated by the school to receive complaints of hazing, harassment and bullying pursuant to subdivision 16 V.S.A. 570a(a)(7). The designated employees for each school building are identified in Appendix A of this policy.

  • Participating Employer means any trade or business (whether or not incorporated) which adopts this Plan with the consent of the Company identified in the Adoption Agreement.