HIV SNP Enrollee definition

HIV SNP Enrollee means an MMC Eligible Person who either personally or through an authorized representative, has enrolled in the Contractor’s HIV SNP. "HIV SNP Medical Case Management/Care Coordination" means a process for clinical service planning, service acquisition, service delivery and coordination by a designated medical case manager and/or case management team. HIV SNP medical case management/care coordination is a client-centered service that links and promotes timely, coordinated access to medically appropriate levels of care and services that support adherence to care and wellness. HIV SNP medical case management/care coordination includes treatment adherence services and education; care advocacy; primary and secondary prevention education; health promotion assistance; and partner/spousal notification assistance. "HIV Specialist PCP" means an HIV experienced Primary Care Provider who has met the criteria of one of the following recognized bodies: • The HIV Medicine Association (HIVMA) definition of an HIV-experienced provider, or • HIV Specialist status accorded by the American Academy of HIV Medicine (AAHIVM), or • Advanced AIDS Credited Registered Nurse Credential given by the HIV/AIDS Nursing Certification Board (HANCB). "Inpatient Stay Pending Alternate Level of Medical Care" means continued care in a hospital pending placement in an alternate lower medical level of care, consistent with the provisions of 18 NYCRR § 505.20 and 10 NYCRR Part 85.
Sample 1Sample 2
HIV SNP Enrollee means an MMC Eligible Person who either personally or through an authorized representative, has enrolled in the Contractor’s HIV SNP. “HIV Specialist PCP” (for HIV SNPs only) means an HIV experienced Primary Care Provider who has met the criteria of one of the following recognized bodies: • The HIV Medicine Association (HIVMA) definition of an HIV-experienced provider, or • HIV Specialist status accorded by the American Academy of HIV Medicine (AAHIVM), or • Advanced AIDS Credited Registered Nurse Credential given by the HIV/AIDS Nursing Certification Board (HANCB).
Sample 1Sample 2
HIV SNP Enrollee means an MMC Eligible Person who either personally or through an authorized representative, has enrolled in the Contractor’s HIV SNP.
Sample 1Sample 2

Examples of HIV SNP Enrollee in a sentence

  • Applicable to the HIV SNP Program]: The Contractor must have arrangements to allow any HIV SNP participating PCP, with appropriate enrollee consent, to request that a representative of the HIV SNP Contractor or behavioral health provider contact any HIV SNP Enrollee they believe to be in need of mental health or Chemical Dependence Services and attempt to arrange for an evaluation of their needs.

Related to HIV SNP Enrollee

  • Potential Enrollee means a Medical Assistance Recipient who may voluntarily elect to enroll in a given managed care program, but is not yet an Enrollee of an MCO.

  • Enrollee means any person entitled to health care services from a carrier.

  • Hospice patient s family" means a hospice patient's immediate family members, including a spouse, brother, sister, child, or parent, and any other relative or individual who has significant personal ties to the patient and who is designated as a member of the patient's family by mutual agreement of the patient, the relative or individual, and the patient's interdisciplinary team.

  • Respiratory care practitioner means a person who is

  • Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

  • HIV means human immunodeficiency virus.

  • Medical cannabis card means the same as that term is defined in Section 26-61a-102.

  • child care element of working tax credit means the element of working tax credit prescribed under section 12 of the Tax Credits Act 2002 (child care element).

  • Behavioral health provider means a person licensed under 34 chapter 18.57, 18.57A, 18.71, 18.71A, 18.83, 18.205, 18.225, or 18.79

  • Acute care hospital means a Hospital that provides Acute Care Services. Adjudicate means to deny or pay a Clean Claim. Administrative Services see MCO Administrative Services. Administrative Services Contractor see HHSC Administrative Services Contractor.

  • HIV/AIDS means human immunodeficiency virus/acquired immunodeficiency syndrome;

  • Anesthesiologist means a physician granted clinical privileges to administer anesthesia.

  • Emergency medical care provider means an individual who has been trained to provide emergency and nonemergency medical care at the first responder, EMT-basic, EMT-intermediate, EMT-paramedic, paramedic specialist or other certification levels recognized by the department before 1984 and who has been issued a certificate by the department.

  • Medicare Provider Agreement means an agreement entered into between CMS (or other such entity administering the Medicare program on behalf of the CMS) and a health care provider or supplier, under which such health care provider or supplier agrees to provide services for Medicare patients in accordance with the terms of the agreement and Medicare Regulations.

  • Newborn means a baby less than nine days old.

  • Primary Care Provider (PCP) means a health care professional who is contracted with BCBSAZ as a PCP and generally specializes in or focuses on the following practice areas: internal medicine, family practice, general practice, pediatrics or any other classification of provider approved as a PCP by BCBSAZ. Your benefit plan does not require you to have a PCP or to have a PCP authorize specialist referrals.

  • Adolescent means a Medicaid patient 17 years or younger.

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

  • Licensed health care practitioner means a physician, as defined in Section 1861(r)(1) of the Social Security Act, a registered professional nurse, licensed social worker or other individual who meets requirements prescribed by the Secretary of the Treasury.

  • Nursing home-type patients means a patient who has been in hospital more than 35 days, no longer requires acute hospital care, cannot live independently at home or be looked after at home, and either cannot be placed in a nursing home or a nursing home place is not available.

  • Emergency Medical Technician (EMT means: an individual licensed with cognitive knowledge and a scope of practice that corresponds to that level in the National EMS Education Standards and National EMS Scope of Practice Model.

  • Health care worker means a person other than a health care professional who provides medical, dental, or other health-related care or treatment under the direction of a health care professional with the authority to direct that individual's activities, including medical technicians, medical assistants, dental assistants, orderlies, aides, and individuals acting in similar capacities.

  • Provider network means an affiliated group of varied health care providers that is established to provide a continuum of health care services to individuals;

  • Enhanced 911 Service (“E911”) means a telephone communication service which will automatically route a call dialed “9-1-1” to a designated public safety answering point (PSAP) attendant and will provide to the attendant the calling party’s telephone number and, when possible, the address from which the call is being placed and the Emergency Response agencies responsible for the location from which the call was dialed.

  • Medical cannabis means the same as that term is defined in Section 26-61a-102.

  • Chemical dependency professional means a person certified as a chemical dependency professional by the department of health under chapter 18.205 RCW.