Model of Care definition

Model of Care means the program designed by Health Plan and approved by CMS to meet the specialized needs of a Dual Eligible population that includes (i) an appropriate network of providers and specialists available through Health Plan’s D-SNP, and (ii) care management services, which include assessment, individualized plan of care and interdisciplinary team.
Sample 1Sample 2Sample 3
Model of Care means a CMS required written care management plan for Dual Eligible Medicare Advantage Special Needs Plans (DESNP) with eleven model of care elements and 4 State specific elements
Sample 1Sample 2
Model of Care means the Model of Care and the Medical Termination of Pregnancy (has not exceeded nine (9) weeks of pregnancy) Care Pathway as published by the HSE and as may be amended from time to time in accordance with the requirements of Good Professional Practice.
Sample 1

Examples of Model of Care in a sentence

  • Providers will have access to the Model of Care training via the Molina website.

  • A designated Molina Quality Improvement Director and/or Medical Director will have responsibility for monitoring and evaluating the Model of Care.

  • Molina will issue a written request to Providers to participate in Model of Care training.

  • Wellness program utilization rates.Molina will use the above data collection, analysis and reporting to develop a comprehensive evaluation of the effectiveness of the Molina Model of Care.

  • Building on the deep experience we have gained by providing integrated care to SMI enrollees in the specialty plan, our integrated, flexible, and comprehensive Model of Care continues to evolve to further expand and define services to meet the specialty needs of our highest-risk enrollees.

  • If there is a trend of continued non-attestation, those providers found to be non-compliant with the Model of Care may be targeted for potential clinical interventions.

  • Screening is integrated into the clinical programs which comprise the Complete Care Model of Care including case management, discharge transitions, DM, and wellness.

  • To evaluate the Model of Care, Molina may collect data from multiple sources including:a.

  • Performance and Health Outcomes Measurement - Molina collects, analyzes reports and acts on data evaluating the Model of Care.

  • Our Model of Care reinforces and prioritizes recovery, stabilization, health maintenance, optimal safety and quality, and independence through partnering with our enrollee, their natural supports and providers.

Related to Model of Care

  • 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.

  • 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.

  • 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.

  • 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.

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

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

  • 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.

  • 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.

  • General-Purpose Software means Software that supports general-purpose office and software development activities and is identified as such in Appendix 4 of the Contract Agreement and such other Software as the parties may agree in writing to be General-Purpose Software. Such General- Purpose Software may include, but is not restricted to, word processing, spreadsheet, generic database management, and application development software.

  • Affordability means a housing unit that satisfies at least one of the following criteria:

  • Respiratory care means the practice of the allied health profession responsible for the direct and

  • Respite care means care anticipated to be provided for a period of 28 days or less for the purpose of temporarily relieving a family member or other caregiver from his or her daily caregiv- ing duties.

  • 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.

  • Reliability Standard means a requirement to provide for reliable operation of the bulk power system, including without limiting the foregoing requirements for the operation of existing bulk power system facilities, including cybersecurity protection, and the design of planned additions or modifications to such facilities to the extent necessary for reliable operation of the bulk power system, but shall not include any requirement to enlarge bulk power system facilities or to construct new transmission capacity or generation capacity.

  • 911 system means the set of network, database and customer premise equipment (CPE) components required to provide 911 service.

  • Preventive Care means certain Preventive Care services.

  • Service Specifications means the following documents, as applicable to the Services under Your order:

  • Practice of respiratory care means the (i) administration of pharmacological, diagnostic, and

  • 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.

  • Emergency care means management for an illness or injury which results in symptoms which occur suddenly and unexpectedly, and requires immediate care by a medical practitioner to prevent death or serious long term impairment of the insured person’s health.

  • safety standard means the Code of Practice for the Wiring of Premises SANS 10142-1 incorporated in the Regulations;

  • Prudent Industry Practices means, at a particular time, any of the practices, methods, standards of care, skill, safety and diligence, as the same may change from time to time, but applied in light of the facts known at the time, that are consistent with the general standards applied or utilized under comparable circumstances by a reasonably prudent operator, in a good and workmanlike manner, with due diligence and dispatch, in accordance with good midstream industry practice.

  • Prudent Utility Practices means those practices, methods, techniques and standards, that are generally accepted for use in electric utility industries taking into account conditions in India, and commonly used in prudent electric utility engineering and operations to design, engineer, construct, test, operate and maintain equipment lawfully, safely, efficiently and economically as applicable to power stations of the size, service and type of the Project, and that generally conform to the manufacturers' operation and maintenance guidelines.

  • Electric System Upgrades means any Network Upgrades, Distribution Upgrades, or Interconnection Facilities that are determined to be necessary by the CAISO or Participating Transmission Owner, as applicable, to physically and electrically interconnect the Project to the Participating Transmission Owner’s electric system for receipt of Energy at the Point of Interconnection (as defined in the CAISO Tariff) if connecting to the CAISO Grid, or the Interconnection Point, if connecting to a part of the Participating TO’s electric system that is not part of the CAISO Grid.

  • Efficiency means the gas turbine manufacturer's rated heat rate at peak load in terms of heat input per unit of power output based on the lower heating value of the fuel.

  • NAICS means North American Industry Classification System.