Primary care case management entity definition

Primary care case management entity or "PCCM entity" means the same in these rules as defined at 42 C.F.R. § 438.2.
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Examples of Primary care case management entity in a sentence

  • The aeronautical authority of either Country may withhold, revoke, suspend or limit their authorisations of an airline nominated by the other aeronautical authority, at any time, if the conditions specified in paragraph 4 ofthis MOU are not met, or ifthe airline otherwise filils to operate in accordance with the conditions specified in this MOU.

  • Primary care case management entity (PCCM entity) means an organization that provides any of the following func- tions, in addition to primary care case management services, for the State:(1) Provision of intensive telephonic or face-to-face case management, in- cluding operation of a nurse triage ad- vice line.(2) Development of enrollee care plans.

  • Primary care case management entity (PCCM entity) means an organization that provides any of the following functions, in addition to primary care case management services, for the State: (1) Provision of intensive telephonic or face-to-face case management, including operation of a nurse triage advice line.

  • Primary care case management entity (PCCM entity) means an organization that provides any of the following functions, in addition to primary care case management services, for the State:(1) Provision of intensive telephonic or face-to-face case management, including operation of a nurse triage advice line.(2) Development of enrollee care plans.

  • Appendix (cont’d): Definitions Applicable to Managed Care Entities Primary care case management entity (PCCM entity) means an organization that provides any of the following functions, in addition to primary care case management services, for the state – z Provision of intensive telephonic or face-to-face case management, including operation of a nurse triage advice line.

  • Increases in runoff rate & volume result in flooding, stream and gully erosion, and changes in wetland hydroperiod.

Related to Primary care case management entity

  • Case management means a coordinated set of activities conducted for individual patient management of serious, complicated, protracted or other health conditions.

  • Change Management means the add-on module to the Programs that enables engineers to define network changes through one or more configuration templates. Those network changes can be applied to multiple devices and executed/rolled back automatically. The Change Management module enables engineers to verify the impact of the changes across the network to help ensure a safer change process.

  • Primary care physician or “PCP” means a Plan Provider who has an independent contractor agreement with HPN to assume responsibility for arranging and coordinating the delivery of Covered Services to Members. A Primary Care Physician’s agreement with HPN may terminate. In the event that a Member’s Primary Care Physician’s agreement terminates, the Member will be required to select another Primary Care Physician.

  • Targeted case management means services that assist a beneficiary to access needed 2 medical, educational, social, prevocational, vocational, rehabilitative, or other community services. The 3 service activities may include, but are not limited to, communication, coordination and referral;

  • Procurement Management means the Director of Lee County’s Procurement Management Department or designee.

  • Case management services means planned referral, linkage, monitoring and support, and advocacy provided in partnership with a consumer to assist that consumer with self sufficiency and community tenure and take place in the individual’s home, in the community, or in the facility, in accordance with a service plan developed with and approved by the consumer and qualified staff.

  • Case manager means a Department of Human Services or Area Agency on Aging employee who assesses the service needs of an applicant, determines eligibility, and offers service choices to the eligible individual. The case manager authorizes and implements the service plan and monitors the services delivered.

  • Management Entity means the community developmental disability program or private corporation that operates the regional crisis diversion program, including acting as the fiscal agent for regional crisis diversion funds and resources.

  • Public Finance Management Act ’ means the Public Finance Management Act, 1999 (Act No. 1 of 1999);

  • Primary care giver" means a person who assumes the principal role of providing care and attention to a child.

  • Medically necessary care means care that is (1) appropriate and consistent with and essential for the prevention, diagnosis, or treatment of a Patient’s condition; (2) the most appropriate supply or level of service for the Patient’s condition that can be provided safely; (3) not provided primarily

  • Database Management System (DBMS) A system of manual procedures and computer programs used to create, store and update the data required to provide Selective Routing and/or Automatic Location Identification for 911 systems. Day: A calendar day unless otherwise specified. Dedicated Transport: UNE transmission path between one of CenturyLink’s Wire Centers or switches and another of CenturyLink’s Wire Centers or switches within the same LATA and State that are dedicated to a particular customer or carrier. Default: A Party’s violation of any material term or condition of the Agreement, or refusal or failure in any material respect to properly perform its obligations under this Agreement, including the failure to make any undisputed payment when due. A Party shall also be deemed in Default upon such Party’s insolvency or the initiation of bankruptcy or receivership proceedings by or against the Party or the failure to obtain or maintain any certification(s) or authorization(s) from the Commission which are necessary or appropriate for a Party to exchange traffic or order any service, facility or arrangement under this Agreement, or notice from the Party that it has ceased doing business in this State or receipt of publicly available information that signifies the Party is no longer doing business in this State.

  • Database Management System (“DBMS”) is a computer process used to store, sort, manipulate and update the data required to provide Selective Routing and ALI.

  • Primary care provider means a participating provider who supervises, coordinates, or provides initial care or continuing care to a covered person, and who may be required by the health carrier to initiate a referral for specialty care and maintain supervision of health care services rendered to the covered person.

  • Health Care Operations shall have the meaning given to such term under the HIPAA 2 Privacy Rule in 45 CFR § 164.501.

  • Stormwater management planning agency means a public body authorized by legislation to prepare stormwater management plans.

  • Drug therapy management means the review of a drug therapy regimen of a patient by one or more pharmacists for the purpose of evaluating and rendering advice to one or more practitioners regarding adjustment of the regimen.

  • Procurement organization means an eye bank, organ procurement organization, or tissue bank.

  • Organ procurement organization means a person designated by the Secretary of the United States Department of Health and Human Services as an organ procurement organization.

  • Primary caregiver or "caregiver" means a resident of the State