SPW definition
Examples of SPW in a sentence
The MCO must provide information concerning the three (3) options to all Members: (1) who meet the functional requirements for PHC Services and the requirements for PAS (the functional criteria for these services are described in the Form 2060), (2) who are eligible for in-home or out-of-home respite services in the SPW; and (3) who are eligible for nursing, PT, OT and/or SLT in the SPW.
All SPW recipients will be registered into Service Authorization System Online (SASO).
Non-Waiver Members who qualify for STAR+PLUS based on eligibility for SPW services and Waiver recipients who transfer from another region will not be subject to this two (2) month delay in the increased capitation payment.
Should HHSC begin operating this waiver program under a 1115 Waiver structure, then references to the 1915(c) Nursing Facility Waiver or SPW will mean the home and community based services component of the 1115 Waiver for Members who qualify for the additional services described in Attachment B-2, "STAR+PLUS Covered Services," under the heading “1915(c) STAR+PLUS Waiver Services for those Members who qualify for such services.” AAP means the American Academy of Pediatrics.
Once a current STAR+PLUS MCO Member has been certified to receive STAR+PLUS Waiver (SPW) services, there is a two (2) month delay before the MCO will begin receiving the higher capitation payment.
This issue with the outer cadastral limits of the nuclear sites should be regularized with each nuclear site's neighbour, being de Vlaamse Waterweg NV for Doel and SPW for Tihange.
If the STAR+PLUS Member is eligible for SPW services, HHSC will notify the Member of the effective date of eligibility.
The Administrative Services Contractor will notify the Member that he or she did not meet the eligibility criteria for the SPW, and the right to Appeal the Adverse Determination.
If the Member is not eligible for SPW services, HHSC will provide the Member information on right to Appeal the Adverse Determination.
Members can request to be tested for eligibility into the 1915(c) STAR+PLUS Waiver (SPW).