Transition of Care definition

Transition of Care means the management and continuation of care as Enrollees transition between different Providers within the same Health Plan.‌
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Transition of Care means the period of time after the effective date of enrollment with the receiving CCO, during which the receiving CCO must provide continued access to care. The transition of care period lasts for:
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Transition of Care means the process of transferring a patient from one provider or care setting to another provider or care setting.¶
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Examples of Transition of Care in a sentence

  • Transition of Care If we terminate or suspend any contract with an In-network Practitioner/Provider from which you are currently receiving care, we will notify you, in writing, within 30 days.

  • Five (5) sample cases of Carve Out/ Waiver Programs/ Termination of PCP/ Dis- enrollments/ Transition of Care/ Specialist Member letters.

  • Transition of Care - Provides in-network health coverage to new customers when the customer's doctor is not part of the Cigna network and there are approved clinical reasons why the customer should continue to see the same doctor.

  • The framework consisted of seven domains:AssessmentTreatment Planning and Implementation Hope and EmpowermentPatient Driven Care Patient SafetyContinuity and Transition of Care OutcomesThe current HIBIPS standards reflected in this report a designed to reflect these core domains in the delivery of psychiatric care.

  • Transition of Care and Continuation of Care Benefit Enrollment ProcessSubmit all requests for transition of care in writing via fax to 800-610-5685, or by email: transitionofcare@bluechoicesc.com.

  • BlueChoice® HealthPlanTransition of Care/Continuation of Care Request FormPurpose of Transition of Care and Continuation of CareIf circumstances change and a member’s provider is not in-network or no longer in-network, BlueChoice® strives to make the transition seamless.

  • Completion of the Transition of Care Tool is not considered an assessment.

  • Additional information enclosed with the Transition of Care Tool may include documentation such as medical history reviews, care plans, and medication lists.

  • The Transition of Care Tool may be completed in a variety of ways, including in person, by telephone, or by video conference.

  • Description of Transition of Care Tool The Transition of Care Tool is designed to leverage existing clinical information to document a beneficiary’s mental health needs and facilitate a referral for a transition of care to, or addition of services from the beneficiary’s MCP or MHP, as needed.


More Definitions of Transition of Care

Transition of Care means continued access to services during a member's transition from a predecessor plan to the receiving CCO; ¶
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Transition of Care. Plan Initially and as revised Yes Contractor shall submit its Transition of Care Plan to the Department for review and Prior Approval. The Transition of Care Plan shall include policies and procedures and a staffing model designed to achieve a seamless, efficient transition with minimal impact to an Enrollee’s care. Contractor may submit one plan that includes all care coordination programs in which it participates; however, Contractor shall identify all areas that differ among care coordination programs.
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Transition of Care means the management and continuation of care as Enrollees transition between different Providers within the same Health Plan.‌ Urban Area refers to an Illinois county that is part of a metropolitan statistical area (MSA), as defined by the US Census Bureau and has a population equal to or greater than 60,000 residents (see details in Attachment II).
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Transition of Care means the management and continuation of care as Enrollees transition between different Providers within the same Health Plan. U rban Area refers to an Illinois county that is part of a metropolitan statistical area (MSA), as defined by the US Census Bureau and has a population equal to or greater than 60,000 residents (see details in Attachment II). U tilization Management Program means a comprehensive approach and planned activities for evaluating the appropriateness, need, and efficiency of services, procedures, and facilities according to established criteria or guidelines. Utilization management typically includes new activities or decisions based upon the analysis of care, and describes proactive procedures, including discharge planning, concurrent planning, precertification, and clinical case Appeals. It also covers proactive processes, such as concurrent clinical reviews and Peer Reviews, as well as Appeals introduced by the Provider, payer, or Enrollee. W aste means the overutilization or misuse of Covered and non-
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Related to Transition of Care

  • 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.

  • 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.

  • 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.

  • 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.

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

  • 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.

  • Cessation of practice means any calendar month during which respondent is

  • Operation and Maintenance or “O&M” shall mean all activities required to operate, maintain, and monitor the effectiveness of the RA as specified in the SOW or any EPA-approved O&M Plan.

  • 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.

  • 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.

  • Servicer Policies and Practices means, with respect to the Servicer’s duties under Exhibit A to the Servicing Agreement, the policies and practices of the Servicer applicable to such duties that the Servicer follows with respect to comparable assets that it services for itself and, if applicable, others.

  • Segregation of Duties means the assignment of different people in the responsibility of authorising transactions, recording transactions and maintaining custody of assets with the intention of reducing the opportunities to allow any person to be in a position to both perpetrate and conceal fraud or error due to fraud in the normal course of their 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.

  • Conditions of Carriage means these conditions of carriage.

  • Performance of duties means duties performed within the employee’s authorized scope of employment and performed in the line of duty.

  • Basic Services means housekeeping services, meals, nutritious snacks, laundry, and activities.

  • Coordination of Benefits or “COB” means a provision establishing an order in which plans pay their claims, and permitting secondary plans to reduce their benefits so that the combined benefits of all plans do not exceed total allowable expenses.

  • Maintenance and Support Services means the services provided by Contractor under Appendix F.

  • Sexual Exploitation and Abuse “(SEA)” means the following:

  • 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.

  • Administration of Medication means the act of placing a medication in or on an individual's body by a staff member who is responsible for the individual's care.

  • Certificate of Catholic Practice means a certificate issued by the family’s parish priest (or the priest in charge of the church where the family attends Mass) in the form laid down by the Bishops’ Conference of England and Wales. It will be issued if the priest is satisfied that at least one Catholic parent or carer (along with the child, if he or she is over seven years old) have (except when it was impossible to do so) attended Mass on Sundays and holy days of obligation for at least five years (or, in the case of the child, since the age of seven, if shorter). It will also be issued when the practice has been continuous since being received into the Church if that occurred less than five years ago. It is expected that most Certificates will be issued on the basis of attendance. A Certificate may also be issued by the priest when attendance is interrupted by exceptional circumstances which excuse from the obligation to attend on that occasion or occasions. Further details of these circumstances can be found in the guidance issued to priests http://rcdow.org.uk/education/governors/admissions/

  • Preventive Care means certain Preventive Care services.

  • Promotion of Access to Information Act ’ means the Promotion of Access to Information Act, 2000 (Act No. 2 of 2000);

  • Operations and maintenance means a project delivery method in which the District enters into a single contract for the routine operation, routine repair, and routine maintenance of an infrastructure facility.