Turquoise Care definition

Turquoise Care means the State of New Mexico’s Medicaid program operated under Section 1115(a) of the Social Security Act waiver authority. Urban for purposes of this Agreement means the following counties in New Mexico: Bernalillo, Los Alamos, Santa Fe, and Xxxx Xxx. Urban Indian shall have the meaning ascribed to such term in 25 U.S.C. § 1603.
Sample 1Sample 2Sample 3

Examples of Turquoise Care in a sentence

  • For Members in the ABP who meet NF LOC, the CONTRACTOR shall notify the Member that they may be ABP Exempt, explain the benefit differences for ABP Exempt individuals and facilitate their movement into the ABP exempt benefit package (the Covered Services included in Attachment 1: Turquoise Care Covered Services) at the Member’s choice.

  • Self-direction in Turquoise Care affords Members the opportunity to have choice and control over how SDCB services are provided, who provides the services, and how much Providers are paid for providing care in accordance with a range of rates per service established by HCA.

  • The Capitation Rates for SDCB Members include acute and SDCB services outlined in Attachment 1: Turquoise Care Covered Services (Covered Services).

  • The performance bond must be restricted to the CONTRACTOR’s Turquoise Care program.

  • Adult Members who are ABP Exempt and who select the Covered Services outlined in Attachment 1: Turquoise Care Covered Services may be eligible to receive the Community Benefit and/or NF care if they meet NF LOC as described in Section 4.5.7 of this Agreement.

  • When a Medicaid-eligible child is born to a mother on the New Mexico Health Insurance Exchange and the mother’s Qualified Health Plan is also a Turquoise Care MCO, the newborn shall be enrolled retroactively to the month of birth with that Turquoise Care MCO.

  • The CONTRACTOR shall participate in the Provider Workgroup, consisting of representation from each Turquoise Care MCO, HCA, and Providers, for purposes of streamlining documents and processes for Providers.

  • However, the CONTRACTOR may not require a Member to use In Lieu of Services or Settings arrangements as a substitute for Turquoise Care Covered Services but may offer and cover such services or settings, if approved by HCA as a means of ensuring that appropriate care is provided in a cost-effective manner.

  • The reconciliation for the Retroactive Period is limited to the Covered Services medical expenses defined in Attachment 1: Turquoise Care Covered Services and Attachment 4: Alternative Benefit Plan Covered Services.

  • Healthy Dual The Healthy Dual Rate Cohort Capitation Rate includes Covered Services outlined in Attachment 1: Turquoise Care Covered Services.

Related to Turquoise Care

  • 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.

  • Home care means care and treatment of an insured under a plan of care established, approved in writing and reviewed at least every 2 months by the attending physician, unless the attend- ing physician determines that a longer interval between reviews is sufficient, and consisting of one or more of the following:

  • Hospice Care means a coordinated program of active professional

  • Maritime cargo handling services means activities exercised by stevedore companies, including terminal operators, but not including the direct activities of dockers, when this workforce is organised independently of the stevedoring or terminal operator companies. The activities covered include the organisation and supervision of:

  • Acute care means preventive care, primary care, and other medical care provided under the direction of a physician for a condition having a relatively short duration.

  • 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 ren- dered to diagnose, heal or permanently alleviate or eliminate a medical condition.

  • Child care means continuous care and supervision of five or more qualifying children that is:

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

  • Shelter care means the temporary care of children in physically unrestricting facilities.

  • New Jersey Stormwater Best Management Practices (BMP) Manual or “BMP Manual” means the manual maintained by the Department providing, in part, design specifications, removal rates, calculation methods, and soil testing procedures approved by the Department as being capable of contributing to the achievement of the stormwater management standards specified in this chapter. The BMP Manual is periodically amended by the Department as necessary to provide design specifications on additional best management practices and new information on already included practices reflecting the best available current information regarding the particular practice and the Department’s determination as to the ability of that best management practice to contribute to compliance with the standards contained in this chapter. Alternative stormwater management measures, removal rates, or calculation methods may be utilized, subject to any limitations specified in this chapter, provided the design engineer demonstrates to the municipality, in accordance with Section IV.F. of this ordinance and N.J.A.C. 7:8-5.2(g), that the proposed measure and its design will contribute to achievement of the design and performance standards established by this chapter.

  • Adult foster care means room and board, supervision, and special services to an adult who has a

  • Nursing care means the practice of nursing by a licensed nurse, including tasks and functions relating to the provision of "nursing care" that are taught or delegated under specified conditions by a registered nurse to a person other than licensed nursing personnel, as governed by ORS chapter 678 and rules adopted by the Oregon State Board of Nursing in OAR chapter 851.

  • Foster care means substitute care furnished on a 24-hour a day basis to an eligible child, in a licensed foster care facility or approved shelter care facility, by a person or agency other than the child’s parent or guardian, but does not include care provided in a family home through an informal arrangement for a period of less than 30 days. Child foster care shall include but is not limited to the provision of food, lodging, training, education, supervision, and health care.

  • Special Services means all forms of services pertaining

  • Standard fertility preservation services means procedure based upon current evidence-based standards of care established by the American Society for Reproductive Medicine, the American Society for Clinical Oncology, or other national medical associations that follow current evidence-based standards of care.

  • Best Management Practices (BMPs means schedules of activities, prohibitions of practices, maintenance procedures, and other management practices to prevent or reduce the pollution of waters of the state. BMPs also include treatment requirements, operating procedures, and practices to control site runoff, spillage or leaks, sludge or waste disposal, or drainage from raw material storage.

  • 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.

  • Hospice services means palliative and supportive care and other services provided by an interdisciplinary team under the direction of an identifiable hospice administration to terminally ill hospice patients and their families to meet the physical, nutritional, emotional, social, spiritual, and special needs experienced during the final stages of illness, dying, and bereavement, as defined in Minnesota Statutes, § 144A.75, subd. 8, and includes the set of services as determined by the Medicare program under §1861(dd) of the Social Security Act and defined in 42 CFR § 418.3.

  • Urgent Care means treatment for a condition that is not a threat to life or limb but does require prompt medical attention. Also, the severity of an urgent condition does not necessitate a trip to the hospital emergency room. An Urgent Care facility is a freestanding facility that is not a physician’s office and which provides Urgent Care.

  • Medical care means amounts paid for: