Functional Eligibility definition

Functional Eligibility means the level of care needed by the waiver applicant/beneficiary to receive services through the waiver rather than in an institutional setting. To be determined an individual with functional eligibility, an individual must not require a skilled level of care, as defined in the state rule, and must meet at least one (1) of the following three (3) criteria, as determined by a licensed medical professional:
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Functional Eligibility means an individual meets the level of care criteria for a Long-Term Services and
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Functional Eligibility means that the Client meets the criteria for long-term care services as
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Examples of Functional Eligibility in a sentence

  • Do not wait for Functional Eligibility approval before you start the application for Financial Eligibility.

  • The PH-MCO must abide by the decision of the Functional Eligibility Determination process determination letter related to the need for Nursing Facility services.

  • Currently, PD eligible individuals must meet the level of care required for nursing facility placement as determined by the Medicaid Long Term Care (LTC) threshold score using a Functional Eligibility Instrument.

  • Thirteen days later, on August 1, 2011, without notice of rulemaking or opportunity for public comment, HHS, the Department of Labor, and the Department of Treasury adopted the IOM recommendations in full and promulgated an interim final rule (“the Mandate”), which requires that all “group health plan[s] and .

  • Additionally, individuals enrolled in the HCBS-AMH program have demonstrated a need to be enrolled in the HCBS-AMH program by meeting additional Functional Eligibility criteria identified through the Adult Needs and Strength Assessment (ANSA).

  • The Functional Eligibility Instrument is an assessment of an individual's capacity for Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living(IADLs).

  • As a matter of consistent practice the Plaintiff was provided with delivery notes and invoices containing the general terms and conditions of sale on the reverse thereof.

  • Functional Eligibility: A measurement of an individual’s abilities, or level of assistance needed, to complete important self-care activities.

  • OLTL has entered into a sole-source contract with a non-governmental, non-state, conflict-free and independent assessment entity to conduct the initial and annual level of care determinations, hereafter referred to as Functional Eligibility Determinations and Re-determinations, respectively.

  • When the Participant initiates the transfer through the IEB, the IEB will complete an in-home visit within seven business days of the Participant expressing interest in CHC and request a copy of the Functional Eligibility Determination (FED) and MA 570 from the Participant’s LIFE PO.


More Definitions of Functional Eligibility

Functional Eligibility means an individual meets the functional level of care criteria for a Long-
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Functional Eligibility means an individual meets functional criteria for a Long -Term Services and
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Functional Eligibility means the demonstrable degree to which an individual requires assistance with activities of daily living.
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Functional Eligibility means. the individual met criteria used for determining whether an individual needs nursing facility level of care. Functional eligibility is separately assessed from Medicaid financial eligibility.
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Related to Functional Eligibility

  • Eligibility and selection criteria means criteria for determining:

  • Functional Criteria means the criteria set out in clause 27 of this Part C.

  • Eligibility Service of an employee means the period or periods of service credited to him under the provisions of Article II for purposes of determining his eligibility to participate in the Plan as may be required under Article III or Article VI.

  • Retirement Eligibility means attainment of age 60 and completion of at least five (5) years of continuous service with the Company.

  • Eligibility means the decision as to whether an individual qualifies, under financial and nonfinancial requirements, to receive program benefits.

  • Eligibility Criteria means the legal criteria as specified in the Clause 5 of this E- Auction Process Information Document;

  • Multiple Listing Service A means for collecting and disseminating information about real property that is or has been for sale, including a means for real estate brokers to make offers of cooperation and compensation to each other. Multiple Listing Services may also include, without limitation, the provision of data processing, technical support, consulting, and other information technology services to real estate brokers and appraisers in connection with the sale and appraisal of real property.

  • Qualifying Educational Program means a program at a post-secondary school level of not less than three consecutive weeks duration that requires each student taking the program to spend not less than 10 hours per week on courses or work in that program.

  • Eligibility Requirement means all eligibility requirements and other qualification requirements for a person to act in the applicable Corporate Trust Capacity under any Appointment as set forth in the related Corporate Trust Contract, including any required authorizations or licenses from the Federal National Mortgage Association, the Federal Home Loan Mortgage Corporation, the Government National Mortgage Association, the Federal Housing Administration, the Federal Home Loan Bank or the Department of Veterans Affairs.

  • Criteria means one of the eight (8) state defined categories to be scored.

  • Eligibility Requirements means, with respect to any Person, that such Person (i) has total assets (in name or under management) in excess of $600,000,000 and (except with respect to a pension advisory firm or similar fiduciary) capital/statutory surplus or shareholder’s equity of $250,000,000 and (ii) is regularly engaged in the business of making or owning commercial real estate loans or operating commercial mortgage properties.

  • aerodrome control service means air traffic control service for aerodrome traffic;

  • Independent educational evaluation means an evaluation conducted by a qualified examiner who is not employed by the public agency responsible for the education of the child in question.

  • Eligible list means an official record kept in the Commissioner's office as a public record which contains the names of those persons who have successfully completed examinations, listed and ranked in order of their final ratings from the highest to the lowest rank.

  • Fitch Criteria means the Collateral Amount shall equal the sum of (i) the product of A multiplied by the xxxx-to-market value of the outstanding Transactions determined by Party A in good faith from time to time, and (ii) the product of B multiplied by the current aggregate notional amount of the outstanding Transactions, where:

  • Eligibility Computation Period means a 12-consecutive month period beginning with your first day of employment. Any succeeding Eligibility Computation Period will then switch to the Plan Year, beginning with the Plan Year that includes your first anniversary of employment. You will generally earn an hour of service for each hour you are paid for the performance of duties for the Company (however, numerous exceptions and special rules apply).

  • Selection Criteria means and includes all of the requirements, considerations,

  • Continuous parameter monitoring system (CPMS means all of the equipment necessary to meet the data acquisition and availability requirements of the Prevention of Significant Deterioration program, to monitor process and control device operational parameters (for example, control device secondary voltages and electric currents) and other information (for example, gas flow rate, O2 or CO2 concentrations), and to record average operational parameter value(s) on a continuous basis.

  • Functional Specifications means the descriptions of features and functions of the Application as expressly set forth in Quote.

  • Ineligibility means the Athlete or other Person is barred on account of an anti-doping rule violation for a specified period of time from participating in any Competition or other activity or funding as provided in Article 10.12.1;

  • Review Criteria has the meaning assigned to that term in Section 12.02(b)(i).

  • Eligibility Conditions means the eligibility conditions specified in the Act and the Rules including all the eligibility conditions listed in Clause [5] of the Tender Document.

  • Testing service means a national testing service selected by the board.

  • Eligibility Waiting Period means the continuous length of time you must be in Active Employment in an eligible class to reach your Eligibility Date.

  • Individual service plan means the written description of services, supports, and activities to be provided to an individual.

  • Continuous parameter monitoring system or "CPMS" means all of the equipment necessary to meet the data acquisition and availability requirements of this article, to monitor process and control device operational parameters (for example, control device secondary voltages and electric currents) and other information (for example, gas flow rate, O2 or CO2 concentrations), and to record average operational parameter value(s) on a continuous basis.