Level of Care Guidelines definition

Level of Care Guidelines means the criteria the Contractor uses in determining which individuals within the target groups identified in the Contractor’s policy and procedures will receive services. Managed Care
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Level of Care Guidelines means the criteria the BHO uses in determining the scope, duration and intensity of services to be provided.
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Level of Care Guidelines means the criteria the BH-ASO uses in determining the scope, duration and intensity of services to be provided.
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Examples of Level of Care Guidelines in a sentence

  • DSHS reserves the right to request changes to the Contractor’s Level of Care Guidelines.

  • The Contractor’s Level of Care Guidelines shall be provided to DSHS upon request.

  • The Contractor shall provide education and ongoing guidance and training to Individuals and providers about its UM protocols and Level of Care Guidelines, including ASAM Criteria for SUD services for admission, continued stay, and discharge criteria.

  • The Contractor must establish criteria for, document and monitor: Consistent application of Medical Necessity criteria and Level of Care Guidelines; and Over and under-utilization of services.

  • Timeframes for Authorization Decisions The Contractor must provide a written Notice of Action to the Enrollee, or their legal representative, if a denial, reduction, termination or suspension occurs based on the Level of Care Guidelines.

  • The Contractor shall provide education and ongoing guidance and training to Enrollees and providers about its’ UM protocols and Level of Care Guidelines, including admission, continued stay, and discharge criteria.

  • The Level of Care Guidelines or ASAM criteria shall address GFS and SABG priority population requirements.

  • The Contractor and its subcontractors shall establish policies for authorization that include the ASAM Criteria and written Level of Care Guidelines.

  • The Contractor and its subcontractors shall establish policies for authorization that include the Access to Care Standards and written Level of Care Guidelines.

  • The Contractor must provide a written Notice of Action to the Enrollee, or their legal representative, if a denial, reduction, termination or suspension occurs based on the Level of Care Guidelines.


More Definitions of Level of Care Guidelines

Level of Care Guidelines means the criteria the Contractor uses in determining which individuals within the target groups identified in the Contractor’s policy and procedures will receive services. List of Excluded Individuals/Entities (LEIE) “List of Excluded Individuals/Entities (LEIE)” means an Office of Inspector General’s List of Excluded Individuals/Entities and provides information to the health care industry, patients, and the public regarding individuals and entities currently excluded from participation in Medicare, Medicaid, and all other federal health care programs. Individuals and entities who have been reinstated are removed from the LEIE. Managed Care
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Level of Care Guidelines means the criteria Great Rivers uses in determining the scope, duration and intensity of services to be provided.
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Level of Care Guidelines means the criteria the BHO uses in determining the scope, duration, and intensity of services to be provided.
Sample 1

Related to Level of Care Guidelines

  • Applicable Guidelines means the policies of the Bank governing the selection and Contract award process as set forth in this RFP.

  • Program Guidelines means any and all GLO-approved documents reflecting specific rules and regulations governing the implementation of the Program.

  • 2%/25% Guidelines has the meaning set forth in Section 13.

  • Procurement Guidelines means the “Guidelines: Procurement under IBRD Loans and XXX Credits” published by the Bank in May 2004 and revised in October, 2006.

  • Fitch Guidelines means the guidelines, as may be amended from time to time, in connection with Fitch’s ratings of the VMTP Shares.

  • Federal poverty guidelines means the poverty guidelines published annually in the Federal Register by the United States Department of Health and Human Services under its authority to revise the poverty line under section 673(2) of subtitle B of title VI of the omnibus budget reconciliation act of 1981, 42 USC 9902.

  • Program Guide The Residential Funding Seller Guide for mortgage collateral sellers that participate in Residential Funding's standard mortgage programs, and Residential Funding's Servicing Guide and any other subservicing arrangements which Residential Funding has arranged to accommodate the servicing of the Mortgage Loans.

  • Treasury guidelines means any guidelines on supply chain management issued by the Minister in terms of section 168 of the Act;

  • Xxxxxx Mae Guides The Xxxxxx Xxx Xxxxxxx’ Guide and the Xxxxxx Mae Servicers’ Guide and all amendments or additions thereto.

  • Design Guidelines means the Fernkloof Estate architectural design guidelines to control all aspects of design and landscaping of any development within the Fernkloof Estate dev elopment, as amended from time to t ime in terms of the constitution of the MPOA or as required by the Council , a copy of the current draft which i s av ailable for inspection at the offices of the Association;

  • ECB €STR Guideline means Guideline (EU) 2019/1265 of the European Central Bank of 10 July 2019 on the euro short-term rate (€STR) (ECB/2019/19), as amended from time to time;

  • Xxxxxx Mae Guide The Xxxxxx Xxx Single Family Seller/Servicer Guide and all amendments or additions thereto.

  • User Guides means Sprinklr materials made available to Customer through the support portal to assist users of the Platform, as such materials may be updated during the Term.

  • Web Site Accessibility Standards/Specifications means standards contained in Title 1 Texas Administrative Code Chapter 206.

  • User Guide means such user guide or document issued or prescribed by us, through any medium, setting out instructions on the use of the EB Services;

  • Privacy Standards means the standards of the privacy of individually identifiable health information, as pursuant to HIPAA.

  • Consultant Guidelines means the “Guidelines: Selection and Employment of Consultants by World Bank Borrowers” published by the Bank in May 2004 and revised in October 2006.

  • Uniform Guidance means the Office of Management and Budget Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, which supersedes requirements from OMB Circulars A-21, A-87, A-110, and A-122, OMB Circulars A-89, A-102, and A-133, and the guidance in Circular A-50 on Single Audit Act follow-up. The terms and conditions of the Uniform Guidance flow down to Awards to Subrecipients unless the Uniform Guidance or the terms and conditions of the Federal Award specifically indicate otherwise.

  • Program Manual means the United States Department of Agriculture, Animal and Plant Health Inspection Service, Plant Protection and Quarantine, Gypsy Moth Program Manual, 1994 edition.

  • Anti-Corruption Guidelines means the “Guidelines on Preventing and Combating Fraud and Corruption in Projects Financed by IBRD Loans and XXX Credits and Grants”, dated October 15, 2006.

  • Credit Card Guidelines means the respective policies and procedures of the Account Owner, as the case may be, as such policies and procedures may be amended from time to time, (a) relating to the operation of its credit card business, which generally are applicable to its portfolio of revolving credit card accounts and in each case which are consistent with prudent practice, including the policies and procedures for determining the creditworthiness of credit card customers and the extension of credit to credit card customers, and (b) relating to the maintenance of revolving credit card accounts and collection of credit card receivables.

  • Modification Guidelines has the meaning provided in Section 2.1(a) of this Single Family Shared-Loss Agreement.

  • FNMA Guides The FNMA Sellers' Guide and the FNMA Servicers' Guide, and all amendments or additions thereto.

  • Valuation Guidelines means the valuation guidelines adopted by the Board, as amended from time to time.

  • Clinical practice guidelines means a systematically developed statement to assist