Specialty plan definition

Specialty plan means a managed care plan that serves
Specialty plan means a managed care plan that serves Medicaid recipients who meet specified criteria based on age, medical condition, or diagnosis.
Specialty plan means a managed care plan that serves Medicaid recipients who meet specified criteria

Examples of Specialty plan in a sentence

  • Contractor shall implement a rapid response team comprised of Contractor’s subject matter experts positioned to respond to and resolve all inquiries regarding implementation of the DCFS Youth Managed Care Specialty Plan.

  • In collaboration with the Department and DCFS, Contractor shall develop and deliver comprehensive communications, in multiple formats, designed to inform and educate stakeholders of the DCFS Youth Managed Care Specialty Plan.

  • In addition to the definition of Community Outreach Materials in Attachment II of this Contract, the following also applies: For purposes of this Contract, general Department of Health materials are not considered community outreach materials unless they include reference to the CMS Specialty Plan for Children with Chronic Conditions.

  • Managed Care Specialty Plan Preliminary Care Coordination and Administrative Activities.

  • A Health Plan must be licensed under Chapter 641, Florida Statutes, in order to offer a Specialty Plan for the population with HIV/AIDS.

  • Department shall pay Contractor an administrative fee of $4,056,000 to support preliminary Care Coordination and other administrative activities, as described in Section 4.3.1, to prepare for the Comprehensive Implementation Date of the DCFS Youth Managed Care Specialty Plan.

  • Specialty Plan — An MMA Managed Care plan that serves Medicaid recipients who meet specified criteria based on age, medical condition, or diagnosis.

  • In addition to meeting the eligibility requirements listed in this section, a Specialty Plan may enroll eligible recipients who meet specific criteria by age, medical condition and/or diagnoses as defined in the Section III.A of the applicable Specialty Plan Exhibit.

  • The committee shall establish an ongoing mechanism for the community to provide Contractor with direct feedback on Contractor’s implementation and operations of the DCFS Youth Managed Care Specialty Plan.

  • In addition to the definition of Community Outreach in Attachment II of this Contract, the following also applies: For purposes of this Contract, community outreach includes only those activities that are represented as being specific to the CMS Specialty Plan for Children with Chronic Conditions (not general DOH activities performed by its employees).


More Definitions of Specialty plan

Specialty plan means a managed care plan serving Medicaid
Specialty plan. An MMA plan that serves Medicaid recipients who meet specified criteria based on age, medical condition, or diagnosis.

Related to Specialty plan

  • Specialty fertilizer means a fertilizer distributed primarily for nonfarm use.

  • SPECIALTY HOSPITAL means a hospital or the specialty unit of a general hospital that is licensed by the state. It must be designed to care for patients with injuries or special illnesses. This includes, but is not limited to, a long-term acute care unit, an acute mental health or acute short-term rehabilitation unit or hospital. Hospital does not mean: • convalescent home; • rest home; • nursing home; • home for the aged; • school and college infirmary; • residential treatment facility; • long-term care facility; • urgent care center or freestanding ambulatory surgical center; • facility providing mainly custodial, educational or rehabilitative care; or • a section of a hospital used for custodial, educational or rehabilitative care, even if accredited by the JCAHO or listed in the AHA directory.

  • Specialty Drugs means drugs listed on the Approved Drug List meeting certain criteria, such as:

  • Pay Plan means the scale of wages as contained in the attached Appendix “A” and the rules governing its application, as per Article 12.

  • Specialty drug means a prescription drug that:

  • Asset Management Plan means a plan created by the department and approved by the state transportation commission or a plan created by a local road agency and approved by the local road agency's governing body that includes provisions for asset inventory, performance goals, risk of failure analysis, anticipated revenues and expenses, performance outcomes, and coordination with other infrastructure owners.

  • Supply Plan has the meaning set forth in the CAISO Tariff.

  • Safety Plan means a written document that has procedures, requirements, or standards related to safety which the pool staff shall follow. The safety plan shall include training and emergency response procedures.

  • Care Plan means a licensee's written description of a resident's needs, preferences, and capabilities, including by whom, when, and how often care and services are to be provided.

  • Specialty coating means any coating that is manufactured and used for one (1) of the following specialized applications:

  • Procurement Plan means the Recipient’s procurement plan for the Project, dated April 2, 2010, and referred to in paragraph 1.16 of the Procurement Guidelines and paragraph 1.24 of the Consultant Guidelines, as the same shall be updated from time to time in accordance with the provisions of said paragraphs.

  • Activity Plan means the plan that is developed for each Individual based on their activity assessment. The plan should include strategies for how these activities can become part of the Individual’s daily routines.

  • Nursing Service Plan means the plan that is developed by the registered nurse based on an Individual’s initial nursing assessment, reassessment, or updates made to a nursing assessment as a result of monitoring visits. The Nursing Service Plan must describe all licensed nursing services the Individual shall receive and be pursuant to the Individual’s Service Plan.

  • Quality Plan means the quality plan to be produced by the Contractor in accordance with Schedule S2-10 (Quality Plan);

  • Management Plan means a plan to manage the activities and protect the special value or values in an Antarctic Specially Protected Area or an Antarctic Specially Managed Area.

  • Service Plan means the Operating Plan and Budget appended as Schedules A and D2a of Schedule D;

  • Business Continuity Plan means any plan prepared pursuant to clause H5.6, as may be amended from time to time.

  • Specialty contractor means a person who is licensed to conduct business as described in subsection 4 of NRS 624.215.

  • EAP means the Employee Assistance Program offered through the City and County of San Francisco.

  • Dental Services means diagnostic, preventive, or corrective

  • Flexi Plan means any individual indemnity hospital insurance plan under the VHIS framework with enhancement(s) to any or all of the protections or terms and benefits that the Standard Plan provides to the Policy Holder and the Insured Person, subject to certification by the Government. Such plan shall not contain terms and benefits which are less favourable than those in the Standard Plan, save for the exception as may be approved by the Government from time to time.

  • Company 401(k) Plan has the meaning set forth in Section 6.4(e).

  • Specialty means a broad, population-based focus of study encompassing the common health-related problems of a particular group of patients and the likely co-morbidities, interventions, and responses to those problems.

  • Parent Plan has the meaning set forth in Section 7.8(b).

  • Medical flexible spending arrangement means a benefit plan

  • Forest management plan means a written plan prepared and signed by a qualified forester that prescribes measures to optimize production, utilization, regeneration, and harvest of timber. The forest management plan shall include a schedule and timetables for the various silvicultural practices used on forestlands, which shall be a maximum of 20 years in length. A forest management plan shall include all of the following: