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CCC+ Definitions

Horizontales
Also known as case management
Someone with this condition is considered Vulnerable subpopulation
Early and Periodic Screening, Diagnostic, and Treatment
An individual who provides consumer-directed personal assistance, respite or companion services
Dual Eligible Special Needs Plan
Centers for Medicare & Medicaid Services
Benefits that the Contractor may choose to offer outside of the required covered services
An itemized statement of services rendered
Aged Blind and Disabled
A complaint about the quality of your care
A community-based day program providing a variety of health, therapeutic, and social services
The Universal Assessment Instrument
Department of Medical Assistance Services
Home and Community-Based Services Waivers
This region rolls out December 1st
Universal Assessment Instrucment
Members eligible for both medicare and Medicaid
The traditional health care payment system in which providers receive a payment from the Department for each unit of service they provide
The name of the best trainer in the world (lol)
Intentional deception or misrepresentation made by a person or entity with the knowledge that the deception could result in payment of an unauthorized benefit
The name of the company you work for
Health Insurance Portability & Accountability Act of 1996
The service that allows caregivers some time off
The state you live in
Verticales
A model of service delivery where an agency is responsible for providing direct services in the home
Durable Medical Equipment
Interdisciplinary Care Team Meeting
This condition is frequently seen in children
A provider that is not under contract to provide covered services to members of our plan
This condition has seen a sharp rise among children
Commonwealth Coordinated Care
Care or treatment that can only be done by licensed nurses
Waivers for individuals with developmental disabilities
The process by which a member is screened for waiver services
Which specialist helps members with environmental modifications
An example of a skilled nursing need
Community Services Board
The name of our software that hold member's documents
This entity provides behavioral health services
The name of the anthem's webpage
This Care Coordinator helps members......from one level of care to another
A list of drugs that the Contractor has approved
The source of all truth
Individuals who have no current medical, behavioral health, or long-term services and supports needs but may have needs in the future.
Individualized Care Plan