Community Supports Sample Clauses

Community Supports supports and services that are not authorized or paid for by the MCO and that are readily available to the general population.

Community Supports. Supports or services that are non-reimbursed or are provided through entities such as churches, senior centers, or community resources.

Community Supports supports and services that are not authorized or paid for by the participant’s budget and that are readily available to the general population.

Community Supports supports and services that are not authorized or paid for by the PACE organization and that are readily available to the general population.

Community Supports. Coordination must be established with applicable Community Supports providers under contract with MCP, including:

Community Supports. A. Teacher’s Aide 5521 B. Parent Aide MH-50760 5522

Community Supports. Substitute services or settings to those required under the California Medicaid State Plan that PARTNERSHIP may select and offer to their Members pursuant to 42 CFR section 438.3(e)(2) when the substitute service or setting is medically appropriate and more cost-effective than the service or setting listed in the California Medicaid State Plan.

Community Supports. Pursuant to 42 C.F.R. § 438.3(e)(2), Community Supports are services or settings that are offered in place of services or settings covered under the California Medicaid State Plan and are medically appropriate, cost-effective alternatives to services or setting under the State Plan. Community Supports are optional under the Enrollee’s Individualized Care Plan (ICP) for both the Contractor and the Enrollee and must be approved by DHCS.

Community Supports. Coordination must be established with applicable Community Supports providers under contract with MCP, including: 1. The identified point of contact from each Party to act as the liaison to oversee initiating, providing, and maintaining ongoing coordination as mutually agreed upon in MCP and DMC-ODS protocols; 2. Identification of the Community Supports covered by MCP; and 3. A process specifying how DMC-ODS will make referrals for Members eligible for or receiving Community Supports. ix. Prescription Drugs. The Parties must develop a process for coordination between MCP and DMC-ODS for prescription drug and laboratory, radiological, and radioisotope service procedures, including a process for referring eligible Members for SUD services to a Drug Medi-Cal-certified program or a DMC-ODS program in accordance with the Medi-Cal Managed Care Contract.