Functional Eligibility Sample Clauses

Functional Eligibility. Functional eligibility for Family Care, Partnership and PACE is determined using the Long-Term Care Functional Screen (See Section G., Long-Term Care Functional Screen of this Article). a. In order to be functionally eligible for Partnership or PACE, an otherwise eligible individual must have a nursing home level of care as determined by the Long-Term Care Functional Screen. The benefit package available to a Partnership or PACE member is identified in Addendum VIII.A. and C. b. In order to be functionally eligible for Family Care, an otherwise eligible individual must have either a nursing home level of care or a non-nursing home level of care as determined by the Long-Term Care Functional Screen. i. ii.
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Functional Eligibility. Functional eligibility for Family Care and Partnership is determined using the LTCFS. See Section F., Long Term Care Functional Screen of this Article. In order to be functionally eligible for Partnership, an otherwise eligible individual must have a nursing home level of care as determined by the LTCFS. The benefit package available to a Partnership member is identified in Addendum VI.A. and C, Benefit Package Service Definitions. In order to be functionally eligible for Family Care, an otherwise eligible individual must have either a nursing home level of care or a non-nursing home level of care as determined by the LTCFS.
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Functional Eligibility. Functional eligibility for Family Care, Partnership and PACE is determined using the Long-Term Care Functional Screen (See Section G., Long-Term Care Functional Screen of this Article). a. In order to be functionally eligible for Partnership or PACE, an otherwise eligible individual must have a nursing home level of care as determined by the Long-Term Care Functional Screen. The benefit package available to a Partnership or PACE member is identified in Addendum XII.A. and C. b. In order to be functionally eligible for Family Care, an otherwise eligible individual must have either a nursing home level of care or a non-nursing home level of care as determined by the Long-Term Care Functional Screen. i. The benefit package available to a Family Care member who has a nursing home level of care is identified in Addendum XII.A. and B. ii. The benefit package available to a Family Care member who has a non-nursing home level of care is identified in Addendum XII.B.
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Functional Eligibility. Functional eligibility for Family Care and Partnership is determined using the LTCFS (See Section F., Long Term Care Functional Screen of this Article). In order to be functionally eligible for Partnership, an otherwise eligible individual must have a nursing home level of care as determined by the LTCFS. The benefit package available to a Partnership member is identified in Addendum VI.A. and C. In order to be functionally eligible for Family Care, an otherwise eligible individual must have either a nursing home level of care or a non-nursing home level of care as determined by the LTCFS. The benefit package available to a Family Care member who has a nursing home level of care is identified in Addendum VI.A. and B. The benefit package available to a Family Care member who has a non-nursing home level of care is identified in Addendum VI.B. To be eligible for Family Care or Partnership, an otherwise eligible individual must be a resident, as determined by the Department or income maintenance agency, of an area served by an MCO that offers the Family Care or Partnership program in which the individual intends to enroll. An otherwise eligible individual must make the choice to enroll in the MCO that operates the program in which the person intends to enroll. The choice to enroll is verified by the signature of the member or the member’s legal decision maker on an enrollment form approved by the Department. A Partnership applicant who is eligible for Medicare must enroll in the Partnership MCO’s Dual Eligible SNP. The Partnership Dual Eligible SNP may only enroll full-benefit dually beneficiaries who are also enrolled in its Partnership program. MCO Specific Eligibility Criteria‌ Each MCO may have geographical criteria limiting eligibility for enrollment established in Article XIX, MCO Specific Contract Terms. Eligibility Determination Process‌
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Functional Eligibility. The review and analysis of functional program-specific criteria to determine if an individual is qualified to receive grant-funded program services. Contractor staff will perform this function for the Community Living Project.
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Functional Eligibility. Functional eligibility for Family Care and Partnership is determined using the Long-Term Care Functional Screen (See Section F., Long-Term Care Functional Screen of this Article). In order to be functionally eligible for Partnership, an otherwise eligible individual must have a nursing home level of care as determined by the Long-Term Care Functional Screen. The benefit package available to a Partnership member is identified in Addendum VII.A. and C. In order to be functionally eligible for Family Care, an otherwise eligible individual must have either a nursing home level of care or a non-nursing home level of care as determined by the Long-Term Care Functional Screen. The benefit package available to a Family Care member who has a nursing home level of care is identified in Addendum VII.A. and B. The benefit package available to a Family Care member who has a non-nursing home level of care is identified in Addendum VII.B. To be eligible for Family Care or Partnership, an otherwise eligible individual must be a resident, as determined by the Department or income maintenance agency, of an area served by an MCO that offers the Family Care or Partnership program in which the individual intends to enroll. An otherwise eligible individual must make the choice to enroll in the MCO that operates the program in which the person intends to enroll. The choice to enroll is verified by the signature of the member or the member’s legal decision maker on an enrollment form approved by the Department.
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Functional Eligibility. Reviewing and analyzing functional program-specific criteria to determine if an individual is qualified to receive grant-funded program services.
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Related to Functional Eligibility

  • Program Eligibility The COUNTY shall provide eligibility determination for those persons applying for home repair under this Agreement by using the following factors: 1. The applicant is a resident of the CITY; and 2. The total income for all members of the applicant’s household does not exceed 80% of the median income of the Kansas City metropolitan area, as determined by the Secretary of Housing and Urban Development; and 3. The applicant is the homeowner and must have occupied the property as a primary residence for at least six (6) months; 4. The property to be repaired is within the corporate limits of the CITY; and 5. When required, medical need will be substantiated and documented.

  • Service Eligibility Criteria 5.2.5.1 Southern Telecom must certify for each high-capacity EEL that all of the following service eligibility criteria are met: 5.2.5.1.1 Southern Telecom has received state certification to provide local voice service in the area being served; 5.2.5.2 For each combined circuit, including each DS1 circuit, each DS1 EEL, and each DS1-equivalent circuit on a DS3 EEL: 5.2.5.2.1 1) Each circuit to be provided to each End User will be assigned a local number prior to the provision of service over that circuit; 5.2.5.2.2 2) Each DS1-equivalent circuit on a DS3 EEL must have its own local number assignment so that each DS3 must have at least twenty-eight (28) local voice numbers assigned to it; 5.2.5.2.3 3) Each circuit to be provided to each End User will have 911 or E911 capability prior to provision of service over that circuit; 5.2.5.2.4 4) Each circuit to be provided to each End User will terminate in a collocation arrangement that meets the requirements of 47 CFR 51.318(c); 5.2.5.2.5 5) Each circuit to be provided to each End User will be served by an interconnection trunk over which Southern Telecom will transmit the calling party’s number in connection with calls exchanged over the trunk; 5.2.5.2.6 6) For each twenty-four (24) DS1 EELs or other facilities having equivalent capacity, Southern Telecom will have at least one (1) active DS1 local service interconnection trunk over which Southern Telecom will transmit the calling party’s number in connection with calls exchanged over the trunk; 5.2.5.2.7 7) Each circuit to be provided to each End User will be served by a switch capable of switching local voice traffic.

  • Member Eligibility Verify Member eligibility contemporaneous with the rendering of services. BCBS will provide systems and/or methods for verification of eligibility and benefit coverage for Members. This is furnished as a service and not as a guarantee of payment;

  • General Eligibility i. Except as provided in paragraph 2 (a)(ii) below, a teacher who received an evaluation rating of needs improvement or ineffective in the prior school year is not eligible for any salary increase and remains at their prior year salary. ii. A teacher who is in the first two full school years of instructing students who receives an evaluation rating of improvement necessary is eligible for salary increase.

  • Certification of eligibility a. By entering into this contract, the contractor certifies that neither it (nor he or she) nor any person or firm who has an interest in the contractor's firm is a person or firm ineligible to be awarded Government contracts by virtue of section 3(a) of the ▇▇▇▇▇-▇▇▇▇▇ Act or 29 CFR 5.12(a)(1). b. No part of this contract shall be subcontracted to any person or firm ineligible for award of a Government contract by virtue of section 3(a) of the ▇▇▇▇▇-▇▇▇▇▇ Act or 29 CFR 5.12(a)(1).