MCP Referrals Sample Clauses

MCP Referrals. MCP is responsible for assisting Network Providers with identifying potentially CCS-eligible Members for whom there is diagnostic evidence that such Members have a CCS-Eligible Condition in accordance with Cal. Code Regs. tit. 22 Section 41515.1 and referring such Members to LHD to determine whether the Members are eligible for the CCS Program. i. MCP must include with its Member referrals documentation of the Member’s medical and residential information to enable LHD to make an eligibility determination for the CCS Program. ii. MCP must refer, or assist Network Providers with referring, to LHD’s CCS Program for CCS initial eligibility determinations a Member who: 1. Has a medical diagnosis, records, or history suggesting potential CCS-Eligible Condition(s) as outlined in the CCS medical eligibility regulations; 2. Presents at a hospital emergency room, a provider office, or another health care facility for a non-CCS condition, and for whom the medical evaluation identifies a potential CCS-Eligible Condition(s); 3. Is an infant with a potential CCS-Eligible Condition at the time of discharge from the neonatal intensive care unit (such Member must be assessed for eligibility and, if eligible, referred to the CCS Program’s HRIF program); or 4. Has diagnostic evidence that the Member has a condition eligible for Medical Therapy Program services from the CCS Program’s Medical Therapy Unit; or 5. May have a newly identified potential CCS-Eligible Condition(s) as determined by a Network Provider.23 23 Additional information about the MTP is available at ▇▇▇▇▇://▇▇▇.▇▇▇▇.▇▇.▇▇▇/services/ccs/Documents/CCS-NL-Whole-Child-Model-Revised.pdf DocuSign Envelope ID: F79290DD-ECCE-476E-A29A-E6F42D469B6D iii. In accordance with Chapter 1, Section 1.B of the California Children’s Services Program Administrative Case Management Manual24, LHD must ensure that within five calendar days from the receipt of a referral from MCP the CCS Program staff review the information provided and take one of the following actions: 1. Accept the referral as complete as defined in the CCS Program Administrative Case Management Manual Case Management Manual; or 2. Reject the referral as incomplete and forward a transmittal notice to MCP as required by the CCS Program Administrative Case Management Manual Case Management Manual.

Related to MCP Referrals

  • Patient Referrals The parties agree that the benefits to Group ----------------- hereunder do not require, are not payment for, and are not in any way contingent upon the admission, referral or any other arrangements for the provision of any item or service offered by Manager or any affiliate of Manager to any of Group's Patients in any facility owned or controlled, managed or operated by Manager or any affiliate of Manager.

  • GUARANTEED DISPLAY REFERRAL FEE WAIVERS ▇▇▇▇.▇▇▇ offers a paid featured agent program referred to as “Guaranteed Display.” This paid product provides the following Referral Fee benefits to the Recipient Broker/Agent: • If a closing results from a lead originated during the time, and in the zip code, that the Recipient Broker/Agent was an active Guaranteed Display sponsor, the referral fee will be discounted from the standard 35% to 30%. • If a closing results from a lead originated during the time, and in the zip code, that the Recipient Broker/Agent was an active Guaranteed Display sponsor, and if ▇▇▇▇.▇▇▇ was not responsible for brokering an appointment between the Referred Client and the Recipient Broker/ Agent, the referral fee will be waived entirely to 0%. To qualify for this Referral Fee waiver, Recipient Broker/Agent must update the Referral Status in the ▇▇▇▇.▇▇▇ Agent Portal (▇▇▇▇▇://▇▇▇▇▇▇.▇▇▇▇.▇▇▇) to reflect the property has been listed prior to ▇▇▇▇.▇▇▇ indicating that an appointment has been set.

  • Referrals It is expected that through employee awareness and educational programs, employees will seek information and/or assistance on their own initiative. Such requests will be processed as voluntary and informal rather than formal referrals.

  • General References All references in this Supplemental Indenture to Articles and Sections, unless otherwise specified, refer to the corresponding Articles and Sections of this Supplemental Indenture; and the term “herein”, “hereof”, “hereunder” and any other word of similar import refers to this Supplemental Indenture.

  • EMPLOYMENT REFERENCES D3.01 On application by an employee, the Employer shall provide personal references to the prospective employer of such employee, indicating length of service, principal duties and responsibilities, and performance of such duties.