• TY - BOOK AU - El-Nageh,Mohamed M. AU - Heuck,Claus C. AU - Appel,Walter AU - Vandepitte,J. AU - Engbaek,Kraesten AU - Gibbs,William N. ED - World Health Organization. (who.int)
  • The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. (who.int)
  • The mention of specific companies or of certain manufacturers' products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. (who.int)
  • All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. (who.int)
  • In no event shall the World Health Organization be liable for damages arising from its use. (who.int)
  • The World Health Organization proposes that "a health system consists of all organizations, people and actions whose primary intent is to promote, restore or maintain health. (bvsalud.org)
  • Insurer" means those companies operating pursuant to chapter 62A or 62C and offering, selling, issuing, or renewing policies or contracts of accident and health insurance. (mn.gov)
  • Insurer" does not include health maintenance organizations or community integrated service networks. (mn.gov)
  • Health insurance, when transacted by an insurer also represented by the same agent as to property or casualty or surety insurance. (flsenate.gov)
  • Health agent" means an agent representing a health maintenance organization or, as to health insurance only, an insurer transacting health insurance. (flsenate.gov)
  • An insurer contracts with a group of health care providers to control the cost of providing benefits to its insureds. (myfloridacfo.com)
  • Notification of the health maintenance organization's determination of a contested claim must be accompanied by an itemized list of additional information or documents the insurer can reasonably determine are necessary to process the claim. (fl.us)
  • Every insurer, health service plan or health maintenance organization providing Medicare supplement insurance or benefits in this Commonwealth shall file with the Commission a copy of any Medicare supplement advertisement intended for use in this Commonwealth whether through written, radio or television medium. (virginia.gov)
  • Code Chapter 1229. (pacodeandbulletin.gov)
  • Section 3(b) specifies that TDI must collect and compare data from health benefit plan issuers subject to Insurance Code Chapter 1355, Subchapter F, and Section 4(b) specifies that the Texas Health and Human Services Commission must collect and compare data from MCOs. (texas.gov)
  • This data call applies to health benefit plan issuers subject to Insurance Code Chapter 1355, Subchapter F that report to the National Association of Insurance Commissioners covered lives of 25,000 or more as of the last day of the reporting period listed above. (texas.gov)
  • The provisions of this Chapter 1229 issued under sections 403, 443.5 and 509 of the Public Welfare Code (62 P. S. § § 403, 443.5 and 509), unless otherwise noted. (pacodeandbulletin.gov)
  • The chapters of the acts of assembly referenced in the historical citation at the end of this section may not constitute a comprehensive list of such chapters and may exclude chapters whose provisions have expired. (virginia.gov)
  • This information is confidential and exempt from the provisions of s. 119.07 (1), and must not be disclosed by the office without the injured person's consent, except for disclosure by the office to the Department of Health. (fl.us)
  • Any health maintenance organization is exempt from all provisions of the insurance laws of this state other than this chapter. (sdlegislature.gov)
  • Enhance the abilities of competent authorities to protect public health by achieving greater compliance from ship operators with the SSC provisions under the IHR (2005). (who.int)
  • Qualified Medicare supplement plan" means those health benefit plans which have been certified by the commissioner as providing the minimum benefits required by section 62E.07 . (mn.gov)
  • He also explores how government-sponsored programs, such as the Veterans Administration and Medicaid, price drugs differently than privately insured health plans (including those that deliver the Medicare drug benefit) or than pharmaceutical companies for uninsured purchasers. (nationalacademies.org)
  • Program Delegation #12 - (Administration of the Medicare Payment Special Fund and the Medicaid Payment Special Fund Established by the Indian Health Care Improvement Act, P.L. 94-437, as Amended). (ihs.gov)
  • j) "Issuer" includes insurance companies, fraternal benefit societies, health care service plans, health maintenance organizations, and any other entity delivering or issuing for delivery in this state Medicare supplement policies or certificates. (cornell.edu)
  • k) "Medicare" means the "Health Insurance for the Aged Act," Title XVIII of the Social Security Amendments of 1965, as then constituted or later amended. (cornell.edu)
  • 6) "Complaint" means any dissatisfaction expressed orally or in writing by a complainant to a health maintenance organization regarding any aspect of the health maintenance organization's operation. (texas.gov)
  • For institutional providers, "claim" means a paper or electronic billing instrument submitted to the health maintenance organization's designated location that consists of the UB-92 data set or its successor with entries stated as mandatory by the National Uniform Billing Committee. (fl.us)
  • Notice of the health maintenance organization's action on the claim and payment of the claim is considered to be made on the date the notice or payment was mailed or electronically transferred. (fl.us)
  • Including Prevention through Design into Z10 is a natural fit since the "systems" approach to occupational health and safety enables management and worker collaboration on corrective actions, enables the "anticipation" of occupational hazards so that risks to workers from the hazards can be assessed and controlled during design, and enables the inclusion of occupational safety and health into an organization's planning process. (cdc.gov)
  • Since 2001, the U.S. Department of Health and Human Services (HHS), Centers for Disease Control and Prevention (CDC), National Institute for Occupational Safety and Health (NIOSH) has established performance and design standards for respiratory protective devices (RPDs) to protect against chemical, biological, radiological, and nuclear (CBRN) hazards and toxic industrial chemicals. (cdc.gov)
  • April 1995 Centers for Disease Control and Prevention Atlanta, Georgia ***************************************************************************** Collaborations and Partnerships The HIV prevention community planning process calls for health departments and affected communities to collaboratively identify the HIV prevention priorities in their jurisdictions. (cdc.gov)
  • The provider has been furnished with the correct name and address of the patient's health maintenance organization. (fl.us)
  • and (iv) online adaptive interviews, for the purpose of evaluating, diagnosing, consulting, prescribing, treating or monitoring of a patient's physical health, oral health, mental health or substance use disorder condition. (malegislature.gov)
  • 4) "Covered person" means an individual and/or family who has entered into a contractual arrangement, or on whose behalf a contractual arrangement has been entered into, with a carrier, pursuant to which the carrier provides health insurance for such person or persons. (delaware.gov)
  • A newspaper investigative report , in 2001, noted that representatives of "Kaiser Foundation Health Plan, the largest health maintenance organization in the state, and HMSA, the largest fee-for-service provider" have been voting members of the Council. (hawaiifreepress.com)
  • occupational health and safety legislation. (bvsalud.org)
  • The American Industrial Hygiene Association (AIHA) is also actively engaged in including Prevention through Design concepts into the revisions to (ANSI)/AIHA Z10 Occupational Health and Safety Management Systems standard. (cdc.gov)
  • Accident and health insurance policy" or "policy" means insurance or nonprofit health service plan contracts providing benefits for hospital, surgical and medical care. (mn.gov)
  • and applying the Act to all policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or after January 1, 2019. (maryland.gov)
  • Coordination group and other entities in the United Nations system, regional and interregional harmonization efforts, and underpin important public health initiatives, including the prequalification and procurement of quality medicines through international organizations, such as UNICEF, and major international bodies, such as the Global Fund to Fight AIDS, Tuberculosis and Malaria. (who.int)
  • 1) "Adverse determination" means a determination by a health maintenance organization or a utilization review agent that health care services provided or proposed to be provided to an enrollee are not medically necessary or are not appropriate. (texas.gov)
  • 1) That the financing of health care, particularly the reimbursement of health services rendered by health service facilities, limits the effect of free market competition and government regulation is therefore necessary to control costs, utilization, and distribution of new health service facilities and the bed complements of these health service facilities. (ncleg.gov)
  • 3) "Clinical criteria" means the written policies, written screening procedures, drug formularies or lists of covered drugs, determination rules, determination abstracts, clinical protocols, practice guidelines, medical protocols and any other criteria or rationale used by the utilization review entity to determine the necessity and appropriateness of health care services. (delaware.gov)
  • 5) "Electronic pre-authorization" means a submission of information via a website, the Delaware Health Information Network, or other method via the internet as delineated by regulation and as accepted by the utilization review entity. (delaware.gov)
  • vi) Home health services for individuals entitled to those services under the Medicaid State Plan. (pacodeandbulletin.gov)
  • 2) That the increasing cost of health care services offered through health service facilities threatens the health and welfare of the citizens of this State in that citizens need assurance of economical and readily available health care. (ncleg.gov)
  • b) When health insurance is obtained for the dependent child, the IV-D agency shall provide health insurance policy information, including any information available about the health insurance policy which would permit a claim to be filed or, in the case of a health maintenance or preferred provider organization, service to be provided, to the state Medicaid agency. (fl.us)
  • a) Notwithstanding any other provision of this chapter, any health maintenance organization licensed by the State Board of Health and in operation on May 29, 1986, shall be granted a certificate of authority upon payment of the application fee prescribed in Section 27-21A-21 and compliance with Section 27-21A-12. (al.us)
  • Nothing in this section shall prohibit any such health maintenance organization from continuing to conduct business in this state until such certificate of authority is issued. (al.us)
  • b) Any health maintenance organization which was licensed in this state prior to January 1, 1986, may continue to operate under existing noncontractual provider arrangements (which have been approved by the State Health Officer) for three years. (al.us)
  • c) After issuance of a certificate of authority in accordance with subsection (a) of this section, the commissioner may require submission by the health maintenance organization of any additional information required in Section 27-21A-2 which has not previously been submitted to the State Health Officer. (al.us)
  • This exemption from ERISA preemption was granted partly because the PPHCA was a new concept in health care delivery, essentially a state-wide experiment in comprehensive employer mandated benefits. (hawaiifreepress.com)
  • Every health plan intending to do business in the state must first win approval of the Council, as provided for by the PPHCA. (hawaiifreepress.com)
  • Following this, the State of Hawaii Twenty-Second Legislature then passed, and the Governor signed, SB 665 SDI HD2 CD1 which prohibits "a person representing a health maintenance organization under chapter 4320, a mutual benefit society issuing individual and group hospital or medical service plans under chapter 432, or any other health care organization" from membership on the Council. (hawaiifreepress.com)
  • The state, however, may not collect premium taxes for insurance written on individuals residing outside this state or property located outside this state if no comparable tax is paid by the direct writing health maintenance organization to any appropriate taxing authority. (sdlegislature.gov)
  • Since my retirement from direct patient care in 2009, my ongoing professional work has consisted of teaching, writing, and some medicolegal consulting in malpractice or criminal cases involving prescribing of controlled substances, as well as in cases involving allegations against health professionals by state medical licensing boards and the DEA. (jenniferschneider.com)
  • The Banking Code of 1999 provides for the organization and operation of Michigan state chartered banks and trust banks. (mi.us)
  • The Savings Bank Act provides for the organization and operation of Michigan's state chartered savings banks. (mi.us)
  • Consequently, developing collaborative working relationships with affected communities for the purpose of HIV prevention may pose special challenges to many state and local health departments. (cdc.gov)
  • As a result, state and local health departments and communities have seldom come together in partnership. (cdc.gov)
  • In many instances, state and local health departments have not sought the support of, or consulted with, community members before designing and implementing community intervention efforts. (cdc.gov)
  • As if this lack of confidence were not challenging enough to state and local health departments, many communities genuinely suspect conspiracy when health officials implement programs for them. (cdc.gov)
  • Although the AIDS epidemic has illustrated the real value of developing partnerships among local and state health departments and communities, achieving communication, collaboration, and cooperation with these communities and maintaining the relationships in a climate of distrust, apathy, and even fear is daunting. (cdc.gov)
  • In particular, for an effective HIV prevention community planning process, state and local health departments must develop strong linkages and collaborations with affected communities. (cdc.gov)
  • 6. state participation in financing activities aimed at preservation of the health of the citizens. (who.int)
  • 3. (1) The state health policy shall be managed and implemented by the Council of Ministers. (who.int)
  • SG 31/07, in force from 13.04.2007) The national system of health care shall include the medical establishments under the Law for the medical establishments, the health establishments under this law and the Law for the medicinal products in the human medicine, as well as the state, municipal and public bodies and institutions for organisation, management and control of the activities related to preservation and strengthening of health. (who.int)
  • 2) The Minister of health shall present to the National Assembly an annual report for the health state of the citizens and the fulfilment of the National Health Strategy within three months before the beginning of the budget year. (who.int)
  • 48.31C.120 Violations of chapter-Contrary to interests of subscribers or the public. (wa.gov)
  • Article IV of the Public Welfare Code (62 P. S. § § 401 489), and, when applicable, the Voluntary Nonprofit Health Service Act of 1972 (40 P. S. § § 1551 1557). (pacodeandbulletin.gov)
  • 6) That excess capacity of health service facilities places an enormous economic burden on the public who pay for the construction and operation of these facilities as patients, health insurance subscribers, health plan contributors, and taxpayers. (ncleg.gov)
  • Starting in 1994, the term EBP (evidence-based practice) became common in the United States, applied to all public health related services. (psywww.com)
  • In addition to securing some of the nation's largest and most publicized jury verdict awards in the health care arena, Mr. Hiepler was voted one of the "Top Ten Trial Lawyers in the Nation" by Trial Lawyers for Public Justice and "One of California's Top 100 Most Interesting and Influential Healthcare Leaders" by readers and editors of California Medicine. (superlawyers.com)
  • The Director of the DLIR is mandated to appoint a Council whose members represent medical and public health professions, consumers, and persons with experience in prepaid health care. (hawaiifreepress.com)
  • funded from different sources (i.e., screening is funded by health plans directly contracting providers, and public health and immunizations while funded directly by government and through user charges). (who.int)
  • They may feel that government officials have not traditionally reached out to them until certain health issues have also threatened the greater public health, i.e., the majority community. (cdc.gov)
  • In the United States, public health officials frequently underestimate the strengths and resourcefulness of affected communities. (cdc.gov)
  • At times, public health officials may have inadvertently stigmatized communities in their attempts to intervene and promote public health. (cdc.gov)
  • Affected communities are acutely aware of the peculiarities of public health as it relates to them. (cdc.gov)
  • Despite government support for community-based organizations (CBOs), national and regional minority organizations, and HIV prevention community planning, many communities remain wary of public health programs as they have been implemented by officials in their communities. (cdc.gov)
  • For African Americans, the Tuskegee Study continues to cast its own specter of doubt as to whether or not public health officials are truly committed to ensuring the public's health. (cdc.gov)
  • To facilitate the formation of effective community planning groups and other partnerships, health departments need to understand not only the knowledge and behaviors of their client populations, but also their attitudes toward and beliefs about their own communities, the government, and public health. (cdc.gov)
  • Public organizations. (cdc.gov)
  • Dog bites are a serious public health problem that ignores the true scope of the problem and will not inflicts considerable physical and emotional damage result in a responsible approach to protecting a com- on victims and incurs immeasurable hidden costs to munity's citizens. (cdc.gov)
  • Our mandate is to undertake and support research, not only basic, applied or epidemiological research but also operational research in the area of public health using a variety of tools, including those of modern biology. (who.int)
  • My name is Haley McCalla, and I'm from CDC's Office of Public Health Preparedness and Response Division of Emergency Operations. (cdc.gov)
  • Kellee has over 15 years' experience in public health communication. (cdc.gov)
  • How we define the quality of public health at any given time must be compatible with future generations enjoying health in an equivalent way. (bvsalud.org)
  • Public health practitioners must also integrate sustain ability in the definition of public health. (bvsalud.org)
  • While some of the above needs and expectations can be met through high quality, accessible direct clinical services, most can only be accomplished through a strong "public health" system. (bvsalud.org)
  • And while clinical services focus on the health of one individual at a time, public health has a much broader focus and works to ensure the health and wellbeing of groups of people in a neighborhood, city, region, country or many countries, and its role and functions go far beyond providing direct services to individuals or to communities. (bvsalud.org)
  • Public health works to improve health and quality of life through prevention and treatment of disease and through promotion of healthy behaviors. (bvsalud.org)
  • Despite these differences, the approaches used for providing public health services are similar to those used for providing clinical care services. (bvsalud.org)
  • 1. This law settles the public relations in connection with the preservation of the health of the citizens. (who.int)
  • In the Caraka samhita , the research in the area of public health using ancient text of ayurveda, the physician was a variety of tools, including those of mod- cautioned to avoid institutional entangle- ern biology. (who.int)
  • 9. Plan of health coverage. (mn.gov)
  • Plan of health coverage" means any plan or combination of plans of coverage, including combinations of self insurance, individual accident and health insurance policies, group accident and health insurance policies, coverage under a nonprofit health service plan, or coverage under a health maintenance organization subscriber contract. (mn.gov)
  • This 25,000-lives threshold applies separately to individual, small group, and large group comprehensive health coverage, rather than to the total of the three categories. (texas.gov)
  • Consolidated Omnibus Budget Reconciliation Act of 1985", a federal law extending group health coverage to qualified terminated employees and their families for up to 18 or 36 months. (myfloridacfo.com)
  • Most group health policies fall under this category of major medical coverage. (myfloridacfo.com)
  • The POS plan provides less coverage for health care expenses provided outside the network than for expenses incurred within the network. (myfloridacfo.com)
  • This subsection shall not apply to the Association or any other entity that does not sell or solicit insurance or coverage by a health maintenance organization. (virginia.gov)
  • a) The name, address, health care provider professional license number, and specialty coverage of the insured. (fl.us)
  • e) A contract that provides coverage for telehealth services may contain a provision for a deductible, copayment or coinsurance requirement for a health care service provided via telehealth as long as the deductible, copayment or coinsurance does not exceed the deductible, copayment or coinsurance applicable to an in-person consultation or in-person delivery of services. (malegislature.gov)
  • f) Coverage that reimburses a provider with a global payment, as defined in section 1 of chapter 6D, shall account for the provision of telehealth services to set the global payment amount. (malegislature.gov)
  • Similar supplemental coverage provided to coverage under a group health plan. (cornell.edu)
  • 10) "Group hospital service corporation" means a corporation operating under Chapter 842 . (texas.gov)
  • E) services provided under a limited health care service plan or a single health care service plan. (texas.gov)
  • 14) "Health maintenance organization" means a person who arranges for or provides to enrollees on a prepaid basis a health care plan, a limited health care service plan, or a single health care service plan. (texas.gov)
  • 3) That, if left to the market place to allocate health service facilities and health care services, geographical maldistribution of these facilities and services would occur and, further, less than equal access to all population groups, especially those that have traditionally been medically underserved, would result. (ncleg.gov)
  • 4) That the proliferation of unnecessary health service facilities results in costly duplication and underuse of facilities, with the availability of excess capacity leading to unnecessary use of expensive resources and overutilization of health care services. (ncleg.gov)
  • 1) "Adverse determination" means a benefit denial, reduction or termination, or determination that an admission or continued stay, or course of treatment, or other covered health service does not satisfy the insurance policy's clinical requirements for appropriateness, necessity, health care setting and/or level of care. (delaware.gov)
  • 7) "Health care service" means any services or supplies included in the furnishing to any individual of medical care, or hospitalization or incidental to the furnishing of such care or hospitalization, as well as the furnishing to any individual of any and all other services for the purpose of preventing, alleviating, curing or healing human illness, injury, disability or disease. (delaware.gov)
  • 10) "Pre-authorization" means a requirement by a carrier or health insurance plan that providers submit a treatment plan, service request, or other prior notification to the carrier for evaluation of appropriateness of the plan or if the service is medically necessary before treatment is rendered. (delaware.gov)
  • Personnel Delegation #24 - (Indian Health Service Designated Management Official). (ihs.gov)
  • He has been appointed by the California Legislature as a Member of the Governor's Health Care Service Plans Task Force, and was invited to the White House where he discussed health care issues with President Clinton. (superlawyers.com)
  • A carrier shall not be required to reimburse a health care provider for a health care service that is not a covered benefit under the plan or reimburse a health care provider not contracted under the plan except as provided for under subclause (i) of clause (4) of the second sentence of subsection (a) of section 6 of chapter 176O. (malegislature.gov)
  • The handbook is intended for organizations that use CBRN respirators in emergency response applications (e.g., fire service, law enforcement, emergency medical services, and corrections officers). (cdc.gov)
  • Insureds usually choose who will provide their health care, but typically pay a lower deductible and less in coinsurance with a preferred provider than with a non-preferred provider. (myfloridacfo.com)
  • Health plans work together with pharmacy benefit managers to provide medications at a lower cost compared to retail pharmacies. (medgadget.com)
  • provide certain standards for health maintenance organizations in individual health insurance. (sdlegislature.gov)
  • who is licensed to provide health care services. (texas.gov)
  • access to health care providers who agree to provide a discount for health care services. (utah.gov)
  • The Organizer's Manual will provide tools to build your Face-to-face course according to human and financial resources available, plans and objectives of your organization for improving competencies of ship inspectors who are in charge of inspection of ships and issuance of Ship Sanitation Certificates under the IHR (2005). (who.int)
  • 1. Traditional medicine is the sum total of the knowledge, skills, and practices based on the theories, beliefs, and experiences indigenous to different cultures, whether explicable or not, used in the maintenance of health as well as in the prevention, diagnosis, improvement or treatment of physical and mental illness1. (who.int)
  • Health care is conventionally regarded as the diagnosis, treatment, and prevention of disease, illness, injury, and other physical and mental impairments in humans. (bvsalud.org)
  • This new standard provides guidance on including Prevention through Design concepts within an occupational safety and health management system, and can be applied in any occupational setting. (cdc.gov)
  • ASSE's leadership in developing this standard and gaining ANSI approval lays the foundation for organizations to include Prevention through Design principles in their occupational safety and health management systems. (cdc.gov)
  • 4) "Capitation" means a method of compensating a physician or provider for arranging for or providing a defined set of covered health care services to certain enrollees for a specified period that is based on a predetermined payment per enrollee for the specified period, without regard to the quantity of services actually provided. (texas.gov)
  • Hawaii's Prepaid Health Care Act ("PPHCA") of 1974 was lauded as the "first employer-mandated health care legislation in the country. (hawaiifreepress.com)
  • The manner in which the Act has been administered via the Prepaid Health Care Advisory Council ("Council") raises questions concerning antitrust behavior. (hawaiifreepress.com)
  • Essential health benefits" has the meaning given under section 62Q.81, subdivision 4 . (mn.gov)
  • Qualified plan" means those health benefit plans which have been certified by the commissioner as providing the minimum benefits required by section 62E.06 or the actuarial equivalent of those benefits. (mn.gov)
  • and (B) insurance in connection with ocean going vessels against any of the risks specified in paragraph twenty-one of subsection (a) of section one thousand one hundred thirteen of this chapter. (nysenate.gov)
  • To fall within this definition, any version released subsequent to passage of this section must be compatible to the current version adopted by the United States Department of Health and Human Services. (delaware.gov)
  • The contents section is so detailed that one can only read one chapter at a time. (pluralpublishing.com)
  • provided, that this subsection shall apply to providers of behavioral health services covered as required under subclause (i) of clause (4) of the second sentence of subsection (a) of section 6 of chapter 176O. (malegislature.gov)
  • h) "Employee welfare benefit plan" means a plan, fund, or program of employee benefits as defined in 29 U.S.C. Chapter 18 Section 1002 (Employee Retirement Income Security Act). (cornell.edu)
  • 3 Detailed recommendations can be found under each relevant section and are summarized in Chapter 15 of the report. (who.int)
  • 3) "Blended contract" means a single document that provides a combination of indemnity and health maintenance organization benefits. (texas.gov)
  • Clinical material was sent to the European Union Reference Laboratory for African Swine Fever (Centro de Investigación en Sanidad Animal, Madrid, Spain) for confirmatory diagnosis and characterization of the ASFV strain(s) responsible for the outbreak(s). (cdc.gov)
  • The second and most extensive chapter serves as a step-by-step guide to the correct performance of over 60 specific analytical tests and quality control procedures in the areas of clinical chemistry, haematology, clinical microbiology, serology, and medical parasitology. (who.int)
  • However, the term health care provider extends far beyond practitioners trained in caring for individuals to those involved in setting policies, ensuring financing, managing programs and those providing administrative support to clinical health care providers. (bvsalud.org)
  • or a professional association partnership, corporation, joint venture, or other association for professional activity by health care providers. (flsenate.gov)
  • Equities of a recipient, his or her legal representative, a recipient's creditors, or health care providers shall not defeat, reduce, or prorate recovery by the agency as to its subrogation rights granted under this paragraph. (fl.us)
  • Equities of a recipient, the recipient's legal representative, his or her creditors, or health care providers shall not defeat or reduce recovery by the agency as to the assignment granted under this paragraph. (fl.us)
  • 9-b) "Freestanding emergency medical care facility" means a facility licensed under Chapter 254 , Health and Safety Code. (texas.gov)
  • 6) "Medical expert" means a person duly and regularly engaged in the practice of his or her profession who holds a health care professional degree from a university or college and who meets the requirements of an expert witness as set forth in s. 766.102 . (flsenate.gov)
  • A facility with seven or more beds licensed under Part 1 of Article 1 of Chapter 131D of the General Statutes or under this Chapter that provides residential care for aged individuals or individuals with disabilities whose principal need is a home which provides the supervision and personal care appropriate to their age and disability and for whom medical care is only occasional or incidental. (ncleg.gov)
  • HB 10 directs TDI and the Texas Health and Human Services Commission to conduct studies and prepare reports on benefits for medical or surgical expenses and mental health conditions and substance use disorders. (texas.gov)
  • Part 3, Chapter 1 (Medical Credentials and Privileges Review Process) - Revised in its entirety. (ihs.gov)
  • Health insurance covers you and your family from the devastating financial effects of unexpected medical bills. (myfloridacfo.com)
  • In return for this limited choice, you usually pay less for medical care (i.e., doctor visits, prescriptions, surgery and other covered benefits) than you would with traditional health insurance as long as you obtain services from an in-network provider or facility. (myfloridacfo.com)
  • medical and health insurance information. (fl.us)
  • for health care or medical services. (texas.gov)
  • Member, Arizona Medical Association's Physicians' Health Subcommittee [Impaired Physicians] , 1987 to 1990. (jenniferschneider.com)
  • 2003]. An IAB annual report also underscored the need for guidance: The emergency responder community has a need for guidance and information on the selection, use, and maintenance of CBRN respirators to ultimately reduce incidences of respiratory related injury for nearly 4 million career and volunteer corrections, emergency medical services, firefighting, and law enforcement responders [IAB 2009]. (cdc.gov)
  • Our organization, the Indian Council of Medical Research (ICMR), is important in the region and in our country, mainly because it funds research in India. (who.int)
  • SG 88/05) The Minister of Health shall exercise methodological management and control of the medical activity of the medical establishments at the Council of Ministers, the Ministry of defence, the Ministry of Interior, the Ministry of Justice and the Ministry of Transport. (who.int)
  • 6. (1) Established at the Minister of health shall be Supreme Medical Council. (who.int)
  • B) that consists in part of providing or arranging for health care services on a prepaid basis through insurance or otherwise, as distinguished from indemnifying for the cost of health care services. (texas.gov)
  • The Faculty Board's mandate is defined in Chapter 3 of the Higher Education Ordinance (1993:100). (lu.se)
  • It includes inter-sector al action by health staff, for example, encouraging the ministry of education to promote female education, a well-known determinant of better health. (bvsalud.org)
  • 5) The national health programmes shall be financed by the republican budget as differentiated expenses of the budget of the Ministry of Health and may be supported through other financial resources. (who.int)
  • 8) "Enrollee" means an individual who is enrolled in a health care plan and includes covered dependents. (texas.gov)
  • Failure to receive this document does not give the policy owner, contract owner, certificate owner, certificate holder, enrollee, or insured any greater rights than those stated in this chapter. (virginia.gov)
  • 6) "Emergency health care services" means those services identified in §§ 3349 and 3565 of this title. (delaware.gov)
  • 2) "Basic health care services" means health care services that the commissioner determines an enrolled population might reasonably need to be maintained in good health. (texas.gov)
  • 48.31C.050 Health carrier subject to registration-Standards for transactions within a holding company system-Notice to commissioner-Review. (wa.gov)
  • 48.31C.070 Examination of health carriers-Commissioner may order production of information-Failure to comply-Costs. (wa.gov)
  • 48.31C.080 Violations of chapter-Commissioner may seek superior court order. (wa.gov)
  • All claims for payment, whether electronic or nonelectronic, must be mailed or electronically transferred to the secondary organization within 90 days after final determination by the primary organization. (fl.us)
  • Emergency escape and refuge alternatives was created by a multidisciplinary team at the National Institute for Occupational Safety and Health (NIOSH) to teach miners about emergency escape and using refuge alternatives. (cdc.gov)
  • PPOs offer a provider network to meet the health care needs of its insureds. (myfloridacfo.com)
  • a) Are considered received on the date the claim is received by the organization at its designated claims-receipt location or the date a claim for overpayment is received by the provider at its designated location. (fl.us)
  • d) For purposes of this subsection, electronic means of transmission of claims, notices, documents, forms, and payment shall be used to the greatest extent possible by the health maintenance organization and the provider. (fl.us)
  • h) The total number, names, and health care provider professional license numbers of all defendants involved in the claim. (fl.us)
  • Participant in ECHO-Pain , a weekly teleconference that provides education and feedback to clinicians at multiple primary care clinics in the U.S., under the auspices of the Weitzman Institute, the Innovation and Research Arm of Community Health Center, Inc., Middletown, CT. (jenniferschneider.com)
  • 11. Accident and health insurance policy or policy. (mn.gov)
  • Categorically needy recipients enrolled in a Health Maintenance Organization (HMO) are eligible for the full range of HMO services covered by the contract of the Department with the HMO. (pacodeandbulletin.gov)
  • 9) "NCPDP SCRIPT standard " means the most recent standard adopted of the National Council for Prescription Drug Programs SCRIPT adopted by the United States Department of Health and Human Services. (delaware.gov)
  • Administrative Delegation #15 - (Signature Authority for the Department of Health and Human Services Federal-wide Assurance for the Protection of Human Subjects for Domestic Institutions). (ihs.gov)
  • and the Department of Labor (DOL), Occupational Safety and Health Administration (OSHA). (cdc.gov)
  • In addition to this understanding, to fully achieve cultural competence, to have the capacity and skills to effectively function in environments that are culturally diverse and composed of distinct elements and qualities, health department professionals must also develop a respect for cultural differences. (cdc.gov)
  • in the U.S. Department of Health and Human Services (DHSS), and works in close collaboration with the Canadian Institute for Health Information (CIHI) and Statistics Canada. (cdc.gov)
  • the health benefit plan. (texas.gov)
  • 10) A health benefit plan under 22 United States Code 2504(e) (Peace Corps Act). (cornell.edu)
  • During August 2009, a United Nations Food and Agriculture Organization mission was undertaken with local counterparts in Congo to support development of an action plan to control ASF. (cdc.gov)
  • Stimulating learners (trainees) to complete the e-course may be a challenge and if possible, the organizers may wish to plan a role for members of the Facilitation Team in leading discussions on separate chapters in preparation for the F2F course. (who.int)
  • Both patients who have enrolled in various health plans and those without insurance can take advantage of the pharmacy benefit management system. (medgadget.com)
  • It is built as a menu of options that are available to you based on the resources available, plans and objectives of your organization for improving competencies of ship inspector who are in charge of the issuance of Ship Sanitation Certificates under the IHR (2005). (who.int)
  • Some of the key players operating in the global pharmacy benefit management market include United Health/OptumRx, Express Scripts, Humana Pharmacy Solutions, CVS Caremark, MedImpact, Prime Therapeutics, and Catamaran Corporation. (medgadget.com)
  • In April 2012, Express Scripts became a dominant player in the global pharmacy benefit management industry after acquiring Medco Health Solutions for US$ 29.1 billion. (medgadget.com)
  • health benefit claims involving balance billing. (texas.gov)
  • Part 7, Chapter 7 (Performance Management Appraisal Program) - First Issuance. (ihs.gov)
  • Part 5, Chapter 21 (Diversity Management and Equal Employment Opportunity - First issuance. (ihs.gov)
  • Behavioral health services'', care and services for the evaluation, diagnosis, treatment or management of patients with mental health, developmental or substance use disorders. (malegislature.gov)
  • Other chapters outline the correct procedures for data handling and data processing at each stage from receipt of the specimen to the final laboratory report, and offer general advice on the organization and management of a health laboratory. (who.int)