In managed care plans and health maintenance organizations, a provision in which members must receive their medical care from the network providers unless it is an emergency.

Code system that consists of universal names and identification codes that identify and are used to report laboratory and clinical observations. It is maintained by the Regenstrief Institute. These codes are expected to be used in the HIPAA claim attachments standard. Also see Regenstrief Institute .

The next 75 years.

Insurance reinstatement application form for a policy that is no longer in force. The applicant must complete a long-term health history.

Facility with patients who have an average length of stay of at least 30 days.

Medical facilities that provide patients with acute care for extended inpatient stays (defined by federal statute as an average of 25 days or more). The health care objective is stabilization of physical condition, medical recovery, and return to home.

Medical and personal care services rendered to patients who are not in an acute phase of illness but chronically ill, aged, or disabled and generally residing in a nursing home or assisted living facility. Sometimes home health care is provided on a long-term basis, and this may be referred to as LTC . Patients require help with activities of daily living (ADLs) such as bathing, continence, dressing, eating, mobility, transferring in and out of bed or a chair, using the toilet, and walking. Most long-term care is custodial care, and Medicare does not pay for this type of care if this is the only kind of care the patient needs.

Health care facility that offers extended nursing care and subacute care services to resident patients whose illness does not require acute care. To participate in the Medicare or Medicaid programs, such a facility must be certified as a skilled nursing facility (SNF) or other nursing facility (NF).

1. Facility that treats patients not in an acute phase of illness but who need medical and nursing services not available in nursing homes (e.g., rehabilitation hospital). 2. In the Medicare program, this type of facility is called a short-term acute care hospital . Average inpatient stay is greater than 25 days. Also called long-term hospital and long-term acute care hospital .