Common use of Amount, Duration and Scope Clause in Contracts

Amount, Duration and Scope. At a minimum, the CHC-MCO must provide the Covered Services in Exhibit A, Covered Services List, in the amount, duration, and scope available in the MA FFS Program and in the approved 1915(c) waiver for CHC. The CHC- MCO must provide services that are sufficient in amount, duration, and scope to reasonably be expected to achieve the purpose for which the services are furnished. If services are added to the MA Program or the CHC Program, or if Covered Services are expanded or eliminated, the CHC-MCO must implement such changes on the same day as the Department, unless the CHC-MCO is notified by the Department of an alternative implementation date. The CHC-MCO shall not arbitrarily deny or reduce the amount, duration, or scope of a Covered Service based on a Participant’s diagnosis, disability, or type of illness/condition.

Appears in 4 contracts

Samples: 2020 Community Healthchoices Agreement, 2023 Community Healthchoices Agreement, 2022 Community Healthchoices Agreement

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Amount, Duration and Scope. At a minimum, the CHC-MCO must provide the Covered Services in Exhibit AA and Exhibit A(1), Covered Services List, in the amount, duration, and scope available in the MA FFS Program and in the approved 1915(c) waiver for CHC. The CHC- CHC-MCO must provide services that are sufficient in amount, duration, and scope to reasonably be expected to achieve the purpose for which the services are furnished. If services are added to the MA Program or the CHC Program, or if Covered Services are expanded or eliminated, the CHC-MCO must implement such changes on the same day as the Department, unless the CHC-MCO is notified by the Department of an alternative implementation date. The CHC-MCO shall not arbitrarily deny or reduce the amount, duration, or scope of a Covered Service based on a Participant’s diagnosis, disability, or type of illness/condition.

Appears in 1 contract

Samples: Community Healthchoices Agreement

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Amount, Duration and Scope. At a minimum, the CHC-MCO must provide the Covered Services in Exhibit AA and Exhibit A(1), Covered Services List, in the amount, duration, and scope available in the MA FFS Program and in the approved 1915(c) waiver for CHC. The CHC- CHC-MCO must provide services that are sufficient in amount, duration, and scope to reasonably be expected to achieve the purpose for which the services are furnished. If services are added to the MA Program or the CHC Program, or if Covered Services are expanded or eliminated, the CHC-MCO must implement such changes on the same day as the Department, unless the CHC-MCO is notified by the Department of an alternative implementation date. The CHC-MCO shall not arbitrarily deny or reduce the amount, duration, or scope of a Covered Service based on a Participant’s diagnosis, disability, or type of illness/condition.

Appears in 1 contract

Samples: Community Healthchoices Agreement

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