Common use of Coverage and Exclusions Clause in Contracts

Coverage and Exclusions. Providing covered services Acupuncture Ambulance services Emergency Ground Ambulance Non-emergency Ground Ambulance Applied behavior analysis Covered services include applied behavior analysis for a diagnosis of autism spectrum disorder. Applied behavior analysis is a process of applying interventions that: Important note: Autism spectrum disorder Behavioral health Mental health treatment residential treatment facility, including: Substance related disorders treatment residential treatment facility, including: Behavioral health important note: Clinical trials Routine patient costs Experimental or investigational therapies Durable medical equipment (DME) Covered services are DME and the accessories needed to operate it when: Covered services include the expense of renting or buying DME and accessories you need to operate the item from a DME supplier. If you purchase DME, that purchase is only covered if you need it for long-term use. Covered services also include: Emergency services