Emergency Services. Covered inpatient and outpatient services furnished by a provider qualified to furnish those health services and that are needed to evaluate or stabilize an Emergency Medical Condition.
Appears in 39 contracts
Sources: Arizona Long Term Care Program Regulatory Requirements Appendix, Provider Agreement, Arizona Medicaid Developmentally Disabled Program Regulatory Requirements Appendix
Emergency Services. Covered Any covered inpatient and outpatient services furnished by a provider that is qualified to furnish those health services and that are needed to evaluate or stabilize an Emergency Medical Condition.
Appears in 5 contracts
Sources: Provider Agreement, Hawaii State Programs Regulatory Requirements Appendix, Hawaii State Programs Regulatory Requirements Appendix
Emergency Services. Covered inpatient and outpatient services furnished by a provider Provider that is qualified to furnish those health such services under the State Contract and that are needed to evaluate or stabilize an Emergency Medical Condition and/or an Emergency Behavioral Health Condition, including post-stabilization care services.
Appears in 4 contracts
Sources: Provider Agreement, Provider Agreement, Provider Agreement
Emergency Services. Covered inpatient and outpatient services furnished by a provider Provider qualified to furnish those health such services under the Contract and that are needed to evaluate or stabilize an Enrollee’s Emergency Medical Condition and/or an Emergency Behavioral Health Condition, including Post-Stabilization Care Services.
Appears in 3 contracts
Emergency Services. Covered inpatient and outpatient health care procedures, treatments or services that are furnished by a provider qualified to furnish those health services and that are needed to evaluate or stabilize an Emergency Medical Condition, including psychiatric stabilization and medical detoxification from drugs or alcohol.
Appears in 3 contracts
Sources: Regulatory Requirements Appendix, Regulatory Requirements Appendix, Regulatory Requirements Appendix
Emergency Services. Covered inpatient and outpatient services furnished by a provider qualified to furnish those health services and that are needed to evaluate or stabilize an Emergency Medical Condition.
Appears in 3 contracts
Sources: Provider Agreement, Provider Agreement, Provider Agreement
Emergency Services. Covered inpatient and outpatient services furnished by a provider who is qualified to furnish those health services and that are needed to evaluate or stabilize an Emergency Medical Condition.
Appears in 3 contracts
Sources: Provider Agreement, Provider Agreement, Provider Agreement
Emergency Services. Covered inpatient Inpatient and outpatient contracted services furnished by a provider qualified to furnish those health the services and that are needed to evaluate or stabilize an Emergency Medical Condition.
Appears in 3 contracts
Sources: Washington State Programs Regulatory Requirements Appendix, Washington State Programs Regulatory Requirements Appendix, Washington State Programs Regulatory Requirements Appendix
Emergency Services. Covered inpatient and outpatient services furnished by a provider qualified to furnish those health services and Provider that are needed to evaluate or stabilize an Emergency Medical ConditionCondition that is found to exist using the prudent layperson standard.
Appears in 2 contracts
Sources: Contract for Provision of Services (Centene Corp), Contract (Wellcare Health Plans, Inc.)
Emergency Services. Covered inpatient and outpatient services that are furnished by a provider Provider that is qualified to furnish those health these services under 42 C.F.R Part 438 and that are needed to evaluate or stabilize an Emergency Medical Condition.
Appears in 2 contracts
Sources: Contract, CMS Contract
Emergency Services. Covered inpatient and outpatient services furnished by a provider Provider qualified to furnish those health such services under the Contract and that are needed to evaluate or stabilize an Enrollee’s emergency Medical Condition and/or an Emergency Medical Condition.Behavioral Health Conditions, including Post-Stabilization Care Services. 246
Appears in 2 contracts
Emergency Services. Covered inpatient and outpatient services furnished by a provider Provider qualified to furnish those health such services under the Contract and that are needed to evaluate or stabilize an Enrollee’s emergency Medical Condition and/or an Emergency Medical ConditionBehavioral Health Conditions, including Post-Stabilization Care Services.
Appears in 2 contracts
Emergency Services. Covered inpatient and outpatient services Services furnished by a qualified provider qualified to furnish those health services and that are needed necessary to evaluate or stabilize an Emergency Medical Condition.
Appears in 2 contracts
Sources: Medicaid Facility Services Agreement, Ancillary Agreement
Emergency Services. Covered inpatient and outpatient services that are furnished by a provider that is qualified to furnish those health these services under Medicaid and that are needed to evaluate or stabilize an Emergency Medical Condition.
Appears in 1 contract
Emergency Services. Covered inpatient Inpatient and outpatient services Covered Services that are furnished by a provider Provider qualified to furnish those health such services and that are needed to evaluate or stabilize an Enrollee’s Emergency Medical Condition.
Appears in 1 contract
Sources: Contract
Emergency Services. Covered inpatient and outpatient services furnished by a provider qualified to furnish those health services and that are needed to evaluate evaluate, treat or stabilize an Emergency Medical Condition.. Emergency Services may be rendered without the requirement of a prior authorization
Appears in 1 contract
Sources: Provider Agreement
Emergency Services. Covered inpatient and outpatient services furnished by a provider qualified to furnish those health services and that are Provider needed to evaluate or stabilize an Emergency Medical ConditionCondition that is found to exist using the prudent layperson standard.
Appears in 1 contract
Sources: Contract for Provision of Services (Wellcare Health Plans, Inc.)
Emergency Services. Covered Services that are inpatient and our outpatient services that are (1) furnished by a provider Provider qualified to furnish those health services Emergency Services; and that are (2) needed to evaluate or stabilize an Emergency Medical Condition. 42 C.F.R. § 422.113(b)(1)(ii).
Appears in 1 contract
Sources: Ancillary Provider Service Agreement
Emergency Services. Covered inpatient and outpatient services furnished by a provider qualified to furnish those health services and that are needed to evaluate or stabilize an Emergency Medical Condition. Emergency Services will be rendered without a requirement for prior authorization.
Appears in 1 contract
Sources: Provider Agreement
Emergency Services. Covered inpatient and outpatient services that are (a) furnished by a provider qualified to furnish those health services emergency services; and that are (b) needed to evaluate or stabilize an Emergency Medical Condition.
Appears in 1 contract