Common use of Emergency Services Clause in Contracts

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

Sources: Contract, Contract, Contract

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

Sources: Contract, 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 ConditionBehavioral Health Conditions, including Post-Stabilization Care Services.

Appears in 2 contracts

Sources: Contract, Contract

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

Sources: Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco)

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

Sources: Ipa Services Agreement (HealthSpring, Inc.)