Common use of Inpatient Hospital Pre-Admission Review Clause in Contracts

Inpatient Hospital Pre-Admission Review. When the Member’s Medicare coverage is primary coverage to this CareFirst BlueChoice plan, prior authorization for inpatient hospital services will not be required. Coverage of inpatient hospital services is subject to the requirements for pre-admission review, concurrent review, and discharge planning for all covered hospitalizations. Such review and approval will determine:

Inpatient Hospital Pre-Admission Review. When the Member’s Medicare coverage is primary coverage to this CareFirst BlueChoice plan, prior authorization for inpatient hospital services will not be required. Coverage of inpatient hospital services is subject to the requirements for pre-pre- admission review, concurrent review, and discharge planning for all covered hospitalizations. Such review and approval will determine:

Inpatient Hospital Pre-Admission Review. When the Member’s 's Medicare coverage is primary coverage to this CareFirst BlueChoice plan, prior authorization for inpatient hospital services will not be required. Coverage of inpatient hospital services is subject to the requirements for pre-pre- admission review, concurrent review, review and discharge planning for all covered hospitalizations. Such review and approval will shall determine: