Inpatient Hospital Services Sample Clauses

Inpatient Hospital Services. HOSPITAL ADMISSIONS MUST BE AUTHORIZED OR APPROVED BY CAREFIRST BLUECHOICE, UNLESS EXCEPTIONS ARE STATED. CareFirst BlueChoice provides coverage for the services listed below in a Contracting Provider Hospital when admitted under the care of a Primary Care Physician or other Contracting Physician.
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Inpatient Hospital Services. The Plan provides Benefits for the following Medically Necessary Inpatient Hospital services:
Inpatient Hospital Services. Except to the extent inconsistent with the rate methodology explained herein, VA shall reimburse at rates based on Medicare payment methodologies for services to Eligible AI/AN Veterans. The payment methodology under this section applies to all inpatient services furnished by the hospital, whether provided by part of a department, subunit, distinct part, or other component of a hospital (including services furnished directly by the hospital or under arrangements with contract providers who provide Direct Care Services onsite in an IHS or Tribal health facility).
Inpatient Hospital Services a. Inpatient hospital services are medically necessary behavioral health services provided in a hospital setting. (See Section V, Covered Services, Item H., Coverage Provisions, sub-item 10., Hospital Services – Inpatient.) The inpatient care and treatment services that an enrollee receives must be under the direction of a licensed physician with the appropriate medical specialty requirements. Capitated Health Plans may provide inpatient hospital services in a general hospital psychiatric unit or in a specialty hospital.
Inpatient Hospital Services. Inpatient Semi-private room Charges/Days of Hospital Coverage We cover hospital services in a xxxx or semi-private room in a general hospital for medical or surgical services. If you are readmitted to the same or any other hospital, within ninety (90) days after the date of a previous discharge, we will consider these admissions to fall within the same period of hospitalization. If you are readmitted after ninety (90) days, we consider this to be a new period of hospitalization for the purpose of determining the hospital days available to you.
Inpatient Hospital Services i. The MCOP shall enforce the three-calendar day roll-in requirements as described in OAC rule 5160-2-02.
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Inpatient Hospital Services. HOSPITAL ADMISSIONS MUST BE AUTHORIZED OR APPROVED BY CAREFIRST UNLESS EXCEPTIONS ARE STATED.
Inpatient Hospital Services. Inpatient hospital services, as medically necessary, shall include, except as otherwise specified, the care, treatment, maintenance and nursing services as may be required, on an inpatient hospital basis, up to 365 days per year (366 days in leap year). Contractor will not be responsible for hospital stays that commence prior to the Effective Date of Enrollment (see Section 6.8 of this Agreement), but will be responsible for stays that commence prior to the Effective Date of Disenrollment (see Section 8.5 of this Agreement). Among other services, inpatient hospital services encompass a full range of necessary diagnostic and therapeutic care including medical, surgical, nursing, radiological, and rehabilitative services. Services are provided under the direction of a physician, certified nurse practitioner, or dentist.
Inpatient Hospital Services. See the Prior Authorization Amendment for Covered Services that may require prior authorization. .
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