Common use of MEDICALLY NECESSARY SERVICE Clause in Contracts

MEDICALLY NECESSARY SERVICE. MEDICAL NECESSITY‌ 13 Medically Necessary Services means a requested service which is reasonably calculated to 14 prevent, diagnose, correct, cure, alleviate, or prevent worsening of conditions in the individual 15 that endanger life, or cause suffering of pain, or result in an illness or infirmity, or threaten to 16 cause or aggravate a handicap, or cause physical deformity, or malfunction. There is no other 17 equally effective, more conservative, or substantially less costly course of treatment available 18 or suitable for the individual requesting the service. For the purpose of this section, "course 19 of treatment" may include mere observation or, where appropriate, no medical treatment at 20 all (WAC 182-500-0070).

Appears in 4 contracts

Samples: Contract, Contract, Contract

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MEDICALLY NECESSARY SERVICE. MEDICAL NECESSITY‌ 13 NECESSITY 33 Medically Necessary Services means a requested service which is reasonably calculated to 14 34 prevent, diagnose, correct, cure, alleviate, or prevent worsening of conditions in the inthe individual 15 35 that endanger life, or cause suffering of pain, or result in an illness or infirmity, or threaten to 16 36 cause or aggravate a handicap, or cause physical deformity, or malfunction. There is no other 17 noother 37 equally effective, more conservative, or substantially less costly course of treatment available 18 treatmentavailable 38 or suitable for the individual requesting the service. For the purpose of this section, "course 19 of 39 treatment" may include mere observation or, where appropriate, no medical treatment at 20 all atall 40 (WAC 182-500-0070).. 41

Appears in 1 contract

Samples: North Sound

MEDICALLY NECESSARY SERVICE. MEDICAL NECESSITY‌ 13 NECESSITY 33 Medically Necessary Services means a requested service which is reasonably calculated to 14 34 prevent, diagnose, correct, cure, alleviate, or prevent worsening of conditions in the individual 15 35 that endanger life, or cause suffering of pain, or result in an illness or infirmity, or threaten to 16 36 cause or aggravate a handicap, or cause physical deformity, or malfunction. There is no other 17 37 equally effective, more conservative, or substantially less costly course of treatment available 18 38 or suitable for the individual requesting the service. For the purpose of this section, "course 19 of 39 treatment" may include mere observation or, where appropriate, no medical treatment at 20 all 40 (WAC 182-500-0070).. 41

Appears in 1 contract

Samples: Contract

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MEDICALLY NECESSARY SERVICE. MEDICAL NECESSITY‌ 13 16 Medically Necessary Services means a requested service which is reasonably calculated to 14 17 prevent, diagnose, correct, cure, alleviate, or prevent worsening of conditions in the individual 15 18 that endanger life, or cause suffering of pain, or result in an illness or infirmity, or threaten to 16 19 cause or aggravate a handicap, or cause physical deformity, or malfunction. There is no other 17 20 equally effective, more conservative, or substantially less costly course of treatment available 18 21 or suitable for the individual requesting the service. For the purpose of this section, "course 19 of 22 treatment" may include mere observation or, where appropriate, no medical treatment at 20 all 23 (WAC 182-500-0070).

Appears in 1 contract

Samples: Contract

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