Medication Management Need for Services Sample Clauses

Medication Management Need for Services. 12 1) These beneficiariesBeneficiaries shall meet medical necessity criteria for treatment 13 or meet COUNTY admission criteria. These beneficiariesBeneficiaries will either be able to attend Med/Surg hospital. 14 scheduled outpatient office appointments, or be in a facility such as a Board and Care., SNF, or 15 For those referred from COUNTY, no additional assessment shall be required by 16 CONTRACTOR. Beneficiaries Network Providers
Sample 1
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Medication Management Need for Services. 1) These Beneficiaries shall meet medical necessity criteria for treatment or meet COUNTY admission criteria. These Beneficiaries will either be able to attend scheduled outpatient office appointments, or be in a facility such as a Board and Care. Beneficiaries in a SNF or in some cases in an ER shall be eligible for psychiatric consultation/treatment. Authorization and process shall be determined with ADMINISTRATOR.
Sample 1

Related to Medication Management Need for Services

  • Inpatient Services Hospital This plan covers services provided while inpatient in a general or specialty hospital including, but not limited to the following: • anesthesia; • diagnostic tests and lab services; • dialysis; • drugs; • intensive care/coronary care; • nursing care; • physical, occupational, speech and respiratory therapies; • physician’s services while hospitalized; • radiation therapy; • surgery related services; and • room and board. Notify us if you are admitted from the emergency room to a hospital that is not in our network. Our Customer Service Department can assist you with any questions you may have about your coverage. Rehabilitation Facility This plan covers rehabilitation services received in a general hospital or specialty hospital. Coverage is limited to the number of days shown in the Summary of Medical Benefits.

  • Outpatient Services The following services are covered only at the Primary Care Provider’s office[selected by a [Member], or elsewhere [upon prior written Referral by a [Member]'s Primary Care Provider ]:

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