Post-Stabilization Services. The PH-MCO must cover Post-Stabilization Services, as defined in 42 C.F.R. §438.114. The PH-MCO must limit charges to Members for Post-Stabilization Services to an amount no greater than what the PH-MCO would charge the Member if he or she had obtained the services through a Network Provider. The PH-MCO must cover Post-Stabilization Services without authorization, and regardless of whether the Member obtains the services within or outside its Provider Network if any of the following situations exist:
Appears in 8 contracts
Samples: Healthchoices Agreement, Healthchoices Agreement, Healthchoices Agreement
Post-Stabilization Services. The PH-MCO must cover Post-Stabilization Services, as defined in pursuant to 42 C.F.R. §438.114CFR 438.114(b). The PH-MCO must limit charges to Members for Post-Stabilization Services to an amount no greater than what the PH-MCO would charge the Member if he or she had obtained the services through a Network Providerthe PH-MCO. The PH-MCO must cover Post-Stabilization Services without requiring authorization, and regardless of whether the Member obtains the services within or outside its the PH-MCO Provider Network if any of the following situations exist:
Appears in 5 contracts
Samples: Grant Agreement, Grant Agreement, Grant Agreement
Post-Stabilization Services. The PH-MCO must cover Post-Stabilization Services, as defined in pursuant to 42 C.F.R. §438.114CFR 438.114(b). The PH-MCO must limit charges to Members for Post-Stabilization Services to an amount no greater than what the PH-MCO would charge the Member if he or she had obtained the services through a Network Providerthe PH-MCO. The PH-MCO must cover Post-Stabilization Services without requiring authorization, and regardless of whether the Member obtains the services within or outside its the PH-MCO Provider Network if any of the following situations exist:
Appears in 3 contracts
Samples: Healthchoices Agreement, contracts.patreasury.gov, contracts.patreasury.gov
Post-Stabilization Services. The PH-MCO must cover Post-Stabilization Services, as defined in 42 C.F.R. CFR §438.114. The PH-MCO must limit charges to Members for Post-Stabilization Services to an amount no greater than what the PH-MCO would charge the Member if he or she had obtained the services through a Network Provider. The PH-MCO must cover Post-Stabilization Services without authorization, and regardless of whether the Member obtains the services within or outside its Provider Network if any of the following situations exist:
Appears in 3 contracts
Samples: Healthchoices Agreement, contracts.patreasury.gov, Healthchoices Agreement
Post-Stabilization Services. The PH-MCO must cover Post-Stabilization Services, as defined in 42 C.F.R. CFR §438.114. The PH-MCO must limit charges to Members for Post-Stabilization Services to an amount no greater than what the PH-MCO would charge the Member if he or she had obtained the services through a Network Provider. The PH-MCO must cover Post-Stabilization Services without authorization, and regardless of whether the Member obtains the services within or outside its Provider Network if any of the following situations exist:
Appears in 1 contract
Samples: Healthchoices Agreement
Post-Stabilization Services. The PH-MCO must cover Post-Stabilization Services, as defined in 42 C.F.R. §438.114. The PH-MCO must limit charges to Members for Post-Stabilization Services to an amount no greater than what the PH-MCO would charge the Member if he or she had obtained the services through a Network Provider. The PH-MCO must cover Post-Stabilization Services without authorization, and regardless of whether the Member obtains the services within or outside its Provider Network if any of the following situations exist:
Appears in 1 contract
Samples: Healthchoices Agreement
Post-Stabilization Services. The PH-MCO must cover Post-Stabilization Services, as defined in 42 C.F.R. CFR §438.114. The PH-MCO must limit charges to Members for Post-Stabilization Services to an amount no greater than what the PH-MCO would charge the Member if he or she had obtained the services through a Network Providerthe Provider Network. The PH-MCO must cover Post-Stabilization Services without authorization, and regardless of whether the Member obtains the services within or outside its Provider Network if any of the following situations exist:
Appears in 1 contract
Samples: Healthchoices Agreement