Post-Stabilization Services. The CHC-MCO must cover Post-Stabilization Services. The CHC-MCO must limit charges to a Participant for Post-Stabilization Services to an amount no greater than what the CHC-MCO would charge the Participant if he or she had obtained the services through the Network. The CHC-MCO must cover Post-Stabilization Services without authorization, and regardless of whether the Participant obtains the services within or outside of its Network if any of the following situations exists:
Appears in 5 contracts
Samples: 2020 Community Healthchoices Agreement, 2023 Community Healthchoices Agreement, 2022 Community Healthchoices Agreement
Post-Stabilization Services. The CHC-MCO must cover Post-Stabilization Services, as defined in 42 CFR §438.114. The CHC-MCO must limit charges to a Participant Participants for Post-Stabilization Services to an amount no greater than what the CHC-MCO would charge the Participant if he or she had obtained the services through the Network. The CHC-MCO must cover Post-Stabilization Services without authorization, and regardless of whether the Participant obtains the services within or outside of its Network if any of the following situations existsexist:
Appears in 2 contracts
Samples: Community Healthchoices Agreement, Community Healthchoices Agreement
Post-Stabilization Services. The CHC-MCO must cover Post-Stabilization Services. , as defined in 42 CFR §438.114. The CHC-MCO must limit charges to a Participant Participants for Post-Post- Stabilization Services to an amount no greater than what the CHC-CHC- MCO would charge the Participant if he or she had obtained the services through the Network. Provider Network. The CHC-MCO must cover Post-Stabilization Services without authorization, and regardless of whether the Participant obtains the services within or outside of its Provider Network if any of the following situations exists:exist:
Appears in 1 contract
Samples: Community Healthchoices Agreement
