Requested Services. CEPM shall, upon the Company’s request, provide or, with the approval of the Board, cause another Person or Persons to provide, any Requested Services in the manner so requested and at the direction of the Company.
Requested Services. (a) Benefits, Compensation and Human Resources Administration;
Requested Services. 1. Drafting of documents related to the acquisition and redevelopment of property in the Areas pursuant to the Development Plans.
Requested Services. Requested Services are the following:
Requested Services. For a period of twelve (12) months following the effective date of termination/expiration of the Scope of Work, Provider shall provide, at the Agency’s request, Services related to the termination and not set forth in Section 12.1 at Provider’s direct cost, including overhead, plus ten percent (10%). Such Services shall be New Services.
Requested Services. Current Add Delete Service Type Container Type (dumpster, collection bins, totes, etc) Curbside Recycling Curbside Refuse Food Waste Bulk (drop box) Comments: HJB Form 233, January 2021 Directorate of Public Works (AMIM-LMP) Previous Editions are Obsolete
Requested Services. ATM Card request NOTE: In the case of joint party accounts where operating instructions permit either party/ any party to operate each party should submit a separate applications to obtain an ATM Cards. 6. ATM card required : Yes No 7. Personalized Non-Personalized 8. Mother’s name : 9. Name to be embossed on the card (personalized cards only) : (English capital letters only-maximum 20 characters with spacing)
Requested Services. Children's Medicaid - Children whose families do not receive TANF, but who are under age 21 and meet the eligibility requirements. - Pregnant women who meet the TANF income and resource criteria. - Wards of the state and xxxxxx children. These children may enroll in managed care on a voluntary basis. - CHIP - Phase I - children under age 19 whose family's income is up to 150% of federal poverty level. PACKAGE B (Pregnancy Coverage): Pregnancy-related coverage is provided to women whose income is below 150% of poverty without regard to their resources. Eligibility extends up to 60 days postpartum. PACKAGE C (CHIP Phase II): Preventive, primary and acute care services for children under age 19 whose family's income is 150-200% of federal poverty level. PACKAGE D (Reserved): Formerly Hoosier Healthwise for People with Disabilities and Chronic Illnesses. It provided full coverage with case management services. PACKAGE E (Emergency Services): Individuals enrolled in this package are eligible for emergency services only. These individuals are considered Hoosier Healthwise members; however, they are not enrolled in managed care. For a complete comparison of the benefits available under each of benefit package, see Appendix 3.
Requested Services arrange and assure the provision of all MCO covered services except self-referral services. For additional information about self-referral services, refer to Section 3.4.2.4 of this BAA. Detailed explanations of the amount, duration and scope of Medicaid covered services and limitations are cited in Title 405, Article 5 of the Indiana Administrative Code, which can be found on the State's website at xxx.xxxxx.xx.xx/xxxxxxxxxxx/xxx. Services delivered must be sufficient in amount, duration or scope to reasonably expect that provision of such services would achieve the purpose of the furnished services. The following is a general list of Hoosier Healthwise covered services that are MCO covered services, listed by general categories. If a service is not a Hoosier Healthwise covered service under a particular benefit package, then the MCO is not responsible for providing that service to members enrolled in that benefit package. For a more complete list of services covered in each of the Hoosier Healthwise benefit packages, see Xxxxxxxx 0, Xxxxxxx Xxxxxxxxxx Benefit Package Comparison. - Emergency and poststabilization services - Physician services - Primary care services - Preventive health services - Therapeutic and rehabilitative services - Specialty care services - Nursing services - Hospital services - Inpatient care - Outpatient services - Therapy services - Laboratory and x-ray services - Diagnostic studies - Sterilization, hysterectomy services - Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) - Initial and periodic screenings - Diagnosis and treatment - Home health services - Physical, occupational and respiratory therapy - Speech pathology - Renal dialysis - Pharmacy services - Legend drugs - Non-legend drugs (selected over-the-counter drugs) as identified in OMPP's over-the-counter formulary (the OTC formulary can be found in the IHCP Provider Manual which can be found at xxx.xxxxxxxxxxxxxxx.xxx) - Medical supplies and equipment - Durable medical equipment - Braces and orthopedic shoes Section 3.0 Revised July 10, 2003 BAA 01-28, ATTACHMENT A - SCOPE OF WORK REVISED SECTION 3.0 REQUESTED SERVICES - Prosthetic devices - Hearing aids - Preventive and diagnostic services - Transportation services - Emergency transportation - Non-emergency transportation - Transportation to and from excluded but covered services - HIV/AIDS targeted case management - Diabetes self-management training - Smoking cessation If the MCO elects not to provide, rei...
Requested Services those specified in the above definition of emergency medical condition. The MCO is prohibited from refusing to cover emergency services because the emergency room provider, hospital, or fiscal agent does not notify the member's PMP, MCO, or applicable State entity of the member's screening and treatment within 10 calendar days of presentation for emergency services. A member who has an emergency medical condition may not be held liable for payment of subsequent screening and treatment needed to diagnose the specific condition or stabilize the patient. The attending emergency physician, or the provider actually treating the enrollee, is responsible for determining when the enrollee is sufficiently stabilized for transfer or discharge. The physician's determination is binding and may not be challenged by the MCO. The MCO must cover poststabilization services related to an emergency medical condition that are provided after an enrollee is stabilized in order to maintain the stabilized condition, or, under the circumstances described in 42 CFR 438.114(e) to improve or resolve the enrollee's condition. The MCO is financially responsible for post-stabilization services obtained within or outside the MCO network that are pre-approved by a plan provider or other MCO representative. In addition, the MCO is also financially responsible for post-stabilization care services obtained within or outside the MCO network that are not pre-approved by a plan provider or other MCO representative, but are administered to maintain the enrollee's stabilized condition if: - The MCO does not respond to a request for pre-approval within 1 hour; - The MCO cannot be contacted; or - The MCO representative and the treating physician cannot reach an agreement concerning the enrollee's care and a plan physician is not available for consultation. In this situation, the MCO must give the treating physician the opportunity to consult with a plan physician and the treating physician may continue with care of the patient until a plan physician is reached or one of the criteria of 422.133(c)(3) is met. The MCO must limit charges to enrollees for poststabilization care services to an amount no greater than what the MCO would charge the enrollee if services were obtained through the MCO network. The MCO's financial responsibility for poststabilization care services it has not pre-approved ends when: - A plan physician with privileges at the treating hospital assumes responsibility for the enroll...
