Services to Members. Provider, within the limitations of Michigan licensure laws, will provide Covered Services to Members based on requirements in Members’ Certificates, BCBSM Medical Necessity criteria as set forth in Addendum A, and as governed by this Agreement and all other BCBSM policies in effect on the dates Covered Services are provided.
Appears in 5 contracts
Samples: Participation Agreement, Participation Agreement, Participation Agreement
Services to Members. ProviderFacility, within the limitations of Michigan licensure lawslaws and the limitations of the scope of services Facility provides, will provide Covered Services to Members based on requirements in Members’ Certificates, BCBSM Medical Necessity criteria as set forth in Addendum A, and as governed by this Agreement and all other BCBSM published policies in effect on the dates Covered Services are provided. Facility shall not deny service to any Member solely based upon the level of reimbursement it shall receive for such service.
Appears in 2 contracts
Services to Members. ProviderFacility, within the limitations of Michigan licensure laws, will provide Covered Services to Members based on requirements in Members’ Certificates, BCBSM Medical Necessity criteria as set forth in Addendum A, and as governed by this Agreement and all other BCBSM published policies in effect on the dates Covered Services are provided. No services are reimbursable pursuant to this Agreement unless prescribed by a Physician or other health care provider licensed to prescribe such services.
Appears in 1 contract
Samples: Traditional Participation Agreement
Services to Members. Provider, within the limitations of applicable Michigan licensure laws, will provide Covered Services to Members based on requirements in Members’ Certificates, BCBSM Medical Necessity criteria as set forth in Addendum A, and as governed by this Agreement and all other BCBSM policies in effect on the dates Covered Services are provided.
Appears in 1 contract
Samples: And Orthotic Supplier Provider Participation Agreement
Services to Members. Provider, within the limitations of Michigan licensure laws, will provide Covered Services to Members based on requirements in Members’ Certificates, BCBSM and BCN Medical Necessity criteria as set forth in Addendum A, and as governed by this Agreement and all other BCBSM and BCN policies in effect on the dates Covered Services are provided.
Appears in 1 contract
Samples: Participation Agreement
Services to Members. Provider, within the limitations of Michigan licensure laws, will provide Covered Services to Members based on requirements in Members’ Certificates, BCBSM Medical Necessity criteria as set forth in Addendum A, and as governed by this Agreement and all other BCBSM policies in effect on the dates Covered Services are provided. No services are reimbursable pursuant to this Agreement unless prescribed by a doctor of medicine, osteopathic physician or other health care provider licensed to prescribe such services.
Appears in 1 contract
Samples: Participation Agreement