{"component": "clause", "props": {"groups": [{"samples": [{"hash": "7dfVZdUSKtN", "uri": "/contracts/7dfVZdUSKtN#stabilization-services", "label": "Contract for Provision of Services (Centene Corp)", "score": 21.0, "published": true}], "size": 2, "snippet_links": [{"key": "covered-services", "type": "definition", "offset": [0, 16]}, {"key": "related-to", "type": "clause", "offset": [18, 28]}, {"key": "emergency-medical-condition", "type": "clause", "offset": [32, 59]}, {"key": "a-member", "type": "clause", "offset": [85, 93]}, {"key": "to-maintain", "type": "clause", "offset": [118, 129]}, {"key": "stabilized-condition", "type": "definition", "offset": [134, 154]}, {"key": "the-member", "type": "clause", "offset": [181, 191]}, {"key": "potential-enrollee", "type": "definition", "offset": [205, 223]}, {"key": "potential-member", "type": "clause", "offset": [229, 245]}], "snippet": "Covered Services, related to an Emergency Medical Condition, that are provided after a Member is stabilized, in order to maintain the stabilized Condition, or to improve or resolve the Member\u2019s Condition. Potential Enrollee: See Potential Member.", "hash": "2c9e707d6622b850c126b0491a99f81c", "id": 5}, {"samples": [{"hash": "WYq3BpVIwK", "uri": "/contracts/WYq3BpVIwK#stabilization-services", "label": "Star+plus Contract (Amerigroup Corp)", "score": 18.0, "published": true}, {"hash": "3hyphXmvP6H", "uri": "/contracts/3hyphXmvP6H#stabilization-services", "label": "Contract for Services (Centene Corp)", "score": 18.0, "published": true}, {"hash": "1bXz4EHqbiF", "uri": "/contracts/1bXz4EHqbiF#stabilization-services", "label": "Contract for Services (Centene Corp)", "score": 18.0, "published": true}], "size": 7, "snippet_links": [{"key": "pay-for", "type": "clause", "offset": [9, 16]}, {"key": "services-performed", "type": "clause", "offset": [27, 45]}, {"key": "to-stabilize", "type": "definition", "offset": [46, 58]}, {"key": "emergency-physician", "type": "definition", "offset": [91, 110]}, {"key": "medical-record", "type": "definition", "offset": [127, 141]}, {"key": "services-and", "type": "clause", "offset": [179, 191]}, {"key": "emergency-room", "type": "clause", "offset": [236, 250]}, {"key": "ancillary-services", "type": "definition", "offset": [259, 277]}, {"key": "emergency-medical-condition", "type": "clause", "offset": [298, 325]}, {"key": "to-provide", "type": "definition", "offset": [343, 353]}, {"key": "medical-care", "type": "definition", "offset": [359, 371]}, {"key": "no-deterioration", "type": "clause", "offset": [428, 444]}, {"key": "the-condition", "type": "clause", "offset": [448, 461]}, {"key": "is-likely", "type": "definition", "offset": [462, 471]}, {"key": "admission-of-the-member", "type": "clause", "offset": [528, 551]}], "snippet": "HMO must pay for emergency services performed to stabilize the Member as documented by the Emergency physician in the Member's medical record. HMOs must reimburse for physician's services and hospital's emergency services including the emergency room and its ancillary services. With respect to an emergency medical condition, to stabilize is to provide such medical care as to assure within reasonable medical probability that no deterioration of the condition is likely to result from, or occur during discharge, transfer, or admission of the Member from the emergency room.", "hash": "e730e2fa0785508bcf0d6b4bb77a34fc", "id": 1}, {"samples": [{"hash": "kmXTPIBDYid", "uri": "/contracts/kmXTPIBDYid#stabilization-services", "label": "Contract for Services (Amerigroup Corp)", "score": 18.0, "published": true}, {"hash": "bRpDgziHw5S", "uri": "/contracts/bRpDgziHw5S#stabilization-services", "label": "Amendment to the Agreement for Health Services to the Medicaid Star Program (Centene Corp)", "score": 18.0, "published": true}, {"hash": "4W5mNUtglAP", "uri": "/contracts/4W5mNUtglAP#stabilization-services", "label": "Contract for Services (Amerigroup Corp)", "score": 18.0, "published": true}], "size": 5, "snippet_links": [{"key": "medical-screening-examination", "type": "definition", "offset": [9, 38]}, {"key": "emergency-medical-condition", "type": "clause", "offset": [58, 85]}, {"key": "pay-for", "type": "clause", "offset": [103, 110]}, {"key": "services-performed", "type": "clause", "offset": [121, 139]}, {"key": "to-stabilize", "type": "definition", "offset": [140, 152]}, {"key": "the-member", "type": "clause", "offset": [153, 163]}, {"key": "emergency-physician", "type": "definition", "offset": [169, 188]}, {"key": "services-in-the", "type": "clause", "offset": [209, 224]}, {"key": "medical-record", "type": "definition", "offset": [234, 248]}, {"key": "emergency-stabilization", "type": "definition", "offset": [310, 333]}, {"key": "emergency-room", "type": "clause", "offset": [357, 371]}, {"key": "ancillary-services", "type": "definition", "offset": [380, 398]}], "snippet": "When the medical screening examination determines that an emergency medical condition exists, HMO must pay for emergency services performed to stabilize the Member. The emergency physician must document these services in the Member's medical record. HMOs must reimburse for both the physician's and hospital's emergency stabilization services including the emergency room and its ancillary services.", "hash": "d9f5e14c262ec1c7b56740a3e1139c31", "id": 2}, {"samples": [{"hash": "g1yJXpqYPki", "uri": "/contracts/g1yJXpqYPki#stabilization-services", "label": "Pre Paid Inpatient Health Plan Program Agreement", "score": 24.1375770021, "published": true}], "size": 5, "snippet_links": [{"key": "services-provided", "type": "definition", "offset": [0, 17]}, {"key": "mental-health-crisis", "type": "definition", "offset": [74, 94]}, {"key": "own-home", "type": "definition", "offset": [128, 136]}, {"key": "the-individual", "type": "clause", "offset": [207, 221]}, {"key": "mental-health-professional", "type": "definition", "offset": [230, 256]}, {"key": "two-weeks", "type": "clause", "offset": [316, 325]}, {"key": "assistance-with", "type": "clause", "offset": [352, 367]}, {"key": "life-skills-training", "type": "clause", "offset": [368, 388]}, {"key": "service-includes", "type": "clause", "offset": [437, 453]}, {"key": "crisis-services", "type": "definition", "offset": [471, 486]}, {"key": "other-individuals", "type": "definition", "offset": [495, 512]}, {"key": "prior-to-an", "type": "clause", "offset": [638, 649]}, {"key": "intake-evaluation", "type": "clause", "offset": [650, 667]}, {"key": "mental-health-services", "type": "clause", "offset": [672, 694]}], "snippet": "Services provided to Medicaid-enrolled individuals who are experiencing a mental health crisis must be provided in the person's own home, or another home-like setting, or a setting which provides safety for the individual and the Mental Health Professional. Stabilization services must include short-term (less than two weeks per episode) face-to-face assistance with life skills training, and understanding of medication effects . This service includes: a) follow up to crisis services; and b) other individuals determined by a Mental Health Professional to need additional stabilization services. Stabilization services may be provided prior to an intake evaluation for mental health services.", "hash": "1c82c85e3c0724c51a6813454e4f321b", "id": 3}, {"samples": [{"hash": "i64KPyNIdGJ", "uri": "/contracts/i64KPyNIdGJ#stabilization-services", "label": "State Mental Health Agreement", "score": 24.2991101985, "published": true}], "size": 2, "snippet_links": [{"key": "services-provided", "type": "definition", "offset": [0, 17]}, {"key": "to-individuals", "type": "clause", "offset": [18, 32]}, {"key": "behavioral-health-crisis", "type": "definition", "offset": [56, 80]}, {"key": "the-individual", "type": "clause", "offset": [119, 133]}, {"key": "own-home", "type": "definition", "offset": [136, 144]}, {"key": "assistance-with", "type": "clause", "offset": [345, 360]}, {"key": "life-skills-training", "type": "clause", "offset": [361, 381]}, {"key": "the-understanding", "type": "clause", "offset": [391, 408]}, {"key": "side-effects", "type": "clause", "offset": [435, 447]}, {"key": "service-includes", "type": "clause", "offset": [454, 470]}, {"key": "crisis-services", "type": "definition", "offset": [488, 503]}, {"key": "other-individuals", "type": "definition", "offset": [512, 529]}, {"key": "prior-to-an", "type": "clause", "offset": [636, 647]}, {"key": "intake-evaluation", "type": "clause", "offset": [648, 665]}, {"key": "behavioral-health-services", "type": "clause", "offset": [670, 696]}, {"key": "room-and-board", "type": "clause", "offset": [732, 746]}], "snippet": "Services provided to Individuals who are experiencing a behavioral health crisis. These services are to be provided in the Individual's own home, or another home-like setting, or a setting which provides safety for the Individual and the MHP/CDP. Stabilization services must include short-term (less than two (2) weeks per episode) face-to-face assistance with life skills training and with the understanding of medication effects and side effects. This service includes: a) follow up to crisis services; and b) other Individuals determined by a MHP/CDP to need additional stabilization services. Stabilization services may be provided prior to an intake evaluation for behavioral health services. This service may include cost for room and board;", "hash": "80714e4b119e6f382eea68aeeb02eebe", "id": 4}, {"samples": [{"hash": "fzsLXsKpDzu", "uri": "/contracts/fzsLXsKpDzu#stabilization-services", "label": "Amendment 14 to the Agreement for Health Services to the Medicaid Star Program (Centene Corp)", "score": 18.0, "published": true}], "size": 2, "snippet_links": [{"key": "medical-screening-examination", "type": "definition", "offset": [9, 38]}, {"key": "emergency-medical-condition", "type": "clause", "offset": [58, 85]}, {"key": "pay-for", "type": "clause", "offset": [138, 145]}, {"key": "services-performed", "type": "clause", "offset": [156, 174]}, {"key": "to-stabilize", "type": "definition", "offset": [175, 187]}, {"key": "the-member", "type": "clause", "offset": [188, 198]}, {"key": "emergency-physician", "type": "definition", "offset": [204, 223]}, {"key": "services-in-the", "type": "clause", "offset": [244, 259]}, {"key": "medical-record", "type": "definition", "offset": [269, 283]}, {"key": "emergency-stabilization", "type": "definition", "offset": [345, 368]}, {"key": "emergency-room", "type": "clause", "offset": [392, 406]}, {"key": "ancillary-services", "type": "definition", "offset": [415, 433]}], "snippet": "When the medical screening examination determines that an emergency medical condition exists, HHSC Contract 529-03-042-N 6 of 27 HMO must pay for emergency services performed to stabilize the Member. The emergency physician must document these services in the Member's medical record. HMOs must reimburse for both the physician's and hospital's emergency stabilization services including the emergency room and its ancillary services.", "hash": "c3c62c026aaf3d4703bb2b3942de5c02", "id": 6}, {"samples": [{"hash": "mjtGY5G10Y", "uri": "/contracts/mjtGY5G10Y#stabilization-services", "label": "No Surprises Act Consumer Advocate Toolkit Glossary", "score": 21.6228610541, "published": true}], "size": 1, "snippet_links": [{"key": "purposes-of-the", "type": "clause", "offset": [8, 23]}, {"key": "no-surprises-act", "type": "definition", "offset": [24, 40]}, {"key": "services-provided-by", "type": "clause", "offset": [74, 94]}, {"key": "network-provider", "type": "clause", "offset": [105, 121]}, {"key": "emergency-facility", "type": "definition", "offset": [125, 143]}, {"key": "emergency-medical-condition", "type": "clause", "offset": [163, 190]}, {"key": "inpatient-stay", "type": "definition", "offset": [299, 313]}, {"key": "emergency-services", "type": "definition", "offset": [365, 383]}, {"key": "certain-conditions", "type": "clause", "offset": [418, 436]}, {"key": "the-provisions", "type": "clause", "offset": [460, 474]}, {"key": "related-to", "type": "clause", "offset": [475, 485]}, {"key": "to-waive", "type": "clause", "offset": [505, 513]}, {"key": "balance-billing", "type": "definition", "offset": [514, 529]}, {"key": "the-consumer", "type": "definition", "offset": [564, 576]}, {"key": "health-insurance", "type": "clause", "offset": [592, 608]}, {"key": "in-addition-to", "type": "clause", "offset": [622, 636]}, {"key": "to-pay", "type": "clause", "offset": [677, 683]}, {"key": "other-costs", "type": "clause", "offset": [684, 695]}, {"key": "health-plan", "type": "definition", "offset": [804, 815]}, {"key": "premium-tax-credit", "type": "clause", "offset": [862, 880]}, {"key": "an-individual", "type": "clause", "offset": [895, 908]}, {"key": "health-care-services", "type": "definition", "offset": [935, 955]}, {"key": "examples-of", "type": "clause", "offset": [957, 968]}, {"key": "physician-assistant", "type": "definition", "offset": [1019, 1038]}, {"key": "skilled-nursing-facility", "type": "clause", "offset": [1067, 1091]}, {"key": "rehabilitation-center", "type": "definition", "offset": [1097, 1118]}, {"key": "the-provider", "type": "clause", "offset": [1146, 1158]}, {"key": "state-law", "type": "clause", "offset": [1215, 1224]}, {"key": "qualifying-payment-amount", "type": "definition", "offset": [1228, 1253]}, {"key": "based-on", "type": "clause", "offset": [1290, 1298]}, {"key": "contracted-rate", "type": "clause", "offset": [1308, 1323]}, {"key": "item-or-service", "type": "definition", "offset": [1331, 1346]}, {"key": "same-or-similar-specialty", "type": "definition", "offset": [1399, 1424]}, {"key": "geographic-area", "type": "definition", "offset": [1434, 1449]}], "snippet": "For the purposes of the No Surprises Act, post-stabilization services are services provided by an out-of-network provider or emergency facility after a consumer\u2019s emergency medical condition is stabilized. These services must be provided as part of outpatient observation, an outpatient stay, or an inpatient stay. Post- stabilization services are considered to be emergency services under the No Surprises Act unless certain conditions are met, in which case the provisions related to notice and consent to waive balance billing may apply. \u2022 Premium \u2013 The amount the consumer pays for their health insurance every month. In addition to their premium, the consumer usually has to pay other costs for their health care, including a deductible, copayments, and coinsurance. If a consumer has a Marketplace health plan, they may be able to lower their costs with a premium tax credit. \u2022 Provider \u2013 An individual or facility that provides health care services. Examples of a provider include a doctor, nurse, chiropractor, physician assistant, hospital, surgical center, skilled nursing facility, and rehabilitation center. A health plan may require the provider to be licensed, certified, or accredited as required by state law. \u2022 Qualifying Payment Amount (QPA) \u2013 An amount that is generally based on a median contracted rate for an item or service that a health plan pays to providers who are in the same or similar specialty within a geographic area.", "hash": "2729c99d8f03e06b6c5842274eb6892a", "id": 7}, {"samples": [{"hash": "7eGAhmRjX0T", "uri": "/contracts/7eGAhmRjX0T#stabilization-services", "label": "Washington Apple Health Expansion Care Contract", "score": 27.2224503765, "published": true}], "size": 1, "snippet_links": [{"key": "crisis-stabilization", "type": "definition", "offset": [46, 66]}, {"key": "services-provided", "type": "definition", "offset": [75, 92]}, {"key": "to-individuals", "type": "clause", "offset": [93, 107]}, {"key": "behavioral-health-crisis", "type": "definition", "offset": [131, 155]}, {"key": "service-includes", "type": "clause", "offset": [162, 178]}, {"key": "crisis-intervention", "type": "definition", "offset": [197, 216]}, {"key": "own-home", "type": "definition", "offset": [268, 276]}, {"key": "the-individual", "type": "clause", "offset": [346, 360]}, {"key": "behavioral-health-professional", "type": "definition", "offset": [369, 399]}, {"key": "assistance-with", "type": "clause", "offset": [447, 462]}, {"key": "life-skills-training", "type": "clause", "offset": [463, 483]}, {"key": "services-to-the", "type": "clause", "offset": [555, 570]}, {"key": "community-supports", "type": "clause", "offset": [594, 612]}, {"key": "for-the-benefit-of", "type": "definition", "offset": [665, 683]}, {"key": "prior-to-an", "type": "clause", "offset": [776, 787]}, {"key": "intake-evaluation", "type": "clause", "offset": [788, 805]}, {"key": "behavioral-health-services", "type": "clause", "offset": [810, 836]}, {"key": "a-team", "type": "definition", "offset": [880, 886]}, {"key": "under-the-supervision-of", "type": "definition", "offset": [931, 955]}], "snippet": "\u201cStabilization Services\u201d (also referred to as Crisis Stabilization), means services provided to individuals who are experiencing a Behavioral Health crisis. This service includes follow-up after a crisis intervention. These services are to be provided in the person's own home, or another home-like setting, or a setting that provides safety for the individual and the Behavioral Health Professional. Stabilization Services may include short-term assistance with life skills training and understanding of medication effects. It may also include providing services to the Enrollee\u2019s natural and community supports, as determined by a Behavioral Health Professional, for the benefit of supporting the Enrollee that experienced the crisis. Stabilization services may be provided prior to an intake evaluation for Behavioral Health services. Stabilization services may be provided by a team of professionals, as deemed appropriate and under the supervision of a Behavioral Health Professional.", "hash": "58d828278f5a105c5bc4ed89e8bac96f", "id": 8}, {"samples": [{"hash": "8QXvIKzDS9T", "uri": "/contracts/8QXvIKzDS9T#stabilization-services", "label": "Contract Amendment (Wellcare Health Plans, Inc.)", "score": 21.0, "published": true}], "size": 1, "snippet_links": [{"key": "covered-services", "type": "definition", "offset": [0, 16]}, {"key": "related-to", "type": "clause", "offset": [17, 27]}, {"key": "emergency-medical-condition", "type": "clause", "offset": [31, 58]}, {"key": "to-maintain", "type": "clause", "offset": [115, 126]}, {"key": "stabilized-condition", "type": "definition", "offset": [131, 151]}, {"key": "the-member", "type": "clause", "offset": [234, 244]}, {"key": "part-h", "type": "definition", "offset": [259, 265]}, {"key": "medicaid-recipient", "type": "clause", "offset": [297, 315]}, {"key": "subject-to", "type": "definition", "offset": [323, 333]}, {"key": "managed-care-organization", "type": "definition", "offset": [350, 375]}, {"key": "a-member-of", "type": "clause", "offset": [391, 402]}, {"key": "licensed-health-care-professional", "type": "definition", "offset": [421, 454]}, {"key": "responsible-for", "type": "clause", "offset": [455, 470]}, {"key": "directly-supervising", "type": "definition", "offset": [485, 505]}, {"key": "services-of-members", "type": "clause", "offset": [523, 542]}], "snippet": "Covered services related to an emergency medical condition that are provided after a Member is stabilized in order to maintain the stabilized condition, or under the circumstances described in 42 CFR 422.114(3), to improve or resolve the Member's condition. (Part H, 3.01-3.35) 07 HUSKY A 05/07 A Medicaid recipient who is subject to enrollment in a managed care organization but is not yet a Member of a specific MCO. A licensed health care professional responsible for performing or directly supervising the primary care services of Members.", "hash": "e4e15a95b44b06e03021e2dc02bdd81c", "id": 9}, {"samples": [{"hash": "6TLFgACP0D5", "uri": "/contracts/6TLFgACP0D5#stabilization-services", "label": "2000 Contract for Services (Amerigroup Corp)", "score": 18.0, "published": true}], "size": 1, "snippet_links": [{"key": "medical-screening-examination", "type": "definition", "offset": [9, 38]}, {"key": "emergency-medical-condition", "type": "clause", "offset": [58, 85]}], "snippet": "When the medical screening examination determines that an emergency medical condition exists, HHSC Contract 529-03-037-H", "hash": "62b1cb45d52bb3fd054c0ba8c39e84bf", "id": 10}], "next_curs": "Cl8SWWoVc35sYXdpbnNpZGVyY29udHJhY3RzcjsLEhZDbGF1c2VTbmlwcGV0R3JvdXBfdjU2Ih9zdGFiaWxpemF0aW9uLXNlcnZpY2VzIzAwMDAwMDBhDKIBAmVuGAAgAA==", "clause": {"size": 32, "children": [], "parents": [["emergency-services", "EMERGENCY SERVICES"], ["amendment-to-the-obligations-of-the-parties", "Amendment to the Obligations of the Parties"], ["scope-of-services", "SCOPE OF SERVICES"], ["crisis-mental-health-services", "Crisis Mental Health Services"], ["special-terms-and-conditions", "Special Terms and Conditions"]], "title": "Stabilization Services", "id": "stabilization-services", "related": [["acquisition-services", "Acquisition Services", "Acquisition Services"], ["education-services", "Education services", "Education services"], ["transportation-services", "Transportation Services", "Transportation Services"], ["implementation-services", "Implementation Services", "Implementation Services"], ["observation-services", "Observation Services", "Observation Services"]], "related_snippets": [], "updated": "2025-07-07T12:37:39+00:00", "also_ask": ["What are the essential deliverables and performance standards for stabilization services?", "How can the clause be drafted to allocate risk for delays or failures in stabilization?", "What negotiation levers exist regarding scope, duration, and termination of stabilization services?", "How do stabilization service obligations compare to industry norms and legal precedents?", "What are the most common enforceability challenges for stabilization service clauses in court?"], "drafting_tip": "Specify the exact stabilization services provided to prevent scope disputes; set clear performance standards to ensure measurable outcomes; define timelines to facilitate accountability.", "explanation": "The Stabilization Services clause defines the obligations and scope of services provided to ensure that a system, process, or project operates smoothly after initial implementation or deployment. Typically, this clause outlines the duration, specific tasks, and support levels the service provider must deliver to address any issues, bugs, or performance concerns that arise during the stabilization period. By clearly delineating these responsibilities, the clause helps ensure a seamless transition to steady-state operations and minimizes disruptions, thereby protecting both parties from misunderstandings about post-implementation support."}, "json": true, "cursor": ""}}