Common use of Subsection 5 Clause in Contracts

Subsection 5. 20.1.1.1 is deleted in its entirety and replaced with the following: 5.20.1.1.1 Contractor shall not impose any requirements for prior authorization of Emergency Services, including emergency medical screening, or restrict coverage of Emergency Services on the basis of lists of diagnoses or symptoms.

Appears in 3 contracts

Sources: Contract for Furnishing Health Services by a Managed Care Organization, Contract for Furnishing Health Services by a Managed Care Organization, Contract for Furnishing Health Services by a Managed Care Organization