Common use of Sufficient Services Clause in Contracts

Sufficient Services. Services must be sufficient in amount, duration, or scope to reasonably be expected to achieve the purpose for which the services are furnished. The MCO’s benefit package services that are Medicaid state plan services as defined in Addendum VIII, Section B for Family Care (page 325) and Section C for Partnership and PACE (page 326) must be no more restrictive than the Medicaid fee-for-service coverage. The MCO is responsible for covering services related to the following: a. The prevention, diagnosis, and treatment of health impairments; b. The ability to achieve age-appropriate growth and development; c. The ability to attain, maintain, or regain functional capacity.

Sufficient Services. Services must be sufficient in amount, duration, or scope to reasonably be expected to achieve the purpose for which the services are furnished. The MCO’s benefit package services that are Medicaid state plan services as defined in Addendum VIIIXII, Section B for Family Care (page 325266) and Section C for Partnership and PACE (page 326267) must be no more restrictive than the Medicaid fee-for-service coverage. The MCO is responsible for covering services related to the following: a. The prevention, diagnosis, and treatment of health impairments; b. The ability to achieve age-appropriate growth and development; c. The ability to attain, maintain, or regain functional capacity.

Sufficient Services. Services must be sufficient in amount, duration, or scope to reasonably be expected to achieve the purpose for which the services are furnished. The MCO’s benefit package services that are Medicaid state plan services as defined in Addendum VIIIX, Section B for Family Care (page 325311) and Section C for Partnership and PACE (page 326312) must be no more restrictive than the Medicaid fee-for-service coverage. The MCO is responsible for covering services related to the following: a. The prevention, diagnosis, and treatment of health impairments; b. The ability to achieve age-appropriate growth and development; c. The ability to attain, maintain, or regain functional capacity.

Sufficient Services. Services must be sufficient in amount, duration, or scope to reasonably be expected to achieve the purpose for which the services are furnished. The MCO’s benefit package services that are Medicaid state plan services as defined in Addendum VIIIIX, Section B for Family Care (page 325310) and Section C for Partnership and PACE (page 326311) must be no more restrictive than the Medicaid fee-for-service coverage. The MCO is responsible for covering services related to the following: a. The prevention, diagnosis, and treatment of health impairments; b. The ability to achieve age-appropriate growth and development; c. The ability to attain, maintain, or regain functional capacity.

Sufficient Services. Services must be sufficient in amount, duration, or scope to reasonably be expected to achieve the purpose for which the services are furnished. The MCO’s benefit package services that are Medicaid state plan services as defined in Addendum VIIIXII, Section B for Family Care (page 325285) and Section C for Partnership and PACE (page 326286) must be no more restrictive than the Medicaid fee-for-service coverage. The MCO is responsible for covering services related to the following: a. The prevention, diagnosis, and treatment of health impairments; b. The ability to achieve age-appropriate growth and development; c. The ability to attain, maintain, or regain functional capacity.

Sufficient Services. Services must be sufficient in amount, duration, or scope to reasonably be expected to achieve the purpose for which the services are furnished. The MCO’s benefit package services that are Medicaid state plan services as defined in Addendum VIIIXII, Section B for Family Care (page 325286) and Section C for Partnership and PACE (page 326287) must be no more restrictive than the Medicaid fee-for-service coverage. The MCO is responsible for covering services related to the following: a. The prevention, diagnosis, and treatment of health impairments; b. The ability to achieve age-appropriate growth and development; c. The ability to attain, maintain, or regain functional capacity.