Clinically appropriate definition
Clinically appropriate means having at least one HRSN Clinical Risk Factor and at least one HRSN Social Risk Factor, each of which must be applicable to the HRSN Service for which the Member is authorized. For example, to determine if a Member ishould be authorized to receive Climate-Related Supports, the member must, in addition to belonging to an HRSN Covered Population, have at least one HRSN Climate Device Clinical Risk Factor and one HRSN Climate Device Social Risk Factor. HRSN Services are not Clinically Appropriate if they are solely for the convenience or preference of the Member.¶
Clinically appropriate means clinically accepted standards of medical practice and delivery methods that are considered effective in providing health care services to patients, including for purposes of evaluation, diagnosis, consultation, or treatment.
Clinically appropriate means care that is delivered in the appropriate medical setting.
Examples of Clinically appropriate in a sentence
Clinically appropriate telemedicine services may be obtained from a network provider, and from our designated telemedicine service provider.
Clinically appropriate telemedicine services may be obtained from a network or non- network provider, and from our designated telemedicine service provider.
Clinically appropriate and covered SMHS can also be provided when the client has a co-occurring mental health condition and substance use disorder.
Clinically appropriate and covered SMHS can also be provided when the member has a co-occurring mental health condition and substance use disorder.
Clinically appropriate and covered DMC-ODS services provided to clients over the age of 21 are reimbursable during the assessment process.
More Definitions of Clinically appropriate
Clinically appropriate means care that is (A) provided in a timely manner and meets professionally recognized standards of acceptable medical care; (B) delivered in the appropriate medical setting; and (C) the least costly of multiple, equally effective alternative treatments or diagnostic modalities.
Clinically appropriate means clinically appropriate and necessary to meet the health needs of the Member according to a reasonable body of medical opinion.
Clinically appropriate has the meaning provided for in OAR 410-120-0000.
Clinically appropriate means care that is (A) provided in a timely manner and meets professionally recognized standards of
Clinically appropriate means Appointed Services with Good clinical Practice and where the Provider has the appropriate equipment & facilities and suitably trained & qualified staff
Clinically appropriate means having at least one HRSN Clinical Risk Factor and at least one HRSN Social Risk Factor. Clinically Appropriate includes not being solely for the convenience or preference of the Member or a provider of the service item or medical supply.¶