Limitation extension definition

Limitation extension means a process for request- ing and approving covered services and reimbursement that exceeds a coverage limitation (quantity, frequency, or dura- tion) set in WAC, billing instructions, or numbered memo- randa. Limitation extensions require prior authorization)) - A client-specific authorization by the department for additional covered services beyond the set amount allowed under department rules. See WAC 388-501-0169.(("Nonreusable supplies" are disposable supplies, which are used once and discarded.))
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Limitation extension means a process for request- ing and approving reimbursement for covered services whose proposed quantity, frequency, or intensity exceeds that which the department routinely reimburses. Limitation extensions require prior authorization)) see WAC 182-501-0169.
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Limitation extension means a process for requesting and approving reimbursement for covered services whose proposed quantity, frequency, or intensity exceeds that which the department routinely reimburses. Limitation extensions require prior authorization.
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Examples of Limitation extension in a sentence

  • WSR 12-14-022, § 182-552-1325,filed 6/25/12, effective 8/1/12.] WAC 182-552-1350 Limitation extension (LE).

  • Billed according to this chapter, chapters 388-501 and182-543-6000skilled nursing facilities.DME and related supplies, medical supplies and related services—Noncovered.388-502 WAC, and the department's published billing instructions and numbered memorandum; and182-543-7000 Authorization.182-543-7100 Prior authorization.182-543-7200 Limitation extension (LE).182-543-7300 Expedited prior authorization (EPA).

  • The UM designee may review the medical necessity of a request for a Limitation extension as a Level 1 review.

  • Limitation extension requests to exceed the number of allowed MSS units of service may be authorized according to WAC 388-501-0169.[11-14-075, recodified as § 182-533-0345, filed 6/30/11, effective 7/1/11.

  • Limitation extension requests to exceed the number of allowed ICM units of service may be authorized according to WAC 388-501-0169.[11-14-075, recodified as § 182-533-0386, filed 6/30/11, effective 7/1/11.

  • WSR 11-14- 052, § 388-543-7100, filed 6/29/11, effective 8/1/11.] WAC 182-543-7200 Limitation extension (LE).

  • The UM designee may review the medical necessity of a request for a Limitation extension as aDEPARTMENT:Medical ManagementDOCUMENT NAME:Medical Necessity Review (TruCare)PAGE: 6 of 9REPLACES: CC.UM.02.01APPROVED DATE: 8/01/2011RETIRED:EFFECTIVE DATE: 7/1/2012REVIEWED/REVISED: 8/12; 07/13; 5/14; 1/15; 10/15; 1/16; 3/16; 7/16; 9/16; 4/17; 6/17; 7/17,3/18, 4/18,10/18,1/19, 3/19,5/19, 6/19,8/19, 2/20, 1/21PRODUCT TYPE: AllREFERENCE NUMBER: WA.UM.02.01 Level 1 review.

  • The environment of the home is regularly checked by the maintenance officer and occupational health and safety representatives to identify any areas that may require attention, or for the identification of any potential hazards.

  • The set-up of the present NIP allows for more coherent linkages between focal areas, where transport sector activities can benefit from complementary measures for improved accountability and compliance supported from the governance sector.

Related to Limitation extension

  • Extension limitation means (a) the lesser of 5% or the

  • Minimum Extension Condition has the meaning assigned to such term in Section 2.23(b).

  • Second Extension Period means a period of twelve (12) consecutive months following the First Extended Maturity Date.

  • Resolution Extension Period As defined in Section 2.03(b).

  • Non-Extension Drawing has the meaning specified in Section 3.5(d).

  • Line Extension means the provision of facilities (including, but not limited to, poles, fixtures, wires, and appurtenances) necessary for delivering electrical energy from the point of origin to one or more of the customer's points of delivery. Facilities provided by the Company to maintain, protect, upgrade, or improve its overall distribution system (even if necessary due to a customer's load addition) are not considered part of a line extension.

  • Corrective Extension Amendment has the meaning specified in Section 2.16(6).

  • Non-Extension Notice Date has the meaning specified in Section 2.03(b)(iii).

  • Non-Extension Advance means an Advance made pursuant to Section 2.02(b).

  • Non-Extension Notice has the meaning specified in Section 2.10.

  • Service Extension shall have the meaning set forth in Section 7.1(c).

  • Debt service extension base means an amount equal to that

  • Contract Term Extension means an extension of the term of this contract, at the request of Purchaser, under this Subsection. This Subsection does not obligate Contracting Officer to grant Contract Term Extension. When such extension is made, Forest Service shall make an appraisal using standard Forest Service methods and appraisal data in effect 45 days prior to the original Termination Date. Bid Premium Rates shall be added to such appraised rates to establish Flat Rates or Tentative Rates for the extension period. In event rates so established would develop Current Contract Value immediately prior to such an extension that is less than Current Contract Value at that time, Flat Rates and Tentative Rates in effect immediately prior to extension shall be retained for the extension period. In consideration for granting an extension, Purchaser shall pay the Government for Purchaser’s failure to cut and remove timber meeting Utilization Standards prior to Contract Term Extension, an amount that shall be the total of the costs to the Government resulting from the delay in harvest of Included Timber. Such costs will be determined by Forest Service and shall include, but not be limited to, the following:

  • Grace Period Extension Date means, if:

  • Extension Effective Date has the meaning specified in Section 2.06(c).

  • Initial Extension of Credit means the earlier to occur of the initial Borrowing and the initial issuance of a Letter of Credit hereunder.

  • Non-Extended Facility has the meaning assigned to such term in Section 3.6(d).

  • Extension Term means the time period defined in §2.C.

  • Non-Extending Bank has the meaning set forth in Section 2.09(a) hereof.

  • Extended Term Loan shall have the meaning assigned to such term in Section 2.21(e).

  • First Extension Period means a period of twelve (12) consecutive months following the Initial Maturity Date.

  • Aggregate extension base means the taxing district's

  • Notice of Conversion/Extension means the written notice of conversion of a LIBOR Rate Loan to an Alternate Base Rate Loan or an Alternate Base Rate Loan to a LIBOR Rate Loan, or extension of a LIBOR Rate Loan, in each case substantially in the form of Exhibit 1.1(f).

  • Extension Period has the meaning set forth in Section 2.11.

  • Extension Deadline means, with respect to a letter of credit, the Cutoff Time on the Business Day preceding the day on which the letter of credit expires.