MSN Enrollee definition
Examples of MSN Enrollee in a sentence
For emergency department visits, CONTRACTOR shall collect a three hundred dollar 27 ($300) co-payment from MSN Enrollees; provided, however, if the MSN Enrollee is admitted directly 28 from the Emergency Room to CONTRACTOR’s facility or lower level of care, including Recuperative 29 Care, the co-payment for the emergency department visit shall be waived.
If CONTRACTOR has an MSN Enrollee, who is Medically Stable as defined under 33 EMTALA, that requires Special Permit Medical Services, CONTRACTOR shall contact the CCU to 34 request the transfer of said MSN Enrollee to, at the discretion of ADMINISTRATOR, a Contracting 35 Hospital or other facility capable of providing said services.
If an MSN Enrollee requires acute psychiatric care, ADMINISTRATOR will make every 15 reasonable best effort to facilitate the transfer of the MSN Enrollee to a hospital or health care facility 16 that is operated by or has contracted with COUNTY to provide such acute psychiatric treatment.
ADMINISTRATOR may negotiate, as reimbursement for accepting a Medically Stable 2 MSN Enrollee, as defined under EMTALA, Special Permit Transfer, rates appropriate for securing care, 3 as mutually agreed upon, in writing, between the other facility and ADMINISTRATOR.
For emergency department visits CONTRACTOR shall collect a three hundred dollar 36 ($300) co-payment from MSN Enrollees; provided, however, if the MSN Enrollee is admitted directly 37 // 1 from the Emergency Room to CONTRACTOR’s facility or lower level of care, including Recuperative 2 Care, the co-payment for the emergency department visit shall be waived.
ADMINISTRATOR may negotiate, as reimbursement for accepting a Medically Stable 4 MSN Enrollee, as defined under EMTALA, Special Permit Transfer, rates appropriate for securing care, 5 as mutually agreed upon, in writing, between the other facility and ADMINISTRATOR.
CONTRACTOR shall review all claims to determine whether the services for which 3 reimbursement is sought are Medical Services, reimbursable pursuant to the Agreement, and whether 4 such services were rendered to an MSN Enrollee.
Any Hospital that does not become a Contracting ED Hospital or Contracting Hospital and 14 elects to provide any Hospital Services to any MSN Enrollee shall be reimbursed by COUNTY at the 15 Non-Contract Hospital rates.
If a MSN Enrollee requires acute psychiatric care, ADMINISTRATOR will make every reasonable 30 best effort to facilitate the transfer of the MSN Enrollee to a hospital or health care facility that is operated 31 by or has contracted with COUNTY to provide such acute psychiatric treatment.
For emergency department visits CONTRACTOR shall collect a three hundred dollar 36 ($300) co-payment from MSN Enrollees; provided, however, if the MSN Enrollee is admitted directly 37 from the Emergency Room to CONTRACTOR’s facility or lower level of care, including Recuperative 1 Care, the co-payment for the emergency department visit shall be waived.