Noncovered services definition

Noncovered services means services covered under Medicaid which are not included in the HMO’s contract with the department. Payment for these services will be made under regular Medicaid procedures.
Noncovered services means a specific healthcare service(s) or item(s) the department has determined it will not cover or pay for any client under any medical assistance pro-
Noncovered services means a specific healthcare service(s) or item(s) the department has determined it will not cover or pay for any client under any medical assistance program. Noncovered services are identified inWAC 388-501-0070 and in specific healthcare program rules.

Examples of Noncovered services in a sentence

Non-covered services are non-covered regardless of medical necessity.

Non-covered services include services specifically excluded from coverage by the terms of your plan and services received after benefits have been exhausted.

Noncovered services include, but are not limited to, the following services:a.

Non-covered services, copayments and coinsurance do not apply towards the Plan Year Deductible.

Noncovered services include, but are not limited to: on-going or life-long exercise and education programs intended to maintain fitness, including voice fitness, or to reinforce lifestyle changes including but not limited to lifestyle changes affecting the voice.

Non-covered services also include: drugs used to correct sexual dysfunction and compound drugs (compound prescriptions must include at least one medication that on its own would be a covered entity).

Non-covered services, including medical items and services in excess of benefit limits, are never to be paid for by TennCare, even if they otherwise would qualify as “medically necessary,” regardless of the medical circumstances involved, unless an MCC, in its discretion, provides a cost effective alternative service.

Copay’s, deductibles and Non-covered services are to be paid at the time of service.

Both services specifically excluded by the terms of your policy/plan and those received after benefits have been exhausted are Non-covered services.

Non-covered services and charges in excess of UCR charges do not apply towards the Out-of- Pocket Maximum.


More Definitions of Noncovered services

Noncovered services means services covered under medical assistance Medicaid which are not included in the HMO’s contract with the department. Payment for these services will be made under ordinary medical assistance regular Medicaid procedures.
Noncovered services means services that are not covered by
Noncovered services means services that are not covered by a vision
Noncovered services means those services not covered under the scope and content of the medical assistance program.

Related to Noncovered services

Covered Services means all or a part of those medical and health services set forth in rule 441—86.14(514I).
Covered Service additionally means a service or supply furnished by a Hospital, Physician or other Provider for which benefits are provided under at least one contract covering the person for whom claim is made or service provided.
Finished Services means complete end-to-end services offered by CenturyLink to wholesale customers or retail End User Customers. Finished Services do not include Unbundled Network Elements or combinations of Unbundled Network Elements. Finished Services include Access Services, private lines, retail services, and resold services.
Shared Services means those shared services provided to EFH Corp. and its direct and indirect subsidiaries, including by or through EFH Corporate Services and/or pursuant to any service-level agreement or shared services agreements.
Planned Service Interruption means a Service Interruption that has been scheduled to occur in accordance with schedule 5;
Shared Service means any service, other than a Utility Service or a For Profit Affiliate Service, provided on a Cost Recovery Basis by a Utility to an Affiliate or by an Affiliate to a Utility.
Covered service member means a member of the Armed Forces, including a member of the National Guard or Reserves, who is undergoing medical treatment, recuperation, or therapy, is otherwise in outpatient status, or is otherwise on the temporary disability retired list, for a serious injury or illness.
Generation Service means the sale of electricity, including ancillary services such as the provision of reserves, to a Customer by a Competitive Supplier.
Managed Services means all or part of those medical services set forth in 441—Chapter 78 and covered in the contract between the department and a PHP.
Hosting Services means: (i) Rackspace’s provision for your use of the Hosted System described in the Services Description, and (ii) Support.
Specialized services means those services requiring the skills of trades including, but not limited to electrical, mechanical, drywall, painting, HVAC, roofing, plumbing, electronics, and insulation;
Enhanced Services means any service offered over Common Carrier transmission facilities that employ computer processing applications that act on the format, content, code, protocol or similar aspects of a subscriber's transmitted information; that provide the subscriber with additional, different or restructured information; or involve End User Customer interaction with stored information.
Health-related services means services that may have an effect on the health of individuals but are not health services or social care services;
Preventive services means preservation services, as defined in chapter 74.14C RCW, and other reasonably available services, including housing assistance, capable of preventing the need for out-of-home placement while protecting the child.
Hosted Services means the hosting, management and operation of the computing hardware, ancillary equipment, Software, firmware, data, other services (including support services), and related resources for remote electronic access and use by the State and its Authorized Users, including any services and facilities related to disaster recovery obligations.
Program services means services that include all of the following provided they are pursuant to a program agreement: program needs assessment and development, job task analysis, curriculum development and revision, instruction, instructional materials and supplies, computer software and upgrades, instructional support, administrative and student services, related school to career training programs, skill or career interest assessment services and testing and contracted services.
The Services means those services ancillary to the supply of the Goods, such as transportation and insurance, and any other incidental services, such as installation, commissioning, provision of technical assistance, training, and other such obligations of the Supplier covered under the Contract.
Related Services means the services incidental to the supply of the goods, such as transportation, insurance, installation, training and initial maintenance and other such obligations of the Supplier under the Contract.
Transportation Services means those activities designed to assist a person to travel from one place to another to obtain services or carry out life’s activities.
Mental health services provider means an individual, licensed or unlicensed, who performs or purports to perform mental health services, including a:
Distribution Services means those services described in clause 2.1 provided by the Distributor to the Retailer under this agreement but excludes Additional Services;
Disaster Recovery Services means the disaster recovery and/or business continuity services (as the context may require) to be provided by the Contractor pursuant to this Schedule 8 (Business Continuity and Disaster Recovery).
Outpatient means an individual examined and evaluated by a prescriber who determined the individual’s need for the administration of a drug or device, which individual presents to the hospital outpatient setting with a prescription or order for administration of a drug or device. “Outpatient” does not include an emergency department patient.
Company Services means any services (including but not limited to technical and product support, technical advice, underwriting and customer services) supplied by the Company or its Affiliates in the specialty property and/or casualty insurance business.
Remediation Services means the additional services required to be provided hereunder by BNYM or the Custodian in connection with a Fund Error in order to correct, remediate, adjust, reprocess, repeat, reverse or otherwise modify conduct previously taken in accordance with the Agreement to achieve the outcome originally intended by the previous conduct.
Outpatient services means behavioral health treatment services provided to an individual in a nonresidential setting. A residential treatment facility (RTF) may become certified to provide outpatient services.