Examples of OHC plan in a sentence
Nevada Medicaid will deny payment for OHC services if the recipient elects to seek treatment from a provider not participating in the OHC plan.
If the provider does not participate in a recipient’s OHC plan, the provider must refer the recipient to the OHC.
If the Medicaid recipient is informed by a provider not authorized by the OHC that both the OHC and Medicaid may deny payment for the services, and the recipient then voluntarily elects to receive services from a provider who does not participate in the recipient’s OHC plan, the recipient assumes the responsibility to pay for the services personally.
If the Medicaid recipient is informed by a provider not authorized by the OHC that both the OHC and Medicaid may deny payment for the services, and the recipient then voluntarily elects to receive Medicaid covered services from a provider who does not participate in the recipient’s OHC plan, the recipient assumes the responsibility to pay for the services personally.
However, if the provider does not participate in the recipient’s Other Health Care (OHC) plan, the provider should refer the recipient to the OHC plan.
Nevada Medicaid may deny payment for the OHC plan covered services if the recipient elects to seek treatment from a provider not authorized by the OHC plan.
If the Medicaid recipient voluntarily elects to receive Medicaid covered services from a provider who does not participate in the recipient’s OHC plan, the recipient assumes the responsibility to pay for the services the same as a private pay only patient.
CCS, Medi-Cal, and Private Insurance Children who have CCS, Medi-Cal, and private insurance/OHC will always be required to seek authorization from the OHC plan first because Medi-Cal and CCS are payers of last resort.However, for CCS to cover any of the bill, the DME must be for the CCS eligible condition and the child must see a CCS-paneled provider.
Note: OHC plan under Special Action Committee on Okinawa (SACO) was reevaluated and based on the post-Defense Posture Review Initiatives (DPRI) family housing requirement on Okinawa, approximately 910 family housing units, including the replacement of units to be demolished at the construction areas, will be constructed in addition to the 56 units which have already been agreed to.
Under the bill, the OHC plan nolonger functions as a standard for plan coverage for any open enrollment plans or small employer benefit plans.