Referral means the approval that members must obtain from their PCP prior to seeking covered healthcare services from other network providers. REHABILITATIVE SERVICES (REHABILITATIVE) means healthcare services that help a person keep, get back, or improve skills and functioning for daily living that have been lost or impaired due to being sick, hurt, or disabled. These services may include physical and occupational therapy, speech-language pathology, and psychiatric rehabilitation services in a variety of inpatient and/or outpatient settings. These acute short-term therapies can only be provided by a qualified professional.
Professional Client means a client meeting the criteria laid down in Annex II;
Outreach means the Outreach to potential Clients to link them to appropriate Mental Health 27 Services and may include activities that involve educating the community about the services offered and 28 requirements for participation in the programs. Such activities should result in the CONTRACTOR 29 developing their own Client referral sources for the programs they offer.
Third Party Vendor means a subscriber of MIAX PEARL’s market and other data feeds, which they in turn use for redistribution purposes.
Utilization review organization means an entity that conducts utilization review, other than a health carrier performing a review for its own health benefit plans.