Sensitive Services definition
Examples of Sensitive Services in a sentence
Prior authorization is not required for initial referrals to Physicians practicing a medical specialty as defined by the American Board of Medical Specialties, Emergency Services, and Family Planning Services or for access to Sensitive Services and basic prenatal care.
If a County Associate supplies Sensitive Services, including Family Planning Services, County shall comply with State confidentiality laws, regulations and other requirements relating to Members’ Family Planning information and records and County’s Associate acknowledges that he or she is solely responsible for developing and implementing policies and procedures to ensure compliance with such confidentiality requirements.
However, prior authorization is never required for Emergency, Preventive, or Sensitive Services.
Specific adjustment to the responsibilities of BPA and Exult in any Process area affected by Sensitive Third Party Agreements and/or Sensitive Services will be made prior to the Process Take On Date to address the legal and operational risks associated with the provision of Services by Exult, BPA and the third parties associated with the above, for the period of time these remain sensitive.
Except for Emergency Services and Urgent Care received outside our service area, Preventive, and Sensitive Services, all care requires authorization in advance by the appropriate member of the Interdisciplinary Team.