Examples of Supplemental health services in a sentence
Supplemental health services means the health services described in§ 417.102(a).Unusual or infrequently used health services means:(1) Those health services that are projected to involve fewer than 1 per- cent of the encounters per year for the entire HMO enrollment, or,(2) Those health services the provi- sion of which, given the enrollment projection of the HMO and generally accepted staffing patterns, is projected will require less than 0.25 full time equivalent health professionals.[45 FR 72528, Oct.
Subpart B—Qualified Health Maintenance Organizations: Services417.101 Health benefits plan: Basic health services.417.102 Health benefits plan: Supplemental health services.
Supplemental health services payments that are fixed on a prepay- ment basis, however, must be fixed under a community rating system, un- less the supplemental health services payment is for a supplemental health service provided an enrollee who is a full-time student at an accredited in- stitution of higher education.
Supplemental health services pay- ments may be made in any agreed upon manner, such as prepayment or fee-for- service.
Supplemental health services must be provided or arranged for by the HMO and need not be provided by providers of basic health services under contract with the HMO.
Supplemental health services payments which are fixed on a prepayment basis shall be fixed 1 See References in Text note below.
Supplemental health services staff, which are those health workers who are employed in schools and work under the supervision of certified school nurses include registered nurses (RNs), licensed practical nurses (LPNs) and unlicensed assistive personnel (UAP).
Supplemental health services means the health services described in § 417.102(a).
Supplemental health services payments may be made in any agreed upon manner, such as prepayment or fee-forservice.
Supplemental health services are not covered under the district’s medical benefit plan(s), and are purchased and billed separately.