Court-Ordered Services. PIC covers mental health evaluations and treatment ordered by a Minnesota court under a valid court order when the services ordered are covered under this contract and:
Court-Ordered Services a) The Contractor shall provide any Benefit Package services to Enrollees as ordered by a court of competent jurisdiction, regardless of whether such services are provided by Participating Providers within the plan or by a SECTION 10 (BENEFIT PACKAGE, COVERED AND NON-COVERED SERVICES) October 1, 2004 10-4 Non-Participating Provider in compliance with such court order. The Non-Participating Provider shall be reimbursed by the Contractor at the Medicaid fee schedule. The Contractor is responsible for court-ordered services to the extent that such court-ordered services are covered by and reimbursable by Medicaid.
Court-Ordered Services. The MCO must provide inpatient psychiatric services to Members birth through age 20, up to the annual limit, who have been ordered to receive the services by a court of competent jurisdiction under Texas Health and Safety Code Chapters 573 and 574, relating to Court-Ordered Commitments to inpatient mental health facilities. The MCO is not obligated to cover placements as a condition of probation, authorized by the Texas Family Code. These placements are Non-capitated services. The MCO cannot deny, reduce, or controvert the Medical Necessity of inpatient mental health services provided pursuant to a Court-ordered Commitment for Members birth through age 20. Any modification or termination of services must be presented to the court with jurisdiction over the matter for determination. A Member who has been ordered to receive treatment under Texas Health and Safety Code Chapter 573 or 574 can only Appeal the commitment through the court system.
Court-Ordered Services a) The Contractor shall provide any Benefit Package services to Enrollees as ordered by a court of competent jurisdiction, regardless of whether the court order requires such services to be provided by a Participating Provider or by a Non-Participating Provider. Non-Participating Providers shall be reimbursed by the Contractor at the Medicaid fee schedule. The Contractor is responsible for court-ordered services to the extent that such court-ordered services are covered by the Benefit Package and reimbursable by Medicaid or Family Health Plus, as applicable.
Court-Ordered Services. Court-ordered services, services related to a deferred prosecution, deferred or suspended sentencing, or to driving rights, except as deemed Medically Necessary by CHPW.
Court-Ordered Services. Court ordered services are those services ordered by a court of competent jurisdiction which are performed by or under the supervision of a physician, dentist, or other provider qualified under State law to furnish medical, dental, behavioral health (including treatment for mental health and/or alcohol and/or substance abuse or dependence), or other covered services. The Contractor is responsible for payment of those services included in the benefit package.
Court-Ordered Services. The MCO shall comply with the provisions in Section L, Court-Ordered Services, in this article for all adult protective services through Chs. 51, 54, or 55, Wis. Stats.
Court-Ordered Services a) The Contractor shall provide any Benefit Package services to Enrollees as ordered by a court of competent jurisdiction, regardless of whether such services are provided by Participating Providers within the plan or by a
Court-Ordered Services a) The Contractor shall provide any Medicare Platino Benefit Package services to Enrollees as ordered by a court of competent jurisdiction, regardless of whether such services are provided by Participating Providers within the plan or by a Non-Participating Provider in compliance with such court order. The Non-Participating Provider shall be reimbursed by the Contractor at the Medicare fee schedule. The Contractor is responsible for court-ordered services to the extent that such court-ordered services are included in the Contractor's Medicare Platino Benefit Packages as described in this Agreement.
Court-Ordered Services a) The Contractor shall provide any Benefit Package services to Enrollees as ordered by a court of competent jurisdiction. The MCO must use Non-Participating Providers only in the event that the Court-Ordered Service is a covered service and the MCO does not have a Participating Provider available to provide that service. Non-Participating Providers shall be reimbursed by the Contractor at the Medicaid fee schedule. The Contractor is responsible for court-ordered services to the extent that such services are covered by Family Health Plus.
