RADIOLOGY SERVICES. CONTRACTOR shall provide Radiology Services for all medically necessary and appropriate diagnostic X-ray procedures.
RADIOLOGY SERVICES diagnostic and therapeutic
RADIOLOGY SERVICES. 18 NYCRR § 505.17(c)(7)(d) Radiology services include medically necessary services provided by qualified practitioners in the provision of diagnostic radiology, diagnostic ultrasound, nuclear , medicine, radiation oncology, and magnetic resonance imaging (MRI). These services may only be performed upon the order of a qualified practitioner.
RADIOLOGY SERVICES. 1. On-call schedules and call lists will be available to departmental personnel and telephone.
RADIOLOGY SERVICES. Covered when medically necessary as ordered by a qualified medical professional, and when ordered and provided by a qualified medical professional/practitioner. EPSDT Services/Child EPSDT is a package of early and periodic screening, Services not included in the managed Teen Health Program including inter-periodic screens and, diagnostic and care Benefit Package ordered by the (C/THP) treatment services that are offered to all Medicaid child's physician based on the eligible children under twenty-one (21) years of age results of a screening. known in New York State as the Child Teen Health Program (C/THP). APPENDIX K October 1, 2004 K-5 COVERED SERVICES MANAGED CARE PLAN SCOPE OF BENEFIT COVERED BY MEDICAID FEE-FOR-SERVICE Home Health Services Home health care services include medically necessary Services rendered by a personal care nursing, home health aide services, equipment and appliances, agency which are approved by the Local physical therapy, speech/language pathology, occupational Social Services District when ordered therapy, social work services or nutritional services by the Enrollee's Primary Care provided by a home health care agency pursuant to an Provider (PCP). The district will established care plan. Personal care tasks performed by a determine the applicant's need for home health aide in connection with a home health care agency personal care agency services and visit, and pursuant to an established care plan, are covered. coordinate a plan of care with the personal care agency. Private Duty Nursing Covered service when medically necessary in accordance with Services the ordering physician, registered physician assistant or certified nurse practitioner's written treatment plan. Emergency Room Services Covered for emergency conditions, medical or behavioral, the onset of which is sudden, manifesting itself by symptoms of sufficient severity, including severe pain, that a prudent layperson, possessing an average knowledge of medicine and health, could reasonably expect the absence of medical attention to result in (a) placing the health of the person afflicted with such condition in serious jeopardy, or in the case of a behavioral condition placing the health of such person or others in serious jeopardy; (b) serious impairment of such person's bodily functions; (c) serious dysfunction of any bodily organ or part of such person; or (d) serious disfigurement of such person. Emergency services include health care procedures, treatments or serv...
RADIOLOGY SERVICES. Covered when medically necessary as ordered by a medical professional, and when ordered and provided by a qualified medical professional/practitioner. Durable Medical Equipment (DME) DME are devices and equipment other than Excluded services, such as medical/surgical supplies enteral formula, and disposable medical/surgical prosthetic or orthotic appliances. Covered when supplies and enteral formula with a medically necessary as ordered by the Contractor's Provider's order. Participating Provider and procured from a Participating Provider. Coverage excludes disposable medical/surgical supplies and enteral formula. APPENDIX K October 1, 2004 K-13 COVERED SERVICES MANAGED CARE PLAN SCOPE OF BENEFIT COVERED BY MEDICAID FEE-FOR-SERVICE ----------------------------------- ------------------------------------------------------- ----------------------------------- Hearing Aid Services Provided when medically necessary to alleviate Excluded services, such as hearing disability caused by the loss or impairment of hearing. aid batteries with a Provider's Hearing aid products include hearing aids, earmolds, order. special fittings, and replacement parts. Coverage excludes hearing aid batteries. Court-Ordered Services Coverage includes such services ordered by a court of competent jurisdiction if the services are in the Contractor's Benefit Package. Prosthetic/Orthotic Covered when medically necessary as ordered by a Services/Orthotic Footwear managed care plan qualified medical professional. Renal Dialysis Renal dialysis is covered when medically necessary as ordered by a qualified medical professional. Renal dialysis may be provided in an inpatient hospital setting, in an ambulatory care facility, or in the home on recommendation from a renal dialysis center. Experimental and/or Covered on a case by case basis in accordance with the Investigational Treatment provisions of Section 4910 of the New York State P.H.L. Detoxification Services Covered when medically necessary on either an inpatient or outpatient basis. Such services are referred to as "Medically Managed Detoxification Services" when provided in facilities licensed under Title 14 NYCRR Part 816.6 or Article 28 of the Public Health Law; and "Medically Supervised Inpatient and Outpatient Withdrawal Services" when provided in facilities licensed under Title 14 NYCRR Part 816.7 APPENDIX K October 1, 2004 K-14
RADIOLOGY SERVICES. Radiology services include medically necessary services provided by qualified practitioners in the provision of diagnostic radiology, diagnostic ultrasound, nuclear medicine, radiation oncology, and magnetic resonance imaging (MRI). These services may only be performed upon the order of a qualified practitioner. EARLY PERIODIC SCREENING DIAGNOSIS AND TREATMENT (EPSDT) SERVICES THROUGH THE CHILD TEEN HEALTH PROGRAM (C/THP) AND ADOLESCENT PREVENTIVE SERVICES Child/Teen Health Program (C/THP) is a package of early and periodic screening, including inter-periodic screens and diagnostic and treatment services that New York State offers all Medicaid eligible children under 21 years of age. Care and services shall be provided in accordance with the periodicity schedule and guidelines developed by the New York State Department of Health. The care includes necessary health care, diagnostic services, treatment and other measures (described in Section 1905(a) of the Social Security Act) to correct or ameliorate defects, and physical and mental illnesses and conditions discovered by the screening services (regardless of whether the service is otherwise included in the New York State Medicaid Plan). The package of services includes administrative services designed to assist families in obtaining services, including outreach, education, appointment scheduling, administrative case management and transportation assistance. FHPlus Appendix K October 1, 2001 K-4 FHPlus will cover up to 40 home health care visits per year in lieu of a skilled nursing facility stay or hospitalization. Home health care services are provided to enrollees in their homes by a home health agency certified under Article 36 of the New York State Public Health Law as a Certified Home Health Agency (CHHA). Home health services mean the following services when prescribed by a provider and provided to an enrollee in his or her home: - Nursing services provided on a part-time or intermittent basis by a CHHA or, if there is no CHHA that serves the county, by a registered professional nurse or a licensed practical nurse acting under the direction of the enrollee's PCP; - Physical therapy, occupational therapy, or speech pathology and audiology services; and Personal care tasks performed by a home health aide incidental to a CHHA visit, and pursuant to an established care plan, are covered. Services include care rendered directly to the individual and instructions to his/her family or caretaker in the proce...
RADIOLOGY SERVICES. 1. The Contractor shall provide medically necessary and appropriate diagnostic X-ray procedures.
RADIOLOGY SERVICES. 3.6.11.1. The Contractor is responsible for entering requests for Radiology procedures into VISTA utilizing CPRS. X-rays shall be performed by the Contractor on site at the CBOC, using Contractor provided radiology equipment approved by VAPHS Radiation Safety Officer (RSO), and will be interpreted by VAPHS Certified Radiologists. All radiographic images will be sent by Computerized Radiography (CR) Reader, supplied by VAPHS, to VISTA Imaging and the Philips Picture Archiving and Communications System (PACS) via a Digital Image and Communication in Medicine (DICOM) (3.0) send.
RADIOLOGY SERVICES. 5.37.1. CONTRACTOR shall provide Radiology Services for all medically necessary and appropriate diagnostic X-ray procedures, subject to the prior approval of the DC’s Office of Health Services. All services shall be provided in accordance with Florida Statute, Florida Administrative Code, DC policy and procedures, HSB and local regulations for equipment and personnel licensure.
