Stabilization Services. HMO must pay for emergency services performed to stabilize the Member as documented by the Emergency physician in the Member's medical record. HMOs must reimburse for physician's services and hospital's emergency services including the emergency room and its ancillary services. With respect to an emergency medical condition, to stabilize is to provide such medical care as to assure within reasonable medical probability that no deterioration of the condition is likely to result from, or occur during discharge, transfer, or admission of the Member from the emergency room.
Stabilization Services. When the medical screening examination determines that an emergency medical condition exists, HMO must pay for emergency services performed to stabilize the Member. The emergency physician must document these services in the Member's medical record. HMOs must reimburse for both the physician's and hospital's emergency stabilization services including the emergency room and its ancillary services.
Stabilization Services. Services provided to individuals who are experiencing a mental health crisis must be provided in the person's own home, or another home-like setting, or a setting which provides safety for the individual and the Mental Health Professional. Stabilization services must include short-term (less than two weeks per episode) face-to-face assistance with life skills training, and understanding of medication effects. This service includes: a) follow up to crisis services; and b) other individuals determined by a Mental Health Professional to need additional stabilization services. Stabilization services may be provided prior to an intake evaluation for mental health services
Stabilization Services. Services provided to Individuals who are experiencing a behavioral health crisis. These services are to be provided in the Individual's own home, or another home-like setting, or a setting which provides safety for the Individual and the MHP/CDP. Stabilization services must include short-term (less than two (2) weeks per episode) face-to-face assistance with life skills training and with the understanding of medication effects and side effects. This service includes: a) follow up to crisis services; and b) other Individuals determined by a MHP/CDP to need additional stabilization services. Stabilization services may be provided prior to an intake evaluation for behavioral health services. This service may include cost for room and board;
Stabilization Services. When the medical screening examination determines that an emergency medical condition exists, HHSC Contract 529-03-043-N 6 of 27 HMO must pay for emergency services performed to stabilize the Member. The emergency physician must document these services in the Member's medical record. HMOs must reimburse for both the physician's and hospital's emergency stabilization services including the emergency room and its ancillary services.
Stabilization Services. Covered Services, related to an Emergency Medical Condition that are provided after a member is stabilized in order to maintain the stabilized condition or to improve or resolve the member's condition. Potential Enrollee: See Potential Member.
Stabilization Services. CONTRACTOR shall provide, in accordance with any and all applicable local, state and federal laws, regulations, policies, procedures, standards, guidelines and frameworks, collaborative in-home de-escalation and stabilization services and supports during situations of instability for current and former xxxxxx youth up to twenty-one (21) years of age. The de-escalation and stabilization services provided pursuant to the terms and conditions of this Agreement shall include, without limitation, all of the following:
Stabilization Services. Covered services related to an emergency medical condition that are provided after a Member is stabilized in order to maintain the stabilized condition, or under the circumstances described in 42 CFR 422.114(3), to improve or resolve the Member's condition. (Part H, 3.01-3.35) 07 HUSKY A 05/07 Potential Member: A Medicaid recipient who is subject to enrollment in a managed care organization but is not yet a Member of a specific MCO. Primary Care Provider (PCP): A licensed health care professional responsible for performing or directly supervising the primary care services of Members.
Stabilization Services. When the medical screening examination determines that an emergency medical condition exists, HHSC Contract 529-03-037-H
Stabilization Services. Medically Necessary non-emergency services furnished to a Participant after the Participant is stabilized following an Emergency Medical Condition.
