Tubal Ligation. In accordance with West Virginia Code § 9-5-12(d), the DHHR shall make payment for tubal ligation without requiring at least 30 days between the date of informed consent and the date of the tubal ligation procedure. Tubal ligation services for which the MCO is not responsible for payment are excluded from MCOs’ capitation rates but will remain covered Medicaid and WVCHIP services for persons who are enrolled in MCOs. DHHR shall pay claims for tubal ligation on an FFS basis in accordance with West Virginia Department of Health and Human Resources, Bureau for Medical Services Policy 519.15, Women’s Health Services. Any licensed doctor providing these services must be compliant with the Federal Social Security Act 42 CFR §441, Subpart F – Sterilizations, §441.255 and §441.256 requirements, which requires informed consent and medical necessity.
Appears in 2 contracts
Samples: Service Provider Agreement, Service Provider Agreement
Tubal Ligation. In accordance with West Virginia Code § 9-5-12(d), the DHHR shall make payment for tubal ligation without requiring at least 30 days between the date of informed consent and the date of the tubal ligation procedure. Tubal ligation services for which the MCO is not responsible for payment are excluded from MCOs’ capitation rates but will remain covered Medicaid and WVCHIP services for persons who are enrolled in MCOs. DHHR shall pay claims for tubal ligation on an a FFS basis in accordance with West Virginia Department of Health and Human Resources, Bureau for Medical Services Policy 519.15, Women’s Health Services. Any licensed doctor providing these services must be compliant with the Federal Social Security Act 42 CFR §441, Subpart F – Sterilizations, §441.255 and §441.256 requirements, which requires informed consent and medical necessity.
Appears in 2 contracts
Samples: Service Provider Agreement, dhhr.wv.gov
Tubal Ligation. In accordance with West Virginia Code § 9-5-12(d), the DHHR shall make payment for tubal ligation without requiring at least 30 days between the date of informed consent and the date of the tubal ligation procedure. Tubal ligation services for which the MCO is not responsible for payment are excluded from MCOs’ capitation rates but will remain covered Medicaid and WVCHIP services for persons who are enrolled in MCOs. DHHR shall pay claims for tubal ligation on an FFS basis in accordance with West Virginia Department of Health and Human Resources, Bureau for Medical Services Policy 519.15, Women’s Health Services. Any licensed doctor providing these services must be compliant with the Federal Social Security Act 42 CFR §441, Subpart F – Sterilizations, §441.255 and §441.256 requirements, which requires informed consent and medical necessity.
Appears in 1 contract
Samples: Service Provider Agreement
Tubal Ligation. In accordance with West Virginia Code § 9-5-12(d)12, the DHHR shall make payment for tubal ligation without requiring at least 30 days between the date of informed consent and the date of the tubal ligation procedure. Tubal ligation services for which the MCO is not responsible for payment are excluded from MCOs’ capitation rates but will remain covered Medicaid and WVCHIP services for persons who are enrolled in MCOs. DHHR shall pay claims for tubal ligation on an FFS basis in accordance with West Virginia Department of Health and Human Resources, Bureau for Medical Services Policy 519.15, Women’s Health Services. Any licensed doctor providing these services must be compliant with the Federal Social Security Act 42 CFR §441, Subpart F – Sterilizations, §441.255 and §441.256 requirements, which requires informed consent and medical necessity.
Appears in 1 contract