Medically necessary health care services definition

Medically necessary health care services means health care
Medically necessary health care services means health care services that a
Medically necessary health care services means health care services that a provider would render to a patient for the purpose of preventing, diagnosing, or treating an illness, injury, disease, or its symptoms in a manner that is:

Examples of Medically necessary health care services in a sentence

  • Medically necessary health care services, including equipment and supplies, that are prescribed by your provider for the management and treatment of type I diabetes, type II diabetes, and/or gestational diabetes.

  • Habilitative Services Medically necessary health care services that help a covered person keep, learn or improve skills and functioning for daily living.

  • Medically necessary definition Medically necessary health care services or supplies are medically appropriate and:• Necessary to meet members’ basic health needs.• Cost-efficient and appropriate for the covered services.

  • Medically necessary health care services that are identified under the EPSDT program for eligible children, and that are within the scope of mandatory or optional services under Federal law, must be covered even if those services are not included as part of the covered services in that State’s Plan; and (2) States may request waivers to pay for otherwise uncovered home and community-based services (HCBS) for Medicaid-eligible persons who might otherwise be institutionalized.

  • Representatives Lima, Ehrhardt, Caprio, Corvese, San Bento and Gemma discuss the act.

  • Medically necessary health care services may not include experimental and/or investigational technologies or carve-out days.

  • Medically necessary health care services performed, prescribed or supervised by physicians for enrollees, which may be provided in a nonhospital based health care facility, at a hospital, in a physician's office, or in the enrollee's home, and shall include consultation and referral services.

  • Medically necessary health care services or supplies are medically appropriate and:• Necessary to meet members’ basic health needs.• Cost-efficient and appropriate for the covered Assignment to UnitedHealthcare Community PlanMAXIMUS, Texas HHSC’s enrollment broker, assists Medicaid members in choosing an MCO and a PCP from the contracted health plans in Texas and their associated care provider networks.

  • It also noted that the status of breadwinner is given by the religious courts in accordance with Islamic law and traditions governing Jordanian society.

  • Medically necessary definition Medically necessary health care services or supplies are medically appropriate and:• Necessary to meet individuals’ basic health needs.• Cost-efficient and appropriate for the covered services.


More Definitions of Medically necessary health care services

Medically necessary health care services means health care services that a prudent physician would provide to a covered person for the purpose of preventing, diagnosing or treating an illness, injury, disease or its symptoms in a manner that is: (1) in accordance with generally accepted standards of medical practice; (2) clinically appropriate in terms of type, frequency, extent, site and duration; and (3) not primarily for the economic benefit of the health benefits plan and purchaser of a plan or for the convenience of the covered person, treating physician, or other health care provider.
Medically necessary health care services means as defined by W.S. 26-40-102(a)(iii);
Medically necessary health care services means health care services, including diagnostic testing, preventive services, and after care, that are appropriate to the patient’s diagnosis or condition in terms of type, amount, frequency, level, setting, and duration. Medically necessary care must:
Medically necessary health care services means services including medical, mental health, pharmacologic, vision, and dental services necessary to enable the juvenile to participate in or benefit from programs and goals under AS 47.12.010.
Medically necessary health care services means services required to identify or treat a medical condition, illness or injury, based on the patient’s symptoms, diagnosis or treatment of the underlying condition, in accordance with professional standards of medical care generally accepted in the medical community.
Medically necessary health care services means health care services that a prudent physician would provide to a patient for the purpose of preventing, diagnosing or treating an illness, injury, disease or its symptoms in a manner that is: (i) in accordance with generally accepted standards of medical practice; and (ii) clinically appropriate in terms of type, frequency, extent, site and duration.

Related to Medically necessary health care services

  • Medically necessary care means care that is (1) appropriate and consistent with and essential for the prevention, diagnosis, or treatment of a Patient’s condition; (2) the most appropriate supply or level of service for the Patient’s condition that can be provided safely; (3) not provided primarily

  • Health care services means services for the diagnosis, prevention, treatment, cure, or relief of a health condition, illness, injury, or disease.

  • Medically Necessary means a service which is appropriate and consistent with the treatment of the condition in accordance with accepted standards of community practice.

  • Health care service means that service offered or provided

  • Health care provider or "provider" means:

  • Health Care Operations shall have the meaning given to such term under the HIPAA 2 Privacy Rule in 45 CFR § 164.501.