Substance Abuse Care definition

Substance Abuse Care means medically necessary care provided by an eligible provider for the illness or condition that OptumHealth has determined:
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Examples of Substance Abuse Care in a sentence

  • If Mental Health Services and/or Substance Abuse Care are not preauthorized, the benefits will be reduced as shown in the Schedule Page.Orthotic and Prosthetic Devices – Coverage is provided for Orthotic and Prosthetic Devices, other than a dental or cranial prosthetic, which meets minimum specifications for the body part it is replacing regardless of the functional activity level.

  • Treatment which is not Mental Health Care or Substance Abuse Care as defined in the section “Meaning of Key Terms”.

  • This includes Surgery and reconstruction of the non-diseased breast to produce a symmetrical appearance as determined in consultation with the attending Physician and the patient.Medical Supplies – Benefits are payable for Medically Necessary supplies.Mental Health Services and/or Substance Abuse Care – Benefits will be paid for Mental Health Services and/or Substance Abuse care when a Covered Person is a patient in a Hospital or Psychiatric/Substance Abuse Facility or is receiving Outpatient services.

  • Treatment that is not Mental Health Care or Substance Abuse Care as defined in the section “Meaning of Key Terms.”D.

  • See Mental Health and Substance Abuse Care (below) for details concerning psychiatric therapy.

  • Please refer to your Schedule of Benefits for a list of the services or procedures and what penalty will apply if Preauthorization isn’t obtained.If a Preferred Blue Provider doesn’t get Preauthorization for you, it can’t bill you for the denied or reduced benefits due to Preauthorization not being obtained, but an Out-of-network Provider can bill you for the penalty.5. Preauthorization for Mental Health Services and/or Substance Abuse Care – Companion Benefit Alternatives, Inc.

  • See Mental Health and Substance Abuse Care (below) for details concerning inpatient psychiatric care.

  • Access and linkage to HIV care and treatment services such as Outpatient/Ambulatory Health Services, Medical Case Management, and Substance Abuse Care.

  • All in network services for Mental Healthcare & Substance Abuse Care that are considered Medically Necessary and pre-authorized by the CampusCare Health Center Physician and the CampusCare Medical Director are a covered benefit.

  • This includes Surgery and reconstruction of the non-diseased breast to produce a symmetrical appearance as determined in consultation with the attending Physician and the patient.Mental Health Services and/or Substance Abuse Care – Benefits will be paid for Mental Health Services and/or Substance Abuse care when a Covered Person is a patient in a Hospital or Psychiatric/Substance Abuse Facility or is receiving Outpatient services.

Related to Substance Abuse Care

  • Substance abuse means the consumption or use of any substance for purposes other than for the treatment of sickness or injury as prescribed or administered by a person duly authorized by law to treat sick and injured human beings.

  • Substance Abuse Professional (SAP) means a qualified person who evaluates employees who have violated a DOT drug and alcohol regulation and makes recommendations concerning education, treatment, follow-up testing, and aftercare.

  • Substance abuse treatment means outpatient or inpatient services or participation in Alcoholics Anonymous or a similar program.

  • Alcohol abuse means any pattern of pathological use of alcohol that causes impairment in social or occupational functioning, or that produces physiological dependency evidenced by physical tolerance or by physical symptoms when it is withdrawn.

  • Palliative care means medical service rendered to reduce or moderate temporarily the intensity of an otherwise stable medical condition, but does not include those medical services ren- dered to diagnose, heal or permanently alleviate or eliminate a medical condition.

  • Child abuse means any of the following acts committed in an educational setting by an employee or volunteer against a child:

  • Explosives or munitions emergency response specialist means an individual trained in chemical or conventional munitions or explosives handling, transportation, render-safe procedures, or destruction techniques. Explosives or munitions emergency response specialists include Department of Defense (DOD) emergency explosive ordnance disposal (EOD), technical escort unit (TEU), and DOD-certified civilian or contractor personnel; and other Federal, State, or local government, or civilian personnel similarly trained in explosives or munitions emergency responses.

  • Substance use disorder professional means a person

  • Acute care means preventive care, primary care, and other medical care provided under the direction of a physician for a condition having a relatively short duration.

  • Alcohol Use Disorder means a disease that is characterized by a pattern of pathological use of alcohol with repeated attempts to control its use, and with negative consequences in at least one of the following areas of life: medical, legal, financial, or psycho-social; or

  • Quality Management System means a set of interrelated or interacting elements that organisations use to direct and control how quality policies are implemented and quality objectives are achieved;

  • National Ambient Air Quality Standards or “NAAQS” means national ambient air quality standards that are promulgated pursuant to Section 109 of the Act, 42 U.S.C. § 7409.

  • Ambient air quality standard means an established concentration, exposure time, and frequency of occurrence of air contaminant(s) in the ambient air which shall not be exceeded.

  • Home health aide services means the personal care and maintenance activities provided to individuals for the purpose of promoting normal standards of health and hygiene.

  • Health-related services means the same as in A.R.S. § 36-401.

  • Substance use disorder means a cluster of cognitive,

  • Respiratory care means the practice of the allied health profession responsible for the direct and

  • Non-Administrator Substance Use Disorder Treatment Facility means a Substance Use Disorder Treatment Facility that does not meet the definition of an Administrator Substance Use Disorder Treatment Facility.

  • Home health aide means an individual employed by a home health agency to provide home health services under the direction of a registered nurse or therapist.

  • Respite care means care anticipated to be provided for a period of 28 days or less for the purpose of temporarily relieving a family member or other caregiver from his or her daily caregiv- ing duties.

  • Health care information means any information, whether oral or recorded in any form or medium that identi- fies or can readily be associated with the identity of, and relates to the health care of, a patient or client.

  • Accessibility Standards means accessibility standards and specifications for Texas agency and institution of higher education websites and EIR set forth in 1 TAC Chapter 206 and/or Chapter 213.

  • Service Animal means an animal that is required by a person with a disability for assistance and is certified, in writing, as having been trained by a professional service animal institution to assist a person with a disability and which is properly harnessed in accordance with standards established by a professional service animal institution.

  • Safety Management System has the meaning given to it in the ISM Code.

  • Applicable water quality standards means all water quality standards to which a discharge is subject under the federal Clean Water Act and which has been (a) approved or permitted to remain in effect by the Administrator following submission to the Administrator pursuant to Section 303(a) of the Act, or (b) promulgated by the Director pursuant to Section 303(b) or 303(c) of the Act, and standards promulgated under (APCEC) Regulation No. 2, as amended.

  • child care element of working tax credit means the element of working tax credit prescribed under section 12 of the Tax Credits Act 2002 (child care element).