Common use of Abortion and Sterilization Clause in Contracts

Abortion and Sterilization. The use of federal funds to pay for abortion and sterilization services is prohibited unless the specific criteria found in federal law and OAC rules 5160-17-01 and 5160-21-02.2 are met. The MCOP shall verify all of the information on the applicable required forms [ODM 03197, ODM 03199, HHS-687 and HHS-687-1 (SPANISH VERSION)] is provided and the service meets the required criteria before any such claim is paid. Additionally, payment shall not be made for associated services such as anesthesia, laboratory tests, or hospital services if the abortion or sterilization itself does not qualify for payment. The MCOP is responsible for educating its providers on the requirements; implementing internal procedures including systems edits to ensure claims are only paid once the MCOP has determined if the applicable forms are completed and the required criteria are met, as confirmed by the appropriate certification or consent forms; and for maintaining documentation to justify any such claim payments. If the MCOP determines the requirements associated with an abortion, sterilization, or hysterectomy were sufficiently met by the provider, no additional information (i.e. operative notes, history and physical, ultrasound) is required from ancillary providers.

Abortion and Sterilization. The use of federal funds to pay for abortion and sterilization services is prohibited unless the specific criteria found in federal law and OAC rules 5160-17-01 and 5160-21-02.2 are met. The MCOP MCP shall verify that all of the information on the applicable required forms [(ODM 03197, ODM 03199, HHS-687 HHS-687, and HHS-687-1 (SPANISH VERSION)] ) is provided and that the service meets the required criteria before any such claim is paid. Additionally, payment shall not be made for associated services such as anesthesia, laboratory tests, or hospital services if the abortion or sterilization itself does not qualify for payment. The MCOP MCP is responsible for educating its their providers on the requirements; implementing internal procedures including systems edits to ensure claims are only paid once the MCOP MCP has determined if the applicable forms are completed and the required criteria are met, as confirmed by the appropriate certification or consent forms; and for maintaining documentation to justify any such claim payments. If the MCOP determines MCP has made the determination that the requirements associated with an abortion, sterilization, or hysterectomy were sufficiently met by the provider, then no additional information (i.e. operative notes, history and physical, ultrasound) is required from ancillary providers.

Abortion and Sterilization. The use of federal funds to pay for abortion and sterilization services is prohibited unless the specific criteria found in federal law and OAC rules 5160-17-01 and 5160-21-02.2 are met. The MCOP shall MCPs must verify that all of the information on the applicable required forms [ODM (JFS 03197, ODM JFS 03199, HHS-687 and HHS-687-1 (SPANISH VERSION)] ) is provided and that the service meets the required criteria before any such claim is paid. Additionally, payment shall must not be made for associated services such as anesthesia, laboratory tests, or hospital services if the abortion or sterilization itself does not qualify for payment. The MCOP is MCPs are responsible for educating its their providers on the requirements; implementing internal procedures including systems edits to ensure that claims are only paid once the MCOP MCP has determined if the applicable forms are completed and the required criteria are met, as confirmed by the appropriate certification or certification/consent forms; and for maintaining documentation to justify any such claim payments. If MCPs have made the MCOP determines determination that the requirements associated with an abortion, sterilization, or hysterectomy were sufficiently met by the facility/provider, then no additional information (i.e. operative notes, history and physical, ultrasoundultrasound etc.) is required from ancillary providers.

Abortion and Sterilization. The use of federal funds to pay for abortion and sterilization services is prohibited unless the specific criteria found in federal law and OAC rules 5160-17-01 5160‐17‐01 and 5160-21-02.2 5160‐21‐02.2 are met. The An MCOP shall must verify that all of the information on the applicable required forms [ODM 03197, ODM 03199, HHS-687 HHS‐687 and HHS-687-1 HHS‐687‐1 (SPANISH VERSION)] is provided and that the service meets the required criteria before any such claim is paid. Additionally, payment shall must not be made for associated services such as anesthesia, laboratory tests, or hospital services if the abortion or sterilization itself does not qualify for payment. The MCOP is responsible for educating its providers on the requirements; implementing internal procedures including systems edits to ensure that claims are only paid once the MCOP has determined if the applicable forms are completed and the required criteria are met, as confirmed by the appropriate certification or consent forms; and for maintaining documentation to justify any such claim payments. If the MCOP determines has made the determination that the requirements associated with an abortion, sterilization, or hysterectomy were sufficiently met by the provider, then no additional information (i.e. operative notes, history and physical, ultrasound) is required from ancillary providers.

Abortion and Sterilization. The use of federal funds to pay for abortion and sterilization services is prohibited unless the specific criteria found in federal law and OAC rules 5160-17-01 and 5160-21-02.2 are met. The MCOP shall MCPs must verify that all of the information on the applicable required forms [(ODM 03197, ODM 03199, HHS-687 and HHS-687-1 (SPANISH VERSION)] ) is provided and that the service meets the required criteria before any such claim is paid. Additionally, payment shall must not be made for associated services such as anesthesia, laboratory tests, or hospital services if the abortion or sterilization itself does not qualify for payment. The MCOP is MCPs are responsible for educating its their providers on the requirements; implementing internal procedures including systems edits to ensure that claims are only paid once the MCOP MCP has determined if the applicable forms are completed and the required criteria are met, as confirmed by the appropriate certification or consent forms; and for maintaining documentation to justify any such claim payments. If MCPs have made the MCOP determines determination that the requirements associated with an abortion, sterilization, or hysterectomy were sufficiently met by the provider, then no additional information (i.e. operative notes, history and physical, ultrasound) is required from ancillary providers.

Abortion and Sterilization. The use of federal funds to pay for abortion and sterilization services is prohibited unless the specific criteria found in federal law and OAC rules 5160-17-01 and 5160-21-02.2 are met. The An MCOP shall must verify that all of the information on the applicable required forms [ODM 03197, ODM 03199, HHS-687 and HHS-687-1 (SPANISH VERSION)] is provided and that the service meets the required criteria before any such claim is paid. Additionally, payment shall must not be made for associated services such as anesthesia, laboratory tests, or hospital services if the abortion or sterilization itself does not qualify for payment. The MCOP is responsible for educating its providers on the requirements; implementing internal procedures including systems edits to ensure that claims are only paid once the MCOP has determined if the applicable forms are completed and the required criteria are met, as confirmed by the appropriate certification or consent forms; and for maintaining documentation to justify any such claim payments. If the MCOP determines has made the determination that the requirements associated with an abortion, sterilization, or hysterectomy were sufficiently met by the provider, then no additional information (i.e. operative notes, history and physical, ultrasound) is required from ancillary providers.