Child Protective Services. The Contractor shall comply with the requirements specified for child protective examinations, provision of medical information to the child protective services investigation and court ordered services as specified in 18 NYCRR Section 432, and any subsequent amendments thereto. Medically necessary services, whether provided in or out of plan, must be provided. Out of plan providers will be reimbursed at the Medicaid fee schedule by the Contractor.
Appears in 9 contracts
Samples: Agreement Between (Americhoice Corp), Wellcare Health Plans, Inc., Wellcare Health Plans, Inc.
Child Protective Services. The Contractor shall comply with the requirements specified for child protective examinations, provision of medical information to the child protective services investigation and court ordered services as specified in 18 NYCRR Section Part 432, and any subsequent amendments thereto. Medically necessary servicesservices must be covered, whether provided in by the Contractor's Participating Providers or out of plan, must be providednot. Out of plan providers Non-Participating Providers will be reimbursed at the Medicaid fee schedule by the Contractor.
Appears in 2 contracts
Samples: Plan Agreement (Wellcare Health Plans, Inc.), Plan Agreement (Amerigroup Corp)
Child Protective Services. The Contractor shall comply with the requirements specified for child protective examinations, provision of medical information to the child protective services investigation and court ordered services as specified in 18 NYCRR Section Part 432, and any subsequent amendments thereto. Medically necessary servicesservices must be covered, whether provided in by the Contractor’s Participating Providers or out of plan, must be providednot. Out of plan providers Non-Participating Providers will be reimbursed at according to the Medicaid fee schedule by the Contractor.
Appears in 2 contracts
Samples: Hiv Special Needs Plan Model Contract, Hiv Special Needs Plan Model Contract
Child Protective Services. The Contractor shall comply with the requirements specified for child protective examinations, provision of medical information to the child protective services investigation and court ordered services as specified in 18 NYCRR Section Part 432, and any subsequent amendments thereto. Medically necessary servicesservices must be covered, whether provided in by the Contractor’s Participating Providers or out of plan, must be providednot. Out of plan providers Non-Participating Providers will be reimbursed at the Medicaid fee schedule by the Contractor.
Appears in 2 contracts
Samples: Special Needs Plan, Special Needs Plan
Child Protective Services. The Contractor shall comply with the requirements specified for child protective examinations, provision of medical information to the child protective services investigation and court ordered services as specified in 18 NYCRR Section Part 432, and any subsequent amendments thereto. Medically necessary servicesservices must be covered in accordance with the policies of this contract, whether provided in or out of plan, must be provided. Out of plan providers will be reimbursed at the Medicaid fee schedule by the Contractor’s Participating Providers or not.
Appears in 1 contract
Samples: Model Contract
Child Protective Services. The Contractor shall comply with the requirements specified for child protective ,examinations, provision of medical information to the child protective services investigation and court ordered services as specified in 18 NYCRR NYCRR. Section 432, and any subsequent amendments thereto. thereto Medically necessary services, whether provided in or out of plan, must be provided. provided Out of plan providers will be reimbursed at the Medicaid fee schedule by the Contractor.
Appears in 1 contract
Samples: Amerigroup Corp