COMPREHENSIVE MEDICAL HEALTHCARE SERVICES Sample Clauses

COMPREHENSIVE MEDICAL HEALTHCARE SERVICES. The Provider is responsible for providing comprehensive medical healthcare services to all patients in DDOC custody regardless of sentencing status. Comprehensive healthcare services encompass outpatient and infirmary medical, nursing, ancillary, dental and pharmacy management services (in concert with DDOC’s Pharmaceutical Provider), specialty consultation, emergency transportation and in-patient hospital services. Comprehensive healthcare services to be provided include (but are not limited to) services listed below of which a select number are further expanded upon in subsequent paragraphs. Care provided must be in keeping with current and future NCCHC & ACA Standards, DDOC policies, and current medical standards of care and guidelines as set forth by the relevant medical, nursing, and other professional organizations. Service domain Applicable DDOC policies (not exhaustive list) Receiving/Intake Screening E-02 Intake Screening Patient Transfer Screening E-09 Continuity, Coordination, and Quality of Care During Incarceration E-03 Transfer Screening Health Assessments E-04 Initial Health Assessment Dental Services E-06 Oral Care Optometry and Podiatry Services D-03 Clinic Space, Equipment, and Supplies Dietary Consultation D-05 Medical Diets Sick Call E-07 Non-Emergency Healthcare Request & Services E-09 Continuity, Coordination, and Quality of Care During Incarceration Chronic and Long-Term Care F-01 Patients with Chronic Disease and Other Special Needs F-07 Care for the Terminally Ill Infirmary Care E-09 Continuity, Coordination, and Quality of Care During Incarceration F-02 Infirmary Level Care Emergency Care D-07 Emergency Services and Response Plan E-09 Continuity, Coordination, and Quality of Care During Incarceration Pharmacy Management Services D-01 Pharmaceutical Operations Preferred Medication List Women’s Health Care E-09 Continuity, Coordination, and Quality of Care During Incarceration Preventive Care/ Well visits E-09 Continuity, Coordination, and Quality of Care During Incarceration Medical Records Management A-08 Health Record Medication Administration C-05 Medication Administration Training F-04 Medically Supervised Withdrawal and Treatment Specialty Care Including Dialysis E-09 Continuity, Coordination, and Quality of Care During Incarceration F-01 Patients with Chronic Disease and Other Special Needs E-13 Discharge Planning A-09 Procedure in the Event of a patient Death or Suicide Attempt E-09 Continuity, Coordination, and Quality of C...
Sample 1
AutoNDA by SimpleDocs

Related to COMPREHENSIVE MEDICAL HEALTHCARE SERVICES

  • COVERED HEALTHCARE SERVICES This section describes covered healthcare services. This plan covers services only if they meet all of the following requirements: • Listed as a covered healthcare service in this section. The fact that a provider has prescribed or recommended a service, or that it is the only available treatment for an illness or injury does not mean it is a covered healthcare service under this plan. • Medically necessary, consistent with our medical policies and related guidelines at the time the services are provided. • Not listed in Exclusions Section. • Received while a member is enrolled in the plan. • Consistent with applicable state or federal law. We review medical necessity in accordance with our medical policies and related guidelines. Our medical policies can be found on our website. Our medical policies are written to help administer benefits for the purpose of claims payment. They are made available to you for informational purposes and are subject to change. Medical policies are not meant to be used as a guide for your medical treatment. Your medical treatment remains a decision made by you with your physician. If you have questions about our medical policies, please call Customer Service. When a new service or drug becomes available, when possible, we will review it within six (6) months of one of the events described below to determine whether the new service or drug will be covered: • the assignment of an American Medical Association (AMA) Current Procedural Terminology (CPT) code in the annual CPT publication; • final Food and Drug Administration (FDA) approval; • the assignment of processing codes other than CPT codes or approval by governing or regulatory bodies other than the FDA; • submission to us of a claim meeting the criteria above; and • generally, the first date an FDA approved prescription drug is available in pharmacies (for prescription drug coverage only). During the review period, new services and drugs are not covered. For all covered healthcare services, please see the Summary of Medical Benefits and the Summary of Pharmacy Benefits to determine the amount that you pay and any benefit limits.

  • Hospice Services Services are available for a Member whose Attending Physician has determined the Member's illness will result in a remaining life span of six months or less.

  • Pharmacy Services The Contractor shall establish a network of pharmacies. The Contractor or its PBM must provide at least two (2) pharmacy providers within thirty (30) miles or thirty (30) minutes from a member’s residence in each county, as well as at least two (2) durable medical equipment providers in each county or contiguous county.

  • Clinical Management for Behavioral Health Services (CMBHS) System 1. request access to CMBHS via the CMBHS Helpline at (000) 000-0000. 2. use the CMBHS time frames specified by System Agency. 3. use System Agency-specified functionality of the CMBHS in its entirety. 4. submit all bills and reports to System Agency through the CMBHS, unless otherwise instructed.

  • Medical Care The Parents must comply with the School Welfare Officer's recommendations which may include a reasonable decision to release the Pupil home or to his / her education guardian when s/he is unwell.

  • Chiropractic Services This plan covers chiropractic visits up to the benefit limit shown in the Summary of Medical Benefits. The benefit limit applies to any visit for the purposes of chiropractic treatment or diagnosis.

  • Hospital Services The Hospital will: 6.1.1 achieve the Performance Standards described in the Schedules and the HSAA Indicator Technical Specifications; 6.1.2 not reduce, stop, start, expand, cease to provide or transfer the provision of Hospital Services to another hospital or to another site of the Hospital if such action would result in the Hospital being unable to achieve the Performance Standards described in the Schedules and the HSAA Indicator Technical Specifications; and 6.1.3 not restrict or refuse the provision of Hospital Services that are funded by the Funder to an individual, directly or indirectly, based on the geographic area in which the person resides in Ontario, and will establish a policy prohibiting any health care professional providing services at the Hospital, including physicians, from doing the same.

  • Anesthesia Services This plan covers general and local anesthesia services received from an anesthesiologist when the surgical procedure is a covered healthcare service. This plan covers office visits or office consultations with an anesthesiologist when provided prior to a scheduled covered surgical procedure.

  • Inpatient Services Hospital Rehabilitation Facility

  • Radiation Therapy/Chemotherapy Services This plan covers chemotherapy and radiation services. This plan covers respiratory therapy services. When respiratory services are provided in your home, as part of a home care program, durable medical equipment, supplies, and oxygen are covered as a durable medical equipment service.

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!