Conditions for Out-of-Network Reimbursement of Family Planning Services. All MCOs must reimburse out-of-network providers for family planning services rendered to enrollees. Unless otherwise negotiated, the MCO must reimburse providers of family planning services at the Medicaid rate. The following are the conditions under which family planning providers will be reimbursed for family planning services provided to Medicaid enrollees:
Appears in 10 contracts
Samples: Model Purchase of Service Provider Agreement, Service Provider Agreement, Service Provider Agreement
Conditions for Out-of-Network Reimbursement of Family Planning Services. All MCOs The MCO must reimburse out-of-network providers for family planning services rendered to enrollees. Unless otherwise negotiated, the MCO must reimburse providers of family planning services at the Medicaid rate. The following are the conditions under which family planning providers will be reimbursed for family planning services provided to Medicaid and WVCHIP enrollees:
Appears in 3 contracts
Samples: Service Provider Agreement, Service Provider Agreement, Service Provider Agreement
Conditions for Out-of-Network Reimbursement of Family Planning Services. All MCOs must reimburse out-of-network providers for family planning services rendered to enrollees. Unless otherwise negotiated, the MCO must reimburse providers of family planning services at the Medicaid rate. The following are the conditions under which family planning providers will be reimbursed for family planning services provided to Medicaid enrollees:: must be allowed freedom of choice of family planning providers and may receive such services from any family planning provider, including those outside the MCO’s provider network, without prior authorization.
Appears in 2 contracts
Samples: dhhr.wv.gov, dhhr.wv.gov
