CONTRACTOR Physical Health Benefits Chart. SERVICE BENEFIT LIMIT Inpatient Hospital Services Medicaid/Standard Eligible, Age 21 and older: As medically necessary. Inpatient rehabilitation hospital facility services are not covered for adults unless determined by the CONTRACTOR to be a cost effective alternative (see Section 2.6.5). Medicaid/Standard Eligible, Under age 21: As medically necessary, including rehabilitation hospital facility. SERVICE BENEFIT LIMIT
Appears in 1 contract
Samples: Contractor Risk Agreement
CONTRACTOR Physical Health Benefits Chart. SERVICE BENEFIT LIMIT Inpatient Hospital Services Medicaid/Standard Eligible, Age 21 and older: As medically necessary. Inpatient rehabilitation hospital facility services are not covered for adults unless determined by the CONTRACTOR to be a cost effective alternative (see Section 2.6.5). Medicaid/Standard Eligible, Under age 21: As medically necessary, including rehabilitation hospital facility. SERVICE BENEFIT LIMIT SERVICE BENEFIT LIMIT
Appears in 1 contract
Samples: Contractor Risk Agreement
CONTRACTOR Physical Health Benefits Chart. SERVICE BENEFIT LIMIT Inpatient Hospital Services Medicaid/Standard Eligible, Age 21 and older: As medically necessary. Inpatient rehabilitation hospital facility services are not covered for adults unless determined by the CONTRACTOR to be a cost effective alternative (see Section 2.6.5). Medicaid/Standard Eligible, Under age 21: As medically necessary, including rehabilitation hospital facility. SERVICE BENEFIT LIMIT.
Appears in 1 contract
Samples: Agreement for the Administration of Tenncare Select
CONTRACTOR Physical Health Benefits Chart. SERVICE BENEFIT LIMIT Inpatient Hospital Services Medicaid/Standard Eligible, Age 21 and older: As medically necessary. Inpatient rehabilitation hospital facility services are not covered for adults unless determined by the CONTRACTOR to be a cost effective alternative (see Section 2.6.5A.2.6.5). Medicaid/Standard Eligible, Under age 21: As medically necessary, including rehabilitation hospital facility. SERVICE BENEFIT LIMIT
Appears in 1 contract
Samples: Statewide Contract
