Court-Ordered Services a) The Contractor shall provide any Benefit Package services to Enrollees as ordered by a court of competent jurisdiction, regardless of whether such services are provided by Participating Providers within the plan or by a SECTION 10 (BENEFIT PACKAGE, COVERED AND NON-COVERED SERVICES) October 1, 2004 10-4 Non-Participating Provider in compliance with such court order. The Non-Participating Provider shall be reimbursed by the Contractor at the Medicaid fee schedule. The Contractor is responsible for court-ordered services to the extent that such court-ordered services are covered by and reimbursable by Medicaid.
b) Court Ordered Services are those services ordered by the court performed by, or under the supervision of a physician, dentist, or other provider qualified under State Law to furnish medical, dental, behavioral health (including mental health and/or Chemical Dependence), or other Medicaid covered services. The Contractor is responsible for payment of those Medicaid services as covered by the Benefit Package, even when the providers are not in the Contractor's provider network.
Court-Ordered Services. The MCO must provide inpatient psychiatric services to Members birth through age 20, up to the annual limit, who have been ordered to receive the services by a court of competent jurisdiction under Texas Health and Safety Code Chapters 573 and 574, relating to Court-Ordered Commitments to inpatient mental health facilities. The MCO is not obligated to cover placements as a condition of probation, authorized by the Texas Family Code. These placements are Non-capitated services. The MCO cannot deny, reduce, or controvert the Medical Necessity of inpatient mental health services provided pursuant to a Court-ordered Commitment for Members birth through age 20. Any modification or termination of services must be presented to the court with jurisdiction over the matter for determination. A Member who has been ordered to receive treatment under Texas Health and Safety Code Chapter 573 or 574 can only Appeal the commitment through the court system.
Court-Ordered Services. PIC covers mental health evaluations and treatment ordered by a Minnesota court under a valid court order when the services ordered are covered under this contract and:
a. The court-ordered behavioral care evaluation is performed by a participating provider and the provider is a licensed psychiatrist, or doctoral level licensed psychologist.
b. The treatment is provided by a participating provider or another provider as required by rule or law and is based on a behavioral care evaluation that meets the criteria of a. above and includes a diagnosis and an individual treatment plan for care in the most appropriate and least restrictive environment. PIC must receive a copy of any court order and evaluation. PIC or its designee may make a motion to modify a court ordered plan and may request a new behavioral care evaluation.
Court-Ordered Services. Court-ordered services, services related to a deferred prosecution, deferred or suspended sentencing, or to driving rights, except as deemed Medically Necessary by CHPW.
Court-Ordered Services. Court ordered services are those services ordered by a court of competent jurisdiction which are performed by or under the supervision of a physician, dentist, or other provider qualified under State law to furnish medical, dental, behavioral health (including treatment for mental health and/or alcohol and/or substance abuse or dependence), or other covered services. The Contractor is responsible for payment of those services included in the benefit package.
Court-Ordered Services a) The Contractor shall provide any Benefit Package services to Enrollees as ordered by a court of competent jurisdiction, regardless of whether the court order requires such services to be provided by a Participating Provider or by a Non-Participating Provider. Non-Participating Providers shall be reimbursed by the Contractor at the Medicaid fee schedule. The Contractor is responsible for court-ordered services to the extent that such court-ordered services are covered by the Benefit Package and reimbursable by Medicaid or Family Health Plus, as applicable.
b) Court Ordered Services are those services ordered by the court performed by, or under the supervision of a physician, dentist, or other provider qualified under State law to furnish medical, dental, behavioral health (including mental health and/or Chemical Dependence), or other Benefit Package covered services. The Contractor is responsible for payment of those services as covered by the Benefit Package, even when provided by Non-Participating Providers.
c) Any Court-Ordered Services for mental health treatment outpatient visits by the Contractor’s Enrollees that specify the use of Non-Participating Providers shall be reimbursed at the Medicaid rate of payment.
Court-Ordered Services a) The Contractor shall provide any Benefit Package services to Enrollees as ordered by a court of competent jurisdiction, regardless of whether the court order requires such services to be provided by a Participating Provider or by a Non-Participating Provider. Non-Participating Providers shall be reimbursed by the Contractor at the Medicaid fee schedule. The Contractor is responsible for court-ordered services to the extent that such court- ordered services are benefit package services and covered by the Benefit Package and reimbursable by Medicaid.
b) Court Ordered Services are those services ordered by the court performed by, or under the supervision of a physician, dentist, or other provider qualified under State law to furnish medical, dental, behavioral health (including mental health and/or Chemical Dependence), or other Benefit Package covered services. The Contractor is responsible for payment of those services as covered by the Benefit Package, even when provided by Non-Participating Providers.
10.10 HIV Counseling, Testing, Referral, and Partner Notification Services
a) Enrollees may receive HIV antibody testing and pre- and post-test counseling when performed as part of a family planning or reproductive health visit from any qualified provider which undertakes to provide such services regardless of whether the provider is part of the HIV SNP’s provider network. Such testing may be provided without referral and without the HIV SNP’s prior approval or notification of the HIV SNP.
b) The Contractor shall comply with the requirements in Title 10 NYCRR which mandate that HIV counseling with testing, presented as a clinical recommendation, be provided to all women in prenatal care and their newborns.
c) The Contractor shall assure that its participating Providers shall report positive HIV test results and diagnoses and known contacts of such persons to the New York State Commissioner of Health or, for HIV SNPs located in New York City, to the New York City Commissioner of Health and Mental Hygiene. Access to Partner Notification services must be consistent with Chapter 163 of the Laws of 1998.
10.11 HIV SNP Care and Benefits Coordination Services HIV SNP Care and Benefits Coordination Services include the following:
a) Medical case management/care coordination services in consultation with the PCP;
b) Assessment and service plan development that identifies and addresses the Enrollee’s medical and psycho-social needs;
c) Service utilization monitorin...
Court-Ordered Services. PIC covers mental health evaluations and treatment ordered by a Minnesota court under a valid court order when the services ordered are covered under this contract and:
a. The court-ordered behavioral care evaluation is performed by a participating provider or other provider as required by law and the provider is a licensed psychiatrist, or doctoral level licensed psychologist.
b. The treatment is provided by a participating provider or other provider as required by law and is based on a behavioral care evaluation that meets the criteria of a. above and includes a diagnosis and an individual treatment plan for care in the most appropriate and least restrictive environment. PIC must receive a copy of any court order and evaluation. PIC or its designee may make a motion to modify a court ordered plan and may request a new behavioral care evaluation.
Court-Ordered Services. The MCO shall comply with the provisions in Section L, Court-Ordered Services, in this article for all adult protective services through Chs. 51, 54, or 55, Wis. Stats.
Court-Ordered Services a) The Contractor shall provide any Benefit Package services to Enrollees as ordered by a court of competent jurisdiction, regardless of whether the court order requires such services to be provided by a Participating Provider or by a Non-Participating Provider. Non-Participating Providers shall be reimbursed by the Contractor at the Medicaid fee schedule. The Contractor is responsible for court-ordered services to the extent that such court-ordered services are covered by the Benefit Package and reimbursable by Medicaid or Family Health Plus, as applicable.
