Coverage of ABA Therapy Sample Clauses

Coverage of ABA Therapy. Defendants agree to cover ABA therapy for ASD as a “Mental or Nervous Disorder Treatment” in the Plan when approved by the Defendants’ qualified third-party administrator as medically necessary, and subject to utilization review, authorized treatment plans, preauthorization requirements and contracting with and using a network of participating providers to the extent authorized by the terms of the Plan and law, as of April 1, 2021 and continuing at least through November 1, 2025. Nothing in this provision limits the ability and right of the Plaintiff or a Class Member to challenge any coverage determination made by Defendants or their qualified third-party administrator relating to requests for coverage after April 1, 2021, pursuant to the Plan’s appeal process. Defendants shall amend or modify Art. 1, Section 1.38 of the Plan of Benefits to include providers of ABA therapy, such as Board-Certified Behavior Analysts and Behavior Technicians.
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Coverage of ABA Therapy. The CHI Defendants agree to continue to cover ABA therapy for Autism in the Plan at least through December 31, 2021.
Coverage of ABA Therapy. Defendant PEBB will continue to cover ABA under its self-funded plans at least through January 1, 2022, but may continue to provide ABA coverage beyond that date.

Related to Coverage of ABA Therapy

  • COVERAGE OF AGREEMENT This Agreement will govern and control all Goods and Services provided by Seller to Buyer, now or in the future, regardless of whether performed pursuant to written Order(s) issued by Buyer, other written agreement(s) executed by the parties, and/or verbal request(s) issued by Buyer, and will remain in effect until either party provides the other with sixty (60) days’ advance written notice of termination. Each party agrees that this Agreement will also govern all sales of Goods and provision of Services to any subsidiary, affiliate or division of McWane, Inc., in which case such subsidiary, affiliate or division will be the “Buyer” under this Agreement (unless otherwise agreed in writing by such subsidiary, affiliate or division). The term “Buyer” also includes Buyer’s employees, agents, officers, directors, successors and assigns. The term “Seller” refers to the vendor providing Goods and Services to Buyer, together with its employees, agents, subcontractors, suppliers and all other persons performing Services or supplying Goods on Seller’s behalf. The terms “Goods” or “Services” whether used together or separately and wherever appearing in this Agreement mean (i) any and all products, supplies, materials, processes and/or equipment and/or (ii) any and all services, work or labor of any kind furnished or performed by Seller under this Agreement and any subsequent amendments, changes or modifications hereof.

  • Coverage F Medical Payments To Others Coverage F does not apply to "bodily injury":

  • Medical Coverage The Executive shall be entitled to such continuation of health care coverage as is required under, and in accordance with, applicable law or otherwise provided in accordance with the Company’s policies. The Executive shall be notified in writing of the Executive’s rights to continue such coverage after the termination of the Executive’s employment pursuant to this Section 3(d)(iv), provided that the Executive timely complies with the conditions to continue such coverage. The Executive understands and acknowledges that the Executive is responsible to make all payments required for any such continued health care coverage that the Executive may choose to receive.

  • Product Coverage This Agreement shall apply to all manufactured products, - including capital goods, processed agricultural products, and those products failing outside the definition of agricultural products as set out in this Agreement. Agricultural products shall be excluded from the CEPT Scheme.

  • Coverage Term All insurance required herein shall be maintained in full force and effect until all work or services required to be performed under the terms of this Agreement are satisfactorily performed, completed and formally accepted by the City, unless specified otherwise in this Agreement.

  • Coverage Types (choose all that apply)

  • Infusion Therapy the administration of antibiotic, nutrients, or other therapeutic agents by direct infusion. Note: The limitations on Therapy Services contained in this Therapy Services provision do not apply to any Therapy Services that are received under the Home Health Care provision or to therapy services received under the Diagnosis and Treatment of Autism or Other Developmental Disabilities provision. .

  • Extended Health Care Coverage A) The Employer shall pay one hundred percent (100%) of the monthly premiums for extended health care coverage for regular employees and their eligible dependents (including common-law spouses) under the Pacific Blue Cross Plan, or any other plan mutually acceptable to the Union and the Employer (See also Appendix “I”). The plan benefits shall be expanded to include:

  • Outpatient Dental Anesthesia Services This plan covers anesthesia services received in connection with a dental service when provided in a hospital or freestanding ambulatory surgical center and: • the use of this is medically necessary; and • the setting in which the service is received is determined to be appropriate. This plan also covers facility fees associated with these services.

  • Coverage A Dwelling

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