Common use of Coverage Responsibility Clause in Contracts

Coverage Responsibility. The PO is responsible for covering services included in PACE program benefits that cost-effectively address any of the following: a. The prevention, diagnosis, and treatment of a disease, condition, and/or disorder that results in health impairments and/or disability; b. The ability to achieve age-appropriate growth and development; c. The ability to attain, maintain, or regain functional capacity; and d. The opportunity to have access to the benefits of community living, to achieve person-centered goals, and live and work in the setting of their choice.

Coverage Responsibility. The PO is responsible for covering services included in PACE program benefits that cost-effectively address any of the following: a. : The prevention, diagnosis, and treatment of a disease, condition, and/or disorder that results in health impairments and/or disability; b. ; The ability to achieve age-appropriate growth and development; c. ; The ability to attain, maintain, or regain functional capacity; and d. and The opportunity to have access to the benefits of community living, to achieve person-centered goals, and live and work in the setting of their choice. Services must be medically necessary as defined in Article I.84.

Coverage Responsibility. The PO is responsible for covering services included in PACE program benefits that cost-effectively address any of the following: a. : The prevention, diagnosis, and treatment of a disease, condition, and/or disorder that results in health impairments and/or disability; b. ; The ability to achieve age-appropriate growth and development; c. ; The ability to attain, maintain, or regain functional capacity; and d. and The opportunity to have access to the benefits of community living, to achieve person-centered goals, and live and work in the setting of their choice. Services must be medically necessary as defined in Article I.88.