Emergency Care Access. i) Definition of emergency services, as defined in law including examples of situations that constitute an emergency and situations that do not.
Appears in 5 contracts
Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
Emergency Care Access. i) Definition of emergency services, as defined in law including examples of situations that constitute an emergency and situations that do not.
ii) What to do in an emergency, including notice that services in a true emergency are not subject to prior approval.
iii) A phone number to call if PCP is not available.
iv) Explanation of what to do in non-emergency situations (PCP, urgent care, etc.).
Appears in 2 contracts
Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
Emergency Care Access. i) Definition of emergency services, as defined in law including examples of situations that constitute an emergency and situations that do notAND SITUATIONS THAT DO NOT.
Appears in 1 contract
Samples: Medicaid Managed Care Model Contract (Amerigroup Corp)
