Common use of Establish Procedures for the determination of Medical Necessity Clause in Contracts

Establish Procedures for the determination of Medical Necessity. The determination of Medical Necessity shall be made on a case-by-case basis and in accordance with the definition of Medical Necessity defined by the Department and regulations. This requirement should not be construed as to limit the CONTRACTOR’s ability to use medically appropriate cost effective alternative services.

Establish Procedures for the determination of Medical Necessity. The determination of Medical Necessity shall be made on a case-by-case basis and in accordance with the definition of Medical Necessity defined by the Department and regulations. This requirement should not be construed as to limit the CONTRACTOR’s ability to use medically appropriate cost cost-effective alternative services.

Establish Procedures for the determination of Medical Necessity. The determination of Medical Necessity shall be made on a case-by-case basis and in accordance with the definition of Medical Necessity defined by the Department and regulations. This requirement should not be construed as to limit the CONTRACTOR’s ability to use medically appropriate cost cost- effective alternative services.