Common use of Excluded Diagnosis Clause in Contracts

Excluded Diagnosis. A Beneficiary’s face-to-face assessment determines that the 18 Beneficiary has an excluded diagnosis and therefore does not meet medical necessity criteria for 19 receiving treatment from either COUNTY or CONTRACTOR, and a NOA-A shall be provided, if 20 applicable. This does not apply to DMC

Excluded Diagnosis. A Beneficiary’s face-to-face assessment determines that the 18 16 Beneficiary has an excluded diagnosis and therefore does not meet medical necessity criteria for 19 17 receiving treatment from either COUNTY or CONTRACTOR, and a NOA-A shall be provided, if 20 18 applicable. This does not apply to DMC.

Excluded Diagnosis. A Beneficiary’s face-to-face assessment determines that the 18 34 Beneficiary has an excluded diagnosis and therefore does not meet medical necessity criteria for 19 35 receiving treatment from either COUNTY or CONTRACTOR, and a NOA-A shall be provided, if 20 applicable. This does not apply to DMC.

Excluded Diagnosis. A Beneficiary’s face-to-face assessment determines that the 18 5 Beneficiary has an excluded diagnosis and therefore does not meet medical necessity criteria for 19 6 receiving treatment from either COUNTY or CONTRACTOR, and a NOA-A shall be provided, if 20 applicable. This does not apply to DMC.

Excluded Diagnosis. A Beneficiary’s face-to-face assessment determines that the 18 27 Beneficiary has an excluded diagnosis and therefore does not meet medical necessity criteria for 19 28 receiving treatment from either COUNTY or CONTRACTOR, and a NOA-A shall be provided, if 20 29 applicable. This does not apply to DMC.