Common use of EXCLUSIONS FROM COVERED SERVICES FOR CHIP PERINATES Clause in Contracts

EXCLUSIONS FROM COVERED SERVICES FOR CHIP PERINATES. For CHIP Perinates in families with incomes at or below 185% of the Federal Poverty Level, inpatient facility charges are not a covered benefit if associated with the initial Perinatal Newborn admission. "Initial Perinatal Newborn admission" means the hospitalization associated with the birth. Inpatient and outpatient treatments other than prenatal care, labor with delivery, services related to (a) miscarriage and (b) a non-viable pregnancy, and postpartum care related to the covered unborn child until birth. Inpatient mental health services. Outpatient mental health services. Durable medical equipment or other medically related remedial devices. Disposable medical supplies. Home and community-based health care services. Nursing care services. Dental services. Inpatient substance abuse treatment services and residential substance abuse treatment services. Outpatient substance abuse treatment services. Physical therapy, occupational therapy, and services for individuals with speech, hearing, and language disorders. Hospice care. Skilled nursing facility and rehabilitation hospital services. Emergency services other than those directly related to the labor with delivery of the covered unborn child. Transplant services.

Appears in 5 contracts

Samples: Contract (Centene Corp), Contract (Centene Corp), Contract (Centene Corp)

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