GAMC Covered Services Sample Clauses
GAMC Covered Services. The MCO shall provide, or arrange to have provided, to Enrollees comprehensive preventive, diagnostic, therapeutic and rehabilitative health care services as defined in Minnesota Statutes, § 256D.03, until the funding for the GAMC program is suspended. Except for sections 6.2.16(C) and 6.2.17, or as otherwise specified in the Contract, these services shall be provided to the extent that this law was in effect on the effective day of this Contract. Sections 6.2.16(C) and 6.2.17 shall be provided to the extent that the above law and rules are in effect. Pursuant to section 6.8.1, all covered benefits, except for services mandated by state or federal law, are subject to determination by the MCO of Medical Necessity, as defined in section 2.60. For purposes of this section, mandated services do not include the benefits described in Minnesota Statutes, Chapters 256B, 256D, and 256L. Covered services shall include, but are not limited to, the following:
GAMC Covered Services. The HEALTH PLAN shall provide, or arrange to have provided to Enrollees comprehensive preventive, diagnostic, therapeutic and rehabilitative health care services as defined in Minnesota Statutes, Section 256D.03. Except for Section 6.2.16, these services shall be provided to the extent that this law was in effect on the effective day of this contract. These services shall include, but are not limited to, the following.