Common use of GUIDELINES FOR REIMBURSABLE MEDICAL SERVICES Clause in Contracts

GUIDELINES FOR REIMBURSABLE MEDICAL SERVICES. 25 A. Medical Services reimbursable through the MSN Program means those services that are 26 medically necessary to protect life, prevent significant disability, or prevent serious deterioration of 27 health. Reimbursable and non-reimbursable services include those covered in the MSN Provider 28 Manual as approved by the Medical Policy Committee (MPC). The scope of Medical Services to be 29 provided by CONTRACTOR may include, but are not limited to, diagnostic and therapeutic services 30 and emergent or urgent dental services.

GUIDELINES FOR REIMBURSABLE MEDICAL SERVICES. 25 8 A. Medical Services reimbursable through the MSN Program means those services that are 26 9 medically necessary to protect life, prevent significant disability, or prevent serious deterioration of 27 10 health. Reimbursable and non-reimbursable services include those covered in the MSN Provider 28 11 Manual as approved by the Medical Policy Committee (MPC). The scope of Medical Services to be 29 provided by CONTRACTOR may include, but are not limited to, diagnostic and therapeutic services 30 and emergent or urgent dental services.

GUIDELINES FOR REIMBURSABLE MEDICAL SERVICES. 25 12 A. Medical Services reimbursable through the MSN Program means those services that are 26 13 medically necessary to protect life, prevent significant disability, or prevent serious deterioration of 27 14 health. Reimbursable and non-reimbursable services include those covered in the MSN Provider 28 15 Manual as approved by the Medical Policy Committee (MPC). The scope of Medical Services to be 29 16 provided by CONTRACTOR may include, but are not limited to, : diagnostic and therapeutic services 30 17 and emergent or urgent dental services.. 18 B. Follow-Up Care and Specialty Services 19

GUIDELINES FOR REIMBURSABLE MEDICAL SERVICES. 25 10 A. Medical Services reimbursable through the MSN Program means those services that are 26 medically 11 necessary to protect life, prevent significant disability, or prevent serious deterioration of 27 health. 12 Reimbursable and non-reimbursable services include those covered in the MSN Provider 28 Manual as 13 approved by the Medical Policy Committee (MPC). The scope of Medical Services to be 29 provided by CONTRACTOR may include, but are not limited to, diagnostic and therapeutic services 30 and emergent or urgent dental services.

GUIDELINES FOR REIMBURSABLE MEDICAL SERVICES. 25 19 A. Medical Services reimbursable through the MSN Program means those services that are 26 medically 20 necessary to protect life, prevent significant disability, or prevent serious deterioration of 27 health. 21 Reimbursable and non-reimbursable services include those covered in the MSN Provider 28 Manual as approved by the Medical Policy Committee (MPC). The scope of Medical Services to be 29 provided by CONTRACTOR may include, but are not limited to, diagnostic and therapeutic services 30 and emergent or urgent dental services.as

GUIDELINES FOR REIMBURSABLE MEDICAL SERVICES. 25 23 A. Medical Services reimbursable through the MSN Program means those services that are 26 24 medically necessary to protect life, prevent significant disability, or prevent serious deterioration of 27 25 health. Reimbursable and non-reimbursable services include those covered in the MSN Provider 28 26 Manual as approved by the Medical Policy Committee (MPC). The scope of Medical Services to be 29 provided by CONTRACTOR may include, but are not limited to, diagnostic and therapeutic services 30 and emergent or urgent dental services.

GUIDELINES FOR REIMBURSABLE MEDICAL SERVICES. 25 15 A. Medical Services reimbursable through the MSN Program means those services that are 26 medically 16 necessary to protect life, prevent significant disability, or prevent serious deterioration of 27 health. 17 Reimbursable and non-reimbursable services include those covered in the MSN Provider 28 Manual as 18 approved by the Medical Policy Committee (MPC). The scope of Medical Services to be 29 provided by 19 CONTRACTOR may include, but are not limited to, diagnostic and therapeutic services 30 and emergent or 20 urgent dental services.

GUIDELINES FOR REIMBURSABLE MEDICAL SERVICES. 25 32 A. Medical Services reimbursable through the MSN Program means those services that are 26 33 medically necessary to protect life, prevent significant disability, or prevent serious deterioration of 27 health. Reimbursable and non-reimbursable services include those covered in the MSN Provider 28 Manual as approved by the Medical Policy Committee (MPC). The scope of Medical Services to be 29 provided by CONTRACTOR may include, but are not limited to, diagnostic and therapeutic services 30 and emergent or urgent dental services.of

GUIDELINES FOR REIMBURSABLE MEDICAL SERVICES. 25 28 A. Medical Services reimbursable through the MSN Program means those services that are 26 29 medically necessary to protect life, prevent significant disability, or prevent serious deterioration of 27 30 health. Reimbursable and non-reimbursable services include those covered in the MSN Provider 28 31 Manual as approved by the Medical Policy Committee (MPC). The scope of Medical Services to be 29 provided by CONTRACTOR may include, but are not limited to, diagnostic and therapeutic services 30 and emergent or urgent dental services.

GUIDELINES FOR REIMBURSABLE MEDICAL SERVICES. 25 22 A. Medical Services reimbursable through the MSN Program means those services that are 26 23 medically necessary to protect life, prevent significant disability, or prevent serious deterioration of 27 24 health. Reimbursable and non-reimbursable services include those covered in the MSN Provider 28 25 Manual as approved by the Medical Policy Committee (MPC). The scope of Medical Services to be 29 provided by CONTRACTOR may include, but are not limited to, diagnostic and therapeutic services 30 and emergent or urgent dental services.

GUIDELINES FOR REIMBURSABLE MEDICAL SERVICES. 25 30 A. Medical Services reimbursable through the MSN Program means those services that are 26 31 medically necessary to protect life, prevent significant disability, or prevent serious deterioration of 27 32 health. Reimbursable and non-reimbursable services include those covered in the MSN Provider 28 33 Manual as approved by the Medical Policy Committee (MPC). The scope of Medical Services to be 29 provided by CONTRACTOR may include, but are not limited to, diagnostic and therapeutic services 30 and emergent or urgent dental services.

GUIDELINES FOR REIMBURSABLE MEDICAL SERVICES. 25 17 A. Medical Services reimbursable through the MSN Program means those services that are 26 18 medically necessary to protect life, prevent significant disability, or prevent serious deterioration of 27 health. Reimbursable and non-reimbursable services include those covered in the MSN Provider 28 20 Manual as approved by the Medical Policy Committee (MPC). The scope of Medical Services to be 29 provided by CONTRACTOR may include, but are not limited to, diagnostic and therapeutic services 30 and emergent or urgent dental services.

GUIDELINES FOR REIMBURSABLE MEDICAL SERVICES. 25 A. Medical Services reimbursable through the MSN Program means those services that are 26 medically necessary to protect life, prevent significant disability, or prevent serious deterioration of 27 health. Reimbursable and non-reimbursable services include those covered in the MSN Provider 28 Manual as approved by the Medical Policy Committee (MPC). The scope of Medical Services to be 29 provided by CONTRACTOR may include, but are not limited to: , diagnostic and therapeutic services 30 and emergent or urgent dental services.