Hospitals. The CONTRACTOR shall:
6.2.4.1. Ensure hospital Providers are qualified to provide services under the Medicaid Program.
6.2.4.2. Ensure each of the CONTRACTOR’s Members have access to at least one hospital. Additional guidance is stated within the managed care policy and procedure guide.
Hospitals a. In every Hospital:
i. at least one Registered Nurse shall be On Duty at all times;
ii. the distribution of Care Staff over a 24 hour period shall be in accordance with the needs of the Residents as determined by a Registered Nurse. A minimum of 2 Care Staff are required to be On Duty at all times;
iii. the layout of the Facility must also be taken into consideration when determining the number and the distribution of Care Staff required to meet the needs of the Residents under clause D17.4(a)(ii).
Hospitals. An employee when engaged in repairs, demolition and/or maintenance in any block or portion of a hospital used for the care or treatment of patients suffering from infectious or contagious diseases.
Hospitals. If Provider or a Contracted Provider is a hospital (“Hospital”), the following provisions apply.
Hospitals. Students in coordination with the EMT Xxxxxx High School Coordinator actively participate alongside hospital personnel performing the latest medical practices and procedures and proper application of life support equipment in a variety of medical emergencies and procedures and where Students observe patient care with the BHC-EMT Director.
Hospitals. An Employee when engaged in repairs, demolition and/ or maintenance in any block or portion of a hospital used for the care or treatment of patients suffering from infectious or contagious diseases will be paid an additional amount per day or part thereof. An Employee working inside a morgue in which one or more dead bodies are not in refrigeration will be paid an additional amount per day or part thereof.
Hospitals. If Provider is a hospital, including a psychiatric hospital, Provider shall cooperate with Subcontractor and Health Plan in developing and implementing protocols as part of Health Plan’s nursing facility diversion plan, which shall include, at a minimum, a hospital’s obligation to promptly notify Subcontractor and Health Plan upon admission of an eligible Covered Person regardless of payor source for the hospitalization, how a hospital will identify members who may need home health, private duty nursing, nursing facility or HCBS upon discharge, and how a hospital will engage Subcontractor and Health Plan in the discharge planning process to ensure that Covered Persons receive the most appropriate and cost-effective medically necessary services upon discharge.
Hospitals. 115 6.15.5 Dental, Optometry, Lab, and X-Ray Services. 115
Hospitals. 4.8.5.1 The Contractor shall have a comprehensive Provider network of hospitals such that they are available and accessible to all Members. This includes, but is not limited to tertiary care facilities and facilities with neo-natal, intensive care, burn, and trauma units.
4.8.5.2 The Contractor shall include in its network Critical Access Hospitals (CAHs) that are located in its Service Region.
4.8.5.3 The Contractor shall maintain copies of all letters and other correspondence related to its efforts to include CAHs in its network. This documentation shall be provided to DCH upon request.
4.8.5.4 A critical access hospital must provide notice to a care management organization and DCH of any alleged breaches in its contract by such care management organization (Title 33 of the Official Code of Georgia Annotated as amended pursuant to O.C.G.A. 33-21-1, et seq known as the “Medicaid Care Management Organizations Act.” (HB1234)
Hospitals. 4.8.5.1 The Contractor shall have a comprehensive Provider network of hospitals such that they are available and accessible to all Members. This includes, but is not limited to tertiary care facilities and facilities with neo-natal, intensive care, burn, and trauma units.
4.8.5.1.1 The Contractor shall maintain a comprehensive Provider network of hospitals such that they are available and accessible for Demonstration related Service and Benefit delivery to all P4HB Participants.
4.8.5.2 The Contractor shall include in its network Critical Access Hospitals (CAHs) that are located in its Service Region.
4.8.5.3 The Contractor shall maintain copies of all letters and other correspondence related to its efforts to include CAHs in its network. This documentation shall be provided to DCH upon request.
4.8.5.4 A critical access hospital must provide notice to a care management organization and DCH of any alleged breaches in its contract by such care management organization (Title 33 of the Official Code of Georgia Annotated as amended pursuant to O.C.G.A. 33-21-1, et seq. known as the “Medicaid Care Management Organizations Act.” (HB1234)
