Common use of Inpatient Hospital Services Clause in Contracts

Inpatient Hospital Services. a. Inpatient hospital services are medically necessary behavioral health services provided in a hospital setting. (See Section V, Covered Services, Item H., Coverage Provisions, sub-item 10., Hospital Services – Inpatient.) The inpatient care and treatment services that an enrollee receives must be under the direction of a licensed physician with the appropriate medical specialty requirements. Capitated Health Plans may provide inpatient hospital services in a general hospital psychiatric unit or in a specialty hospital.

Appears in 4 contracts

Samples: Standard Contract (Wellcare Health Plans, Inc.), Standard Contract (Wellcare Health Plans, Inc.), Contract (Wellcare Health Plans, Inc.)

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Inpatient Hospital Services. a. Inpatient hospital Hospital services are medically necessary behavioral health services Medically Necessary Behavioral Health Services provided in a hospital setting. Hospital setting (See see Section VV.7, Covered Services, Item H., Coverage Provisions, sub-item 10., Hospital Services - Inpatient.) . Inpatient hospital services may be provided in a general Hospital psychiatric unit or in a specialty Hospital. The inpatient care and treatment services that an enrollee Enrollee receives must be under the direction of a licensed physician with the appropriate medical Medicaid specialty requirements. Capitated Health Plans may provide inpatient hospital services in a general hospital psychiatric unit or in a specialty hospital.

Appears in 2 contracts

Samples: Contract (Wellcare Health Plans, Inc.), Wellcare Health Plans, Inc.

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Inpatient Hospital Services. a. Inpatient hospital services are medically necessary behavioral health services provided in a hospital setting. (See Section V, Covered Services, Item H., Coverage Provisions, sub-item 10., Hospital Services Inpatient.) The inpatient care and treatment services that an enrollee receives must be under the direction of a licensed physician with the appropriate medical specialty requirements. Capitated Health Plans may provide inpatient hospital services in a general hospital psychiatric unit or in a specialty hospital.

Appears in 1 contract

Samples: Attachment (Amerigroup Corp)

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