Limitation on Charges to Enrollees. The Contractor must limit charges to Enrollees for Post-Stabilization Care Services to an amount no greater than that what the Contractor would charge the Enrollee if he or she had obtained the services through the Contractor. For purposes of cost sharing, Post-Stabilization Care Services begin upon inpatient admission.
Appears in 20 contracts
Samples: Accountable Care Organization (Aco) Contract, Accountable Care Organization (Aco) Contract, Integrated Care Contract
Limitation on Charges to Enrollees. The Contractor must shall limit charges to Enrollees for Post-Stabilization Poststabilization Care Services to an amount no greater than that what the Contractor would charge the Enrollee if he or she had obtained the services through the Contractor. For purposes of cost sharing, Post-Stabilization Poststabilization Care Services begin upon inpatient admission.
Appears in 13 contracts
Samples: Utah Medicaid Contract, Utah Medicaid Contract, Home Program Contract
Limitation on Charges to Enrollees. The Contractor must limit charges to Enrollees for Post-Stabilization stabilization Care Services to an amount no greater than that what the Contractor would charge the Enrollee if he or she had obtained the services through the Contractor. For purposes of cost sharing, Post-Stabilization stabilization Care Services begin upon inpatient admission.
Appears in 7 contracts
Samples: Prepaid Mental Health Plan (Pmhp) Contract, Prepaid Mental Health Plan (Pmhp) Contract, Prepaid Mental Health Plan (Pmhp) Contract
Limitation on Charges to Enrollees. The Contractor must shall limit charges to Enrollees for Post-Stabilization Care Services to an amount no greater than that what the Contractor would charge the Enrollee if he or she had obtained the services through the Contractor. For purposes of cost sharing, Post-Stabilization Care Services begin upon inpatient admission.
Appears in 2 contracts
Samples: Managed Care Contract, Managed Care Contract
Limitation on Charges to Enrollees. The Contractor must shall limit charges to Enrollees for Post-Stabilization Care Services to an amount no greater than that what the amount the Contractor would charge the Enrollee if he or she had obtained the services through the Contractor. For purposes of cost sharing, Post-Stabilization Care Services begin upon inpatient admission.
Appears in 1 contract
Samples: Contract
