Maternity Services. Under the Newborns and Mothers Health Protection Act, the MCO may not: • Limit benefits for postpartum hospital stays to less than forty-eight (48) hours following a normal vaginal delivery or ninety-six (96) hours following a cesarean section unless the attending provider, in consultation with the mother, makes the decision to discharge the mother or the newborn before that time; or • Require that a provider obtain authorization from the plan before prescribing this length of stay. This requirement must not preclude the MCO from requiring prior authorization or denying coverage for elective inductions and elective C-sections.
Appears in 6 contracts
Samples: Service Provider Agreement, Model Purchase of Service Provider Agreement, Model Purchase of Service Provider Agreement
Maternity Services. Under the Newborns and Mothers Health Protection Act, the MCO may not: • Limit benefits for postpartum hospital stays to less than forty-eight (48) hours following a normal vaginal delivery or ninety-six (96) hours following a cesarean section unless the attending provider, in consultation with the mother, makes the decision to discharge the mother or the newborn before that time; or • Require that a provider obtain authorization from the plan before prescribing this length of stay. This requirement must not preclude the MCO from requiring prior authorization or denying coverage for elective inductions and elective C-sections.
Appears in 5 contracts
Samples: Service Provider Agreement, Model Purchase of Service Provider Agreement, Service Provider Agreement
Maternity Services. Under the Newborns and Mothers Health Protection Act, the MCO may not: • Limit benefits for postpartum hospital stays to less than forty-eight (48) 48 hours following a normal vaginal delivery or ninety-six (96) 96 hours following a cesarean section unless the attending provider, in consultation with the mother, makes the decision to discharge the mother or the newborn before that time; or • Require that a provider obtain authorization from the plan before prescribing this length of stay. This requirement must not preclude the MCO from requiring prior authorization or denying coverage for elective inductions and elective C-sections.
Appears in 4 contracts
Samples: Service Provider Agreement, Purchase of Service Provider Agreement, Purchase of Service Provider Agreement
Maternity Services. Under the Newborns and Mothers Health Protection Act, the MCO may not: • Limit benefits for postpartum hospital stays to less than forty-eight (48) hours following a normal vaginal delivery or ninety-six (96) hours following a cesarean section unless the attending provider, in consultation with the mother, makes the decision to discharge the mother or the newborn before that time; or • Require that a provider obtain authorization from the plan before prescribing this length of stay. This requirement must shall not preclude the MCO from requiring prior authorization or denying coverage for elective inductions and elective C-sections.
Appears in 4 contracts
Samples: Service Provider Agreement, Service Provider Agreement, Model Purchase of Service Provider Agreement
Maternity Services. Under the Newborns and Mothers Health Protection Act, the MCO may not: • Limit benefits for postpartum hospital stays to less than forty-eight (48) 48 hours following a normal vaginal delivery or ninety-six (96) 96 hours following a cesarean section unless the attending provider, in consultation with the mother, makes the decision to discharge the mother or the newborn before that time; or • Require that a provider obtain authorization from the plan before prescribing this length of stay. This requirement must not preclude the MCO from requiring prior authorization or denying coverage for elective inductions and elective C-sections.
Appears in 3 contracts
Samples: Service Provider Agreement, Purchase of Service Provider Agreement, Purchase of Service Provider Agreement
Maternity Services. Under the Newborns and Mothers Health Protection Act, the MCO may not: • Limit benefits for postpartum hospital stays to less than forty-eight (48) hours following a normal vaginal delivery or ninety-six (96) hours following a cesarean section unless the attending provider, in consultation with the mother, makes the decision to discharge the mother or the newborn before that time; or • Require that a provider obtain authorization from the plan before prescribing this length of stay. This requirement must shall not preclude the MCO from requiring prior authorization or denying coverage for elective inductions and elective C-sections.
Appears in 2 contracts
Samples: Service Provider Agreement, Model Purchase of Service Provider Agreement
Maternity Services. Under the Newborns and Mothers Health Protection Act, the MCO may not: • Limit benefits for postpartum hospital stays to less than forty-eight (48) hours following a normal vaginal delivery or ninety-six (96) hours following a cesarean section unless the attending provider, in consultation with the mother, makes the decision to discharge the mother or the newborn before that time; or • Require that a provider obtain authorization from the plan before prescribing this length of stay. This requirement must not preclude the MCO from requiring prior authorization or denying coverage for elective inductions and elective C-cesarean sections.
Appears in 2 contracts
Samples: Service Provider Agreement, dhhr.wv.gov