Maternity Services. Maternity care benefits and services include prenatal, delivery, postpartum services and nursery charges for a normal pregnancy or complications related to the pregnancy. The CONTRACTOR shall: 4.2.18.1. Ensure all Members and their infants receive risk appropriate medical and Referral Services. 4.2.18.2. Be Responsible for inpatient hospital Claims billed on the facility claim form that include both a Cesarean Section and sterilization. 4.2.18.3. Be responsible for the Care Management and Coordination of maternity benefits and services (i.e., Continuity of Care, transfers, and payment), as stipulated with Section 4 and Section 5 of this contract.
Appears in 7 contracts
Samples: Contract for Medical Services, Contract for Medical Services, Contract for Medical Services
Maternity Services. Maternity care benefits and services include prenatal, delivery, postpartum services and nursery charges for a normal pregnancy or complications related to the pregnancy. The CONTRACTOR shall:
4.2.18.1. Ensure all Members and their infants receive risk appropriate medical and Referral Services.
4.2.18.2. Be Responsible responsible for inpatient hospital Claims billed on the facility claim form that include both a Cesarean Section and sterilization.
4.2.18.3. Be responsible for the Care Management and Coordination of maternity benefits and services (i.e., Continuity of Care, transfers, and payment), as stipulated with Section 4 and Section 5 of this contract.
4.2.18.4. Require care coordination through the gestational period according to the member's needs.
Appears in 3 contracts
Samples: Contract for Medical Services, Contract for Medical Services, Contract for Medical Services
Maternity Services. Maternity care benefits and services include prenatal, delivery, postpartum services and nursery charges for a normal pregnancy or complications related to the pregnancy. The CONTRACTOR shall:
4.2.18.1. Ensure all Members and their infants receive risk appropriate medical and Referral Services.
4.2.18.2. Be Responsible responsible for inpatient hospital Claims billed on the facility claim form that include both a Cesarean Section and sterilization.
4.2.18.3. Be responsible for the Care Management and Coordination of maternity benefits and services (i.e., Continuity of Care, transfers, and payment), as stipulated with Section 4 and Section 5 of this contract.
Appears in 3 contracts
Samples: Contract for Medical Services, Contract for Medical Services, Contract for Medical Services
Maternity Services. Maternity care benefits and services include prenatal, delivery, postpartum services and nursery charges for a normal pregnancy or complications related to the pregnancy. The CONTRACTOR shall:
4.2.18.1. Ensure all Members and their infants receive risk appropriate medical Medical and Referral Services.
4.2.18.2. Be Responsible for inpatient hospital Claims claims billed on the facility claim form Facility Claim Form that include both a Cesarean Section cesarean section and sterilization.
4.2.18.3. Be responsible for the Care Management and Coordination of maternity benefits and services (i.e., Continuity continuity of Carecare, transfers, and payment), as stipulated with Section 4 and Section 5 of this contractContract.
Appears in 1 contract
Samples: Contract for Medical Services
Maternity Services. Maternity care benefits and services include prenatal, delivery, postpartum services and nursery charges for a normal pregnancy or complications related to the pregnancy. The CONTRACTOR shall:
4.2.18.1. 4.2.19.1 Ensure all Members and their infants receive risk appropriate medical and Referral Services.
4.2.18.2. 4.2.19.2 Be Responsible responsible for inpatient hospital Claims billed on the facility claim form that include both a Cesarean Section and sterilization.
4.2.18.3. 4.2.19.3 Be responsible for the Care Management and Coordination of maternity benefits and services (i.e., Continuity of Care, transfers, and payment), as stipulated with Section 4 and Section 5 of this contract.
4.2.19.4 Require care coordination through the gestational period according to the member's needs.
Appears in 1 contract
Samples: Contract for Medical Services