Common use of Medically Necessary Services Clause in Contracts

Medically Necessary Services. As defined by the Social Security Act, Section 1905 (42 USC 1396d(a)), the State Plan, and Administrative Code, Medically Necessary Services are also the most appropriate services that help achieve age-appropriate growth and development and will allow a Member to attain, maintain, or regain capacity. Medically Necessary Services may also be those services for Members that are necessary to correct or ameliorate disorders and physical and behavioral/mental illnesses and conditions, whether such services are covered or exceed the benefit limits in the Medicaid State Plan and Title 23 of Mississippi Administrative Code.

Appears in 3 contracts

Samples: Contract, Contract, Contract

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Medically Necessary Services. As defined by the Social Security Act, Section 1905 (42 USC 1396d(a)), the State Plan, and Administrative Code, Medically Necessary Services are also the most appropriate services that help achieve age-appropriate growth and development and will allow a Member to attain, maintain, or regain capacity. Medically Necessary Services may also be those services for Members that are necessary to correct or ameliorate disorders defects and physical and behavioral/mental illnesses and conditions, whether such services are covered or exceed the benefit limits in the Medicaid State Plan and Title 23 of Mississippi Administrative Code.

Appears in 3 contracts

Samples: Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco)

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