Mental Health Care Services Sample Clauses

Mental Health Care Services. Benefits for mental health care services include services for mental illness diagnoses. Substance abuse treatment is defined under a separate benefit. 1. Inpatient Services Benefits for inpatient mental health care services include bed, board and general inpatient nursing services when provided for the treatment of mental illness. Services provided by a professional provider to a Member who is an inpatient for mental health care are also covered. 2. Partial Hospitalization Benefits for partial hospitalization mental health care services include the outpatient treatment of a mental illness in a planned therapeutic program during the day only or during the night only. The partial hospitalization program must be approved by Keystone Health Plan Central or its designee. Partial hospitalization mental health care is not covered for halfway houses and residential treatment facilities.
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Mental Health Care Services. 1. Inpatient Facility Services
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Mental Health Care Services. Services that are provided by a mental health practitioner will be covered as mental health care, regardless of the cause of the disorder.
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Mental Health Care Services. GHC and Washington State law have established standards to assure the competence and professional conduct of mental health service providers, to guarantee Members’ rights to informed consent to treatment, to assure the privacy of their medical information, to enable Members to know which services are covered under the Agreement and to know the limitations on their coverage. Members who would like a more detailed description than is provided here of covered benefits for mental health services under the Agreement, or have questions or concerns about any aspect of their mental health benefits, may contact GHC at (000) 000-0000.
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Mental Health Care Services. Not included at this time
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Mental Health Care Services. Benefits for Mental Health Care services include services for Mental Illness diagnoses. Substance Use Disorder treatment is defined under a separate Benefit. a. Inpatient Services‌‌‌‌‌‌
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Mental Health Care Services a. For a minimum of 24 hours per week, VGMHC will provide SBHC mental health services through a Qualified Mental Health Professional (QMRP) who is preferably dually certified as a Certified Alcohol and Drug Counselor (CADC) or is working toward dual certification as a CADC within one year of hire date. The clinician will be available during the operating hours of the center. b. SBHC mental health services will be available through the Beaverton School-Based Health Centers. c. SBHC mental health services will be offered to all students, and insurance reimbursement will be accessed according to VGMHC policy and procedures. d. SBHC mental health services will include substance abuse and mental health screenings and assessments, brief counseling/treatment, case management and linkage to treatment providers in the community, family engagement/counseling and coordination with school staff and other agencies engaged with particular youth and families. e. All SBHC mental health services must be delivered in accordance with the guidelines set forth in the Standards for Certification for SBHC (2000, revised 2005, revised 2009, revised 2010, and 2014), a copy of which, including revisions, is available from Oregon Health Authority or accessible on the internet at xxxx://xxxxxx.xxxxxx.xxxxxx.xxx/HealthyPeopleFamilies/Youth/HealthSchool/SchoolBasedHealthCenter s/Pages/certification.aspx. The Standards for Certification (2000, revised 2005, revised 2009, revised 2010, and 2014) includes administrative, operations and reporting guidance, and minimum standards and/or requirements in the areas of: certification process, sponsoring agency/facility, operations/staffing, laboratory, clinical services, data collection/reporting and quality assurance.
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Related to Mental Health Care Services

  • COVERED HEALTHCARE SERVICES This section describes covered healthcare services. This plan covers services only if they meet all of the following requirements: • Listed as a covered healthcare service in this section. The fact that a provider has prescribed or recommended a service, or that it is the only available treatment for an illness or injury does not mean it is a covered healthcare service under this plan. • Medically necessary, consistent with our medical policies and related guidelines at the time the services are provided. • Not listed in Exclusions Section. • Received while a member is enrolled in the plan. • Consistent with applicable state or federal law. We review medical necessity in accordance with our medical policies and related guidelines. Our medical policies can be found on our website. Our medical policies are written to help administer benefits for the purpose of claims payment. They are made available to you for informational purposes and are subject to change. Medical policies are not meant to be used as a guide for your medical treatment. Your medical treatment remains a decision made by you with your physician. If you have questions about our medical policies, please call Customer Service. When a new service or drug becomes available, when possible, we will review it within six (6) months of one of the events described below to determine whether the new service or drug will be covered: • the assignment of an American Medical Association (AMA) Current Procedural Terminology (CPT) code in the annual CPT publication; • final Food and Drug Administration (FDA) approval; • the assignment of processing codes other than CPT codes or approval by governing or regulatory bodies other than the FDA; • submission to us of a claim meeting the criteria above; and • generally, the first date an FDA approved prescription drug is available in pharmacies (for prescription drug coverage only). During the review period, new services and drugs are not covered. For all covered healthcare services, please see the Summary of Medical Benefits and the Summary of Pharmacy Benefits to determine the amount that you pay and any benefit limits.

  • Mental Health Services This agreement covers medically necessary services for the treatment of mental health disorders in a general or specialty hospital or outpatient facilities that are: • reviewed and approved by us; and • licensed under the laws of the State of Rhode Island or by the state in which the facility is located as a general or specialty hospital or outpatient facility. We review network and non-network programs, hospitals and inpatient facilities, and the specific services provided to decide whether a preauthorization, hospital or inpatient facility, or specific services rendered meets our program requirements, content and criteria. If our program content and criteria are not met, the services are not covered under this agreement. Our program content and criteria are defined below.

  • Vision Care Services For purposes of coordination of benefits, vision care services covered under other plans are not considered an allowable expense, as defined in the Coordination of Benefits and Subrogation in Section 7.

  • Mental Health The parties recognize the importance of supporting and promoting a psychologically healthy workplace and as such will adhere to all applicable statutes, policy, guidelines and regulations pertaining to the promotion of mental health.

  • Core Services The Company agrees to provide to the Municipality the Core Services set forth in Schedule “A”. The Company and the Municipality may amend Schedule “A” from time to time upon mutual agreement.

  • Health Care Operations “Health Care Operations” shall have the same meaning as the term “health care operations” in 45 CFR §164.501.

  • HEALTH CARE PLANS ‌ Notwithstanding the references to the Pacific Blue Cross Plans in this article, the parties agree that Employers, who are not currently providing benefits under the Pacific Blue Cross Plans may continue to provide the benefits through another carrier providing that the overall level of benefits is comparable to the level of benefits under the Pacific Blue Cross Plans.

  • Hospital Services The Hospital will: 6.1.1 achieve the Performance Standards described in the Schedules and the HSAA Indicator Technical Specifications; 6.1.2 not reduce, stop, start, expand, cease to provide or transfer the provision of Hospital Services to another hospital or to another site of the Hospital if such action would result in the Hospital being unable to achieve the Performance Standards described in the Schedules and the HSAA Indicator Technical Specifications; and 6.1.3 not restrict or refuse the provision of Hospital Services that are funded by the Funder to an individual, directly or indirectly, based on the geographic area in which the person resides in Ontario, and will establish a policy prohibiting any health care professional providing services at the Hospital, including physicians, from doing the same.

  • Hospice Services Services are available for a Member whose Attending Physician has determined the Member's illness will result in a remaining life span of six months or less.

  • Home Health Care This plan covers the following home care services when provided by a certified home healthcare agency: • nursing services; • services of a home health aide; • visits from a social worker; • medical supplies; and • physical, occupational and speech therapy.

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