Newborn Services Sample Clauses

Newborn Services. The Contractor shall furnish Covered Services to newborns of mothers who are Members, who are determined Medicaid eligible, only for the period of the mother’s hospitalization.

Newborn Services. Newborn services covered in full while the birth mother and baby are both confined. All other services will be covered at the same benefit level as the birth mother for twenty-one (21) days from the date of birth. Initial hospital stay (i.e. routine nursery care) – See Hospital Services. Outpatient well care – See Preventive Services. • Phenylketonuria (PKU) supplements Covered in full. • Enteral therapy (formula) Covered at 80% for elemental formulas. Necessary equipment and supplies are covered under Devices, Equipment and Supplies. • Parenteral therapy (total parenteral nutrition) Covered in full for parenteral formulas. Necessary equipment and supplies are covered under Devices, Equipment and Supplies. Services directly related to obesity, including bariatric surgery, weight loss programs, medications and related physician visits for medication monitoring are not covered. Not covered, including injuries or illnesses incurred as a result of self-employment.

Newborn Services. In the case of newborns, Provider will not look to any individual or entity other than Company and/or a Health Plan or the mother’s commercial health plan for any payment owed to Provider related to the newborn.