Nurse Practitioner Services Sample Clauses

Nurse Practitioner Services services provided by a licensed nurse practitioner in accordance with all applicable federal and State laws and regulations. Orthotics – braces (non dental) and other mechanical or molded devices to support or correct any defect of form or function of the human body. Oxygen and Respiratory Therapy Equipment – ambulatory liquid oxygen systems and refills; aspirators; compressor‑driven nebulizers; intermittent positive pressure breather (IPPB); oxygen; oxygen gas; oxygen‑generating devices; and oxygen therapy equipment rental. Personal Care Attendant Services (Self‑directed PCA) ‑ physical assistance with Activities of Daily Living (ADLs), including but not limited to bathing, dressing, grooming, eating, ambulating, toileting, and transferring; and Instrumental Activities of Daily Living (IADLs), including but not limited to household management tasks, meal preparation, and transportation to medical providers. Pharmacy Covered ProductThe term Pharmacy Covered Product means:
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Nurse Practitioner Services services provided by a licensed nurse practitioner in accordance with all applicable federal and State laws and regulations. Orthotics – braces (non dental) and other mechanical or molded devices to support or correct any defect of form or function of the human body. Oxygen and Respiratory Therapy Equipment – ambulatory liquid oxygen systems and refills; aspirators; compressor-driven nebulizers; intermittent positive pressure breather (IPPB); oxygen; oxygen gas; oxygen-generating devices; and oxygen therapy equipment rental. Personal Care Attendant Services (Self-directed PCA) - physical assistance with Activities of Daily Living (ADLs), including but not limited to bathing, dressing, grooming, eating, ambulating, toileting, and transferring; and Instrumental Activities of Daily Living (IADLs), including but not limited to household management tasks, meal preparation, and transportation to medical providers. Pharmacy Covered ProductThe term Pharmacy Covered Product means: Any drug or biological that is used for a medically-accepted indication (as that term is defined in section 1860D-2(e)(4) of the Act), and that is one of the following: A drug that may be dispensed only on a prescription and that is described in subparagraph (A)(i), (A)(ii), or (A)(iii) of section 1927(k)(2) of the Act; A biological product described in sections 1927(k)(2)(B)(i) through (iii) of the Act; or Insulin described in section 1927(k)(2)(C) of the Act, and medical supplies associated with the delivery of insulin. A vaccine licensed under section 351 of the Public Health Service Act and its administration. Any drug or biological that would be covered, as prescribed and dispensed or administered, under Medicare Parts A or B. Drugs excluded from Medicare Part D and over-the-counter products contained in the MassHealth Drug List. Prescription vitamins and minerals contained in the MassHealth Drug List. The products dronabinol, megestrol, oxandrolone, and somatropin for indications not covered by Part D but covered under MassHealth. Non-drug OTC products contained in the MassHealth Non-Drug Product List that are not covered by Medicare Part B or Part D, including: Hyper-Xxx (sodium chloride 7% for inhalation) and urine glucose testing reagent strips used for the management of diabetes. Exclusions -- The definition of Pharmacy Covered Product excludes the following drugs or biologicals or classes of drugs or biologicals, or their medical uses, unless otherwise specified in the MassH...
Nurse Practitioner Services. Nurse Practitioner services are services provided by a certified pediatric, adult, geriatric, family, obstetric/gynecological (OB/GYN), or neonatal nurse practitioner.
Nurse Practitioner Services. 59 Section 6.1.18. Nursing Facility Services. 59
Nurse Practitioner Services. 63 Section 6.2.15. Physician, Clinic and Community Health Clinic Services 63 Section 6.2.16. Prescription Drugs and Over-the-Counter Drugs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 Section 6.2.17. Public Health Nursing Clinic Services. 63 Section 6.2.18. Rehabilitative Services 63 Section 6.2.19. Vision Care Services 63 Section 6.3. MinnesotaCare Covered Services 63 Section 6.3.1. MinnesotaCare/MA Enrollees 63 Section 6.3.2. MinnesotaCare Enrollees. 63 Section 6.4. Alternative Services Permitted 64

Related to Nurse Practitioner Services

  • Outpatient emergency and urgicenter services within the service area The emergency room copay applies to all outpatient emergency visits that do not result in hospital admission within twenty-four (24) hours. The urgicenter copay is the same as the primary care clinic office visit copay.

  • Emergency Medical Services Emergency medical services, also known as ambulance services or paramedic services (abbreviated to the initialism EMS, EMAS, EMARS or SAMU in some countries), are a type of emergency service dedicated to providing out-of-hospital acute medical care, transport to definitive care, and other medical transport to patients.

  • Surgery Services This plan covers surgery services to treat a disease or injury when: • the operation is not experimental or investigational, or cosmetic in nature; • the operation is being performed at the appropriate place of service; and • the physician is licensed to perform the surgery. Preauthorization may be required for certain surgical services. Reconstructive Surgery for a Functional Deformity or Impairment This plan covers reconstructive surgery and procedures when the services are performed to relieve pain, or to correct or improve bodily function that is impaired as a result of: • a birth defect; • an accidental injury; • a disease; or • a previous covered surgical procedure. Functional indications for surgical correction do not include psychological, psychiatric or emotional reasons. This plan covers the procedures listed below to treat functional impairments. • abdominal wall surgery including panniculectomy (other than an abdominoplasty); • blepharoplasty and ptosis repair; • gastric bypass or gastric banding; • nasal reconstruction and septorhinoplasty; • orthognathic surgery including mandibular and maxillary osteotomy; • reduction mammoplasty; • removal of breast implants; • removal or treatment of proliferative vascular lesions and hemangiomas; • treatment of varicose veins; or • gynecomastia. Preauthorization may be required for these services.

  • SPECIALIST SERVICES Medical care in specialties other than family practice, general practice, internal medicine [or pediatrics][or obstetrics/gynecology (for routine pre and post-natal care, birth and treatment of the diseases and hygiene of females)].

  • Specialists Persons working within a juridical person who possess uncommon knowledge essential to the commercial presence’s production, research equipment, techniques or management. In assessing such knowledge, account will be taken not only of knowledge specific to the commercial presence, but also of whether the person has a high level of qualification referring to a type of work or trade requiring specific technical knowledge, including membership of an accredited profession.

  • Outpatient Dental Anesthesia Services This plan covers anesthesia services received in connection with a dental service when provided in a hospital or freestanding ambulatory surgical center and: • the use of this is medically necessary; and • the setting in which the service is received is determined to be appropriate. This plan also covers facility fees associated with these services.

  • Pharmacy Services The Contractor shall establish a network of pharmacies. The Contractor or its PBM must provide at least two (2) pharmacy providers within thirty (30) miles or thirty (30) minutes from a member’s residence in each county, as well as at least two (2) durable medical equipment providers in each county or contiguous county.

  • Chiropractic Services This plan covers chiropractic visits up to the benefit limit shown in the Summary of Medical Benefits. The benefit limit applies to any visit for the purposes of chiropractic treatment or diagnosis.

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