Out-of-Network Hospital Transfers. The MCO must pay an enrollee’s existing out-of-network hospital fees for Medically Necessary covered emergency services until the enrollee’s records, clinical information and care can be transferred to a network hospital, or until such time as the enrollee is no longer enrolled in that MCO, whichever is shorter. The MCO must accept the out-of-network hospital physician or provider’s binding determination of when the enrollee is sufficiently stabilized for transfer or discharge.
Appears in 7 contracts
Samples: Purchase of Service Provider Agreement, Purchase of Service Provider Agreement, Purchase of Service Provider Agreement
Out-of-Network Hospital Transfers. The MCO must pay an enrolleea member’s existing out-of-network hospital fees for Medically Necessary covered emergency services until the enrolleemember’s records, clinical information and care can be transferred to a network hospital, or until such time as the enrollee member is no longer enrolled in that MCO, whichever is shorter. The MCO must accept the out-of-network hospital physician or provider’s binding determination of when the enrollee member is sufficiently stabilized for transfer or discharge.
Appears in 5 contracts
Samples: Purchase of Service Provider Agreement, Purchase of Service Provider Agreement, Purchase of Service Provider Agreement
Out-of-Network Hospital Transfers. The MCO must pay an a enrollee’s existing out-of-network hospital fees for Medically Necessary covered emergency services until the enrollee’s records, clinical information and care can be transferred to a network hospital, or until such time as the enrollee is no longer enrolled in that MCO, whichever is shorter. The MCO must accept the out-of-network hospital physician or provider’s binding determination of when the enrollee is sufficiently stabilized for transfer or discharge.
Appears in 3 contracts
Samples: Purchase of Service Provider Agreement, Purchase of Service Provider Agreement, Purchase of Service Provider Agreement
Out-of-Network Hospital Transfers. The MCO must pay an enrolleea member’s existing out-of-network hospital fees for Medically Necessary covered emergency services until the enrolleemember’s records, clinical information and care can be transferred to a network hospital, or until such time as the enrollee member is no longer enrolled in that MCO, whichever is shorter. The MCO must accept the out-of-network hospital physician or provider’s binding determination of when the enrollee member is sufficiently stabilized for transfer or dischargetransfer.
Appears in 1 contract
