Payment Liability for Referrals. The Contractor may not deny payment for treatment obtained by an Enrollee when a representative of the Contractor instructs the Enrollee to seek emergency care.
Appears in 28 contracts
Samples: Utah Medicaid Contract, Utah Medicaid Contract, Utah Medicaid Contract
Payment Liability for Referrals. The Contractor may not deny payment for treatment obtained by an Enrollee when a representative of the Contractor Contractor, including the Enrollee’s Primary Care Provider, instructs the Enrollee to seek emergency care.
Appears in 16 contracts
Samples: Accountable Care Organization (Aco) Contract, Accountable Care Organization (Aco) Contract, Home Program Contract
Payment Liability for Referrals. The Contractor may not deny payment for treatment obtained by an Enrollee when a representative of the Contractor Contractor, including the Enrollee’s Provider, instructs the Enrollee to seek emergency care.
Appears in 8 contracts
Samples: McNa Dental Contract, Premier Access Chip Contract, Premier Access Contract Prepaid Ambulatory Health Plan (Pahp)
Payment Liability for Referrals. The Contractor may not deny payment for treatment obtained by an Enrollee when a representative of the Contractor Contractor, including the Enrollee’s Provider, instructs the Enrollee to seek emergency carecare that are Covered Services.
Appears in 2 contracts
Samples: Chip Dentaquest Amendment 2, Contract
