PERIOD OF CONFINEMENT. Consecutive days of Inpatient services provided to an Inpatient, or successive Inpatient confinements due to the same or related causes, when discharge and re-admission to a recognized Facility occurs within 90 days or less. We [or the Care Manager] Determine if the cause(s) of the confinements are the same or related.
Appears in 31 contracts
Samples: Hmo Plan Contract, Hmo Plan Contract, Hmo Plan Contract
PERIOD OF CONFINEMENT. Consecutive days of Inpatient services provided to an Inpatient, or successive Inpatient confinements due to the same or related causes, when discharge and re-admission to a recognized Facility occurs within 90 days or less. We [or the Care Manager] Determine if the cause(s) of the confinements are the same or related. PLAN SPONSOR. Has the meaning given that term under Title I, section 3 of Pub.L.93- 406, the ERISA (29 U.S.C. § 1002(16)(B)). That is:
Appears in 1 contract
Samples: Hmo Plan Contract
