Common use of Post-Stabilization Services Clause in Contracts

Post-Stabilization Services. Post stabilization care services are covered and paid for in accordance with provisions set forth at 42 CFR 422.113(c). Contractor is financially responsible for post-stabilization services obtained within or outside Contractor’s Network that are pre-approved by a plan Provider or other entity representative. Contractor is financially responsible for post-stabilization care services obtained within or outside Contractor’s Network that are not pre-approved by a Network Provider or other Contractor representative, but administered to maintain the enrollee's stabilized condition within one (1) hour of a request to Contractor for pre-approval of further post-stabilization care services.

Post-Stabilization Services. Post stabilization care services are covered and paid for in accordance with provisions set forth at 42 CFR 422.113(c). Contractor is financially responsible for post-stabilization services obtained within or outside Contractor’s Network network that are pre-approved by a plan Provider provider or other entity representative. Contractor is financially responsible for post-stabilization care services obtained within or outside Contractor’s Network network that are not pre-approved by a Network Provider plan provider or other Contractor representative, but administered to maintain the enrollee's stabilized condition within one (1) hour of a request to Contractor for pre-approval of further post-stabilization care services.

Post-Stabilization Services. Post stabilization care services are covered and paid for in accordance with provisions set forth at 42 CFR 422.113(c). Contractor is financially responsible for post-stabilization services obtained within or outside Contractor’s Network that are pre-approved by a plan Network Provider or other entity representative. Contractor is financially responsible for post-stabilization care services obtained within or outside Contractor’s Network that are not pre-approved by a Network Provider or other Contractor representative, but administered to maintain the enrollee's stabilized condition within one (1) 1 hour of a request to Contractor for pre-approval of further post-stabilization care services.