Protective Custody. a. The Health Plan shall provide a physical screening within seventy-two (72) hours, or immediately if required, for all enrolled Children/Adolescents taken into protective custody, emergency shelter or the xxxxxx care program by DCF. See Rule 65C-12.002, F.A.C. b. The Health Plan shall provide these required examinations, or, if unable to do so within the required time frames, must approve the out-of-network claim and forward it to the Agency and/or its Agent. c. For all CHCUP screenings for Children/Adolescents whose Enrollment and Medicaid eligibility are undetermined at the time of entry into the care and custody of DCF, and who are later determined to be Enrollees at the time the examinations took place, the Health Plan shall approve the claims and forward them to the Agency and/or the Fiscal Agent.
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Samples: Health Care Services Contract (Wellcare Health Plans, Inc.), Health Care Services Contract (Amerigroup Corp), Health Care Services Agreement
Protective Custody. a. The Health Plan shall provide a physical screening within seventy-two (72) hours, or immediately immediately, if required, for all enrolled Children/Adolescents Adolescsents taken into protective custody, emergency shelter or the xxxxxx fxxxxx care program by DCF. , See Rule 65C-12.002, F.A.C.
b. a. The Health Plan shall provide these required examinations, or, if unable to do so within the required time frames, must approve the out-of-out of network claim and forward it to the Agency and/or its Agent.
c. b. For all CHCUP screenings for Children/Adolescents whose Enrollment and Medicaid eligibility are undetermined at the time of entry into the care and custody of DCF, and who are later determined to be Enrollees at the time the examinations took place, the Health Plan shall approve the claims and forward them to the Agency and/or the Fiscal Agent.
Appears in 1 contract
Protective Custody. a. The Health Plan shall provide a physical screening within seventy-two (72) hours, or immediately immediately, if required, for all enrolled Children/Adolescents Adolescsents taken into protective custody, emergency shelter or the xxxxxx care program by DCF. , See Rule 65C-12.002, F.A.C.
b. a. The Health Plan shall provide these required examinations, or, if unable to do so within the required time frames, must approve the out-of-out of network claim and forward it to the Agency and/or its Agent.
c. b. For all CHCUP screenings for Children/Adolescents whose Enrollment and Medicaid eligibility are undetermined at the time of entry into the care and custody of DCF, and who are later determined to be Enrollees at the time the examinations took place, the Health Plan shall approve the claims and forward them to the Agency and/or the Fiscal Agent.
Appears in 1 contract