Common use of Services Chart Clause in Contracts

Services Chart. Pursuant to federal and state requirements, TennCare enrollees under the age of 21 are eligible for all services listed in Section 1905(a) of the Social Security Act. These services, and the entity responsible for providing them to TennCare enrollees under the age of 21, are listed below. Notwithstanding any other provision of this Contract, the CONTRACTOR shall provide all services for which “MCO” is identified as the responsible entity to members under the age of 21. All services, other than TennCare Kids screens and interperiodic screens, must be medically necessary in order to be covered by the CONTRACTOR. The CONTRACTOR shall provide all medically necessary TennCare Kids covered services regardless of whether or not the need for such services was identified by a provider whose services had received prior authorization from the CONTRACTOR or by a contract provider. (1) Inpatient hospital services (other than services in an institution for mental diseases) MCO (2) (A) Outpatient hospital services MCO (2)(B) Rural health clinic services (RHCs) MCO MCOs are not required to contract with RHCs if the services are available through other contract providers.

Services Chart. Pursuant to federal and state requirements, TennCare enrollees under the age of 21 are eligible for all services listed in Section 1905(a) of the Social Security Act. These services, and the entity responsible for providing them to TennCare enrollees under the age of 21, are listed below. Notwithstanding any other provision of this ContractAgreement, the CONTRACTOR shall provide all services for which “MCO” is identified as the responsible entity to members under the age of 21. All services, other than TennCare Kids TENNderCare screens and interperiodic screens, must be medically necessary in order to be covered by the CONTRACTOR. The CONTRACTOR shall provide all medically necessary TennCare Kids TENNderCare covered services regardless of whether or not the need for such services was identified by a provider whose services had received prior authorization from the CONTRACTOR or by a contract provider. (1) Inpatient hospital services (other than services in an institution for mental diseases) MCO (2) (A) Outpatient hospital services MCO (2)(B) Rural health clinic services (RHCs) MCO MCOs are not required to contract with RHCs if the services are available through other contract providers.MCO

Services Chart. Pursuant to federal and state requirements, TennCare enrollees under the age of 21 are eligible for all services listed in Section 1905(a) of the Social Security Act. These services, and the entity responsible for providing them to TennCare enrollees under the age of 21, are listed below. Notwithstanding any other provision of this ContractAgreement, the CONTRACTOR shall provide all services for which “MCO” is identified as the responsible entity to members under the age of 21. All services, other than TennCare Kids TENNderCare screens and interperiodic screens, must be medically necessary in order to be covered by the CONTRACTOR. The CONTRACTOR shall provide all medically necessary TennCare Kids TENNderCare covered services regardless of whether or not the need for such services was identified by a provider whose services had received prior authorization from the CONTRACTOR or by a contract provider. (1) Inpatient hospital services (other than services in an institution for mental diseases) MCO (2) (A) Outpatient hospital services MCO (2)(B) Rural health clinic services (RHCs) MCO MCOs are not required to contract with RHCs if the services are available through other contract providers.