Skilled Nursing Facility. Shall be defined as a specially qualified and licensed facility that: 2.1.77.1 For a fee and on an Inpatient basis, provides 24 hour per day skilled Nursing services under the full-time supervision of a Physician or Nurse and provides physical restoration services for persons convalescing from an Injury or Illness; and 2.1.77.2 maintains daily clinical records; and 2.1.77.3 complies with legal requirements applicable to the operation of a skilled nursing institution; and 2.1.77.4 has transfer arrangements with one or more Hospitals; and 2.1.77.5 has an effective utilization review plan; and 2.1.77.6 is approved and licensed by the jurisdiction in which it operates.
Appears in 2 contracts
Samples: Group Health Insurance Agreement, Group Health Insurance Agreement
Skilled Nursing Facility. Shall be defined as a specially qualified and licensed facility that:
2.1.77.1 2.1.75.1 For a fee and on an Inpatient basis, provides 24 hour per day skilled Nursing services under the full-time supervision of a Physician or Nurse and provides physical restoration services for persons convalescing from an Injury or Illness; and
2.1.77.2 2.1.75.2 maintains daily clinical records; and
2.1.77.3 2.1.75.3 complies with legal requirements applicable to the operation of a skilled nursing institution; and
2.1.77.4 2.1.75.4 has transfer arrangements with one or more Hospitals; andand which it operates.
2.1.77.5 2.1.75.5 has an effective utilization review plan; and
2.1.77.6 2.1.75.6 is approved and licensed by the jurisdiction in which it operates.in
Appears in 2 contracts
Samples: Group Health Insurance Agreement, Group Health Insurance Agreement
Skilled Nursing Facility. Shall be defined as a specially qualified and licensed facility that:
2.1.77.1 2.1.69.1 For a fee and on an Inpatient basis, provides 24 hour per day skilled Nursing services under the full-time supervision of a Physician or Nurse and provides physical restoration services for persons convalescing from an Injury or Illness; and
2.1.77.2 2.1.69.2 maintains daily clinical records; and
2.1.77.3 2.1.69.3 complies with legal requirements applicable to the operation of a skilled nursing institution; and
2.1.77.4 2.1.69.4 has transfer arrangements with one or more Hospitals; and
2.1.77.5 2.1.69.5 has an effective utilization review plan; and
2.1.77.6 2.1.69.6 is approved and licensed by the jurisdiction in which it operates.
Appears in 2 contracts
Samples: Health Insurance Agreement, Health Insurance Agreement
