Common use of SPECIAL HOSPITALS AND SPECIALTY CARE FACILITIES Clause in Contracts

SPECIAL HOSPITALS AND SPECIALTY CARE FACILITIES. 7.12.1 HMO must include all medically necessary specialty services through its network specialists, subspecialists and specialty care facilities (e.g., children's hospitals, and tertiary care hospitals). 7.12.2 HMO must include requirements for pre-admission and discharge planning in its contracts with network hospitals. Discharge plans for a Member must be provided by the HMO or the hospital to the Member/family, the PCP and specialty care physicians. 7.12.3 The HMO must have appropriate multidisciplinary teams for people with disabilities or chronic or complex medical conditions. These teams must include the PCP and any individuals or providers involved in the day-to-day or ongoing care of the Member. 7.12.4 The HMO must include in its provider network a TDHS-designated perinatal care facility, as established by Section 32.042, Texas Health and Safety Code, once the designated system is finalized and perinatal care facilities have been approved for the service area. See also Article 6.9.1 of this contract.

SPECIAL HOSPITALS AND SPECIALTY CARE FACILITIES. 7.12.1 7.11.1 HMO must include all medically necessary specialty services through its network specialists, subspecialists and specialty care facilities (e.g., children's hospitals, and tertiary care hospitals). 7.12.2 7.11.2 HMO must include requirements for pre-admission and discharge planning in its contracts with network hospitals. Discharge plans for a Member must be provided by the HMO or the hospital to the Member/family, the PCP and specialty care physicians. 7.12.3 The 7.11.3 HMO must have appropriate multidisciplinary teams for people with disabilities or chronic or complex medical conditions. These teams must include the PCP and any individuals or providers involved in the day-to-day or ongoing on-going care of the Member. 7.12.4 The 7.11.4 HMO must include in its provider network a TDHSTDH-designated perinatal care facility, as established by Section 32.042ss.32.042, Texas Health and Safety Code, once the designated system is finalized and perinatal care facilities have been approved for the service areaarea (see Article 6.9.1). See also Article 6.9.1 of this contract.El Paso Service Area HMO Contract

SPECIAL HOSPITALS AND SPECIALTY CARE FACILITIES. 7.12.1 7.11.1 HMO must include all medically necessary specialty services through its network specialists, subspecialists and specialty care facilities (e.g., children's hospitals, and tertiary care hospitals). 7.12.2 7.11.2 HMO must include requirements for pre-admission and discharge planning in its contracts with network hospitals. Discharge plans for a Member must be provided by the HMO or the hospital to the Member/family, the PCP and specialty care physicians. 7.12.3 The 7.11.3 HMO must have appropriate multidisciplinary teams for people with disabilities or chronic or complex medical conditions. These teams must include the PCP and any individuals or providers involved in the day-to-day or ongoing on-going care of the Member. 7.12.4 The 7.11.4 HMO must include in its provider network a TDHSTDH-designated perinatal care facility, as established by Section 32.042ss.32.042, Texas Health and Safety Code, once the designated system is finalized and perinatal care facilities have been approved for the service area. See also area (see Article 6.9.1 of this contract6.9.

SPECIAL HOSPITALS AND SPECIALTY CARE FACILITIES. 7.12.1 7.11.1 HMO must include all medically necessary specialty services through its network specialists, subspecialists and specialty care facilities (e.g., children's hospitals, and tertiary care hospitals). 7.12.2 7.11.2 HMO must include requirements for pre-admission and discharge planning in its contracts with network hospitals. Discharge plans for a Member must be provided by the HMO or the hospital to the Member/family, the PCP and specialty care physicians. 7.12.3 The 7.11.3 HMO must have appropriate multidisciplinary teams for people with disabilities or chronic or complex medical conditions. These teams must include the PCP and any individuals or providers involved in the day-to-day or ongoing on-going care of the Member. 7.12.4 The 7.11.4 HMO must include in its provider network a TDHSTDH-designated perinatal care facility, as established by Section 32.042, Texas Health and Safety Code, once the designated system is finalized and perinatal care facilities have been approved for the service areaarea (see Article 6.9.1). See also Article 6.9.1 of this contract.1999 Renewal Contract Harrxx Xxxvice Area 78 August 9, 1999

SPECIAL HOSPITALS AND SPECIALTY CARE FACILITIES. 7.12.1 7.11.1 HMO must include all medically necessary specialty services through its network specialists, subspecialists and specialty care facilities (e.g., children's hospitals, and tertiary care hospitals). 7.12.2 7.11.2 HMO must include requirements for pre-admission and discharge planning in its contracts with network hospitals. Discharge plans for a Member must be provided by the HMO or the hospital to the Member/family, the PCP and specialty care physicians. 7.12.3 The 7.11.3 HMO must have appropriate multidisciplinary teams for people with disabilities or chronic or complex medical conditions. These teams must include the PCP and any individuals or providers involved in the day-to-day or ongoing on-going care of the Member. 7.12.4 The 7.11.4 HMO must include in its provider network a TDHSTDH-designated perinatal care facility, as established by Section ss. 32.042, Texas Health and Safety Code, once the designated system is finalized and perinatal care facilities have been approved for the service areaarea (see Article 6.9.1). See also Article 6.9.1 of this contract.1999 Renewal Contract Xxxxxx Service Area August 9, 1999 70