Specialty Care Centers. The Contractor will implement policies and procedures to allow Enrollees with a life-threatening or a degenerative and disabling condition or disease, which requires prolonged specialized medical care to receive a referral to an accredited or designated specialty care center with expertise in treating the life-threatening or degenerative and disabling disease or condition, consistent with New York State PHL Section 4403(6)(d).
Appears in 8 contracts
Samples: Wellcare Health Plans, Inc., Wellcare Health Plans, Inc., Wellcare Health Plans, Inc.
Specialty Care Centers. The Contractor will implement policies and procedures to allow Enrollees with a life-threatening or a degenerative and disabling condition or disease, which requires prolonged specialized medical care to receive a referral to an accredited or designated specialty care center with expertise in treating the life-threatening or degenerative and disabling disease or condition, consistent with New York State PHL Section § 4403(6)(d).
Appears in 2 contracts
Samples: Plan Agreement (Wellcare Health Plans, Inc.), Model Contract
Specialty Care Centers. The Contractor will implement policies and procedures to allow Enrollees with a life-threatening or a degenerative and disabling condition or disease, which requires prolonged specialized medical care to receive a referral to an accredited or designated specialty care center with expertise in treating the life-threatening or degenerative and disabling disease or condition, consistent with New York State PHL Section 4403(6)(d§ 4403 (6)(d).
Appears in 2 contracts
Samples: Hiv Special Needs Plan Model Contract, Hiv Special Needs Plan Model Contract
Specialty Care Centers. The Contractor will implement policies and procedures to allow Enrollees with a life-threatening or a degenerative and disabling condition or disease, which requires prolonged specialized medical care to receive a referral to an accredited or designated specialty care center with expertise in treating the the-life-threatening or degenerative and AND disabling disease or condition, consistent with New York State State, PHL Section 4403(6)(d).):
Appears in 1 contract
Samples: Amerigroup Corp
Specialty Care Centers. The Contractor will implement policies and procedures to allow Enrollees with a life-threatening or a degenerative and disabling condition or disease, which requires prolonged specialized medical care to receive a referral to an accredited or designated specialty care center with expertise in treating the life-threatening or degenerative and disabling disease or condition, consistent with New York State PHL Section 4403(6)(d).
Appears in 1 contract
Samples: Plan Agreement (Amerigroup Corp)
Specialty Care Centers. The Contractor will implement policies and procedures to allow Enrollees with a life-threatening or a degenerative and disabling condition or disease, which requires prolonged specialized medical care to receive a referral to an accredited or designated specialty care center with expertise in treating the life-threatening or degenerative and disabling disease or condition, consistent with New York State PHL P. H. L. Section 4403(6)(d).
Appears in 1 contract
Samples: Agreement Between (Americhoice Corp)