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: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Model Contract (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§ 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 life-threatening or degenerative and disabling disease or condition, consistent with New York State PHL Section § 4403(6)(d).
Appears in 2 contracts
Samples: Medicaid Managed Care Contract (Wellcare Health Plans, Inc.), Primary Care Partial Capitation Provider (Pcpcp) Medicaid Managed Care 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 P. H. L. Section 4403(6)(d).
Appears in 1 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).
Appears in 1 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: Medicaid Managed Care Model Contract (Amerigroup Corp)
