Transplant and Transplant. Related Services Medically necessary and non-investigational/experimental organ and tissue transplants. The CONTRACTOR shall: 4.2.24.1. Be responsible for all transplant services and associated costs as stipulated in Section 7 of this contract and as outlined within the Medicaid Managed Care Policy and Procedure Guide (Sections 1903(i) final sentence, and 1903(i)(1) of the Social Security Act). 4.2.24.2. Notify the Department of an impending transplant case. 4.2.24.3. Be responsible for collaborating with the Department to eliminate administrative confusion for the Member. This may include, but is not limited to, the following CONTRACTOR and Department administrative and medical personnel: (a) administrative and program staff, (b) medical directors, (c) pharmacist, (d) Care Management and/or coordination staff, (e) Quality Improvement Organization (QIO) staff,
Appears in 7 contracts
Samples: Contract for Medical Services, Contract for Medical Services, Contract for Medical Services
Transplant and Transplant. Related Services Medically necessary and non-investigational/experimental organ and tissue transplants. The CONTRACTOR shall:
4.2.24.14.2.25.1. Be responsible for all transplant services and associated costs as stipulated in Section 7 of this contract and as outlined within the Medicaid Managed Care Policy and Procedure Guide (Sections 1903(i) final sentence, and 1903(i)(1) of the Social Security Act).
4.2.24.24.2.25.2. Notify the Department of an impending transplant case.
4.2.24.34.2.25.3. Be responsible for collaborating with the Department to eliminate administrative confusion for the Member. This may include, but is not limited to, the following CONTRACTOR and Department administrative and medical personnel: (a) administrative and program staff, (b) medical directors, (c) pharmacist, (d) Care Management and/or coordination staff, (e) Quality Improvement Organization (QIO) staff,
Appears in 3 contracts
Samples: Contract for Medical Services, Contract for Medical Services, Contract for Medical Services
Transplant and Transplant. Related Services Medically necessary and non-investigational/experimental organ and tissue transplants. The CONTRACTOR shall:
4.2.24.14.2.25.1. Be responsible for all transplant services and associated costs as stipulated in Section 7 of this contract Contract and as outlined within the Medicaid Managed Care Policy and Procedure Guide Manual (Sections 1903(i) final sentence, and 1903(i)(1) of the Social Security Act).
4.2.24.24.2.25.2. Notify the Department of an impending transplant case.
4.2.24.34.2.25.3. Be responsible for collaborating with the Department to eliminate administrative confusion for the Member. This may include, but is not limited to, the following CONTRACTOR and Department administrative and medical personnel: (a) administrative and program staff, (b) medical directorsMedical Directors, (c) pharmacistPharmacist, (d) Care Management care management and/or coordination staff, (e) Quality Improvement Organization (QIO) staff,
Appears in 1 contract
Samples: Contract for Medical Services