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Tubal Ligation Sample Clauses

Tubal Ligation. The charges for tubal ligations.
Tubal LigationIn accordance with West Virginia Code § 9-5-12(d), the DHHR shall make payment for tubal ligation without requiring at least 30 days between the date of informed consent and the date of the tubal ligation procedure. Tubal ligation services for which the MCO is not responsible for payment are excluded from MCOs’ capitation rates but will remain covered Medicaid and WVCHIP services for persons who are enrolled in MCOs. DHHR shall pay claims for tubal ligation on an FFS basis in accordance with West Virginia Department of Health and Human Resources, Bureau for Medical Services Policy 519.15, Women’s Health Services. Any licensed doctor providing these services must be compliant with the Federal Social Security Act 42 CFR §441, Subpart F – Sterilizations, §441.255 and §441.256 requirements, which requires informed consent and medical necessity.
Tubal Ligation. Vasectomy.
Tubal Ligation. When using a network provider, eighty percent (80%) of charges. When using a non-network provider, sixty percent (60%) of UCR/Allowed Amount. (See 20.05(E) for OPM; see 20.06(A) for Deductibles that apply). One hundred percent (100%) coverage after OPM is reached. Not covered if performed incidental during another procedure.
Tubal LigationIn accordance with West Virginia Code § 9-5-12(d), the DoHS shall make payment for tubal ligation without requiring at least thirty (30) days between the date of informed consent and the date of the tubal ligation procedure. Tubal ligation services for which the MCO is not responsible for payment are excluded from the MCO’s capitation rates but will remain covered Medicaid and WVCHIP services for persons who are enrolled in the MCO. DoHS shall pay claims for tubal ligation on an FFS basis in accordance with West Virginia Department of Human Services, Bureau for Medical Services Policy 519.15, Women’s Health Services. The MCO must provide coverage and payment for tubal ligation services that do not fall into the category of those described above for which DoHS will pay on a FFS basis. Such coverage and payment shall be in accordance with West Virginia Department of Human Services, Bureau for Medical Services Policy 519.15, Women’s Health Services. Claims for tubal ligation services must include the modifier (-FP), and providers must maintain a copy of the signed informed consent form in the enrollee’s medical record. Any licensed doctor providing these services must be compliant with the Federal Social Security Act 42 CFR §441, Subpart F – Sterilizations, §441.255 and §441.256 requirements, which requires informed consent and medical necessity.
Tubal LigationIn accordance with Senate Bill 716, the DHHR shall make payment for tubal ligation without requiring at least 30 days between the date of informed consent and the date of the tubal ligation procedure. Tubal ligation services are excluded from MCOs’ capitation rates but will remain covered Medicaid services for persons who are enrolled in MCOs. DHHR shall pay claims for tubal ligation on an FFS basis in accordance with West Virginia Department of Health and Human Resources, Bureau for Medical Services Policy 519.15, Women’s Health Services. Any licensed doctor providing these services must be compliant with the Federal Social Security Act 42 CFR §441, Subpart F – Sterilizations, §441.255 and §441.256 requirements, which requires informed consent and medical necessity.
Tubal Ligation. See 35.03 (H) for co-payments; see 35.03
Tubal Ligation. Tubal ligation services are provided upon payment of a $20.00 Supplemental Charge per visit. When provided in a hospital-based setting or Ambulatory Surgery Center (ASC), tubal ligation services are provided upon payment of the Supplemental Charge specified in section A-2. When provided while hospitalized (e.g. immediately following delivery), tubal ligation services are

Related to Tubal Ligation

  • Parallel Operation Obligations Once the Small Generating Facility has been authorized to commence parallel operation, the Interconnection Customer shall abide by all rules and procedures pertaining to the parallel operation of the Small Generating Facility in the applicable control area, including, but not limited to: (1) the rules and procedures concerning the operation of generation set forth in the NYISO tariffs or ISO Procedures or the Connecting Transmission Owner’s tariff; (2) any requirements consistent with Good Utility Practice or that are necessary to ensure the safe and reliable operation of the Transmission System or Distribution System; and (3) the Operating Requirements set forth in Attachment 5 of this Agreement.