Examples of Appropriate and medically necessary in a sentence
All SUD Waiver services covered in this chapter are subject to a determination of medical necessity defined as services and supplies that are: • Appropriate and medically necessary for the symptoms, diagnosis or treatment of an illness; • Provided for the diagnosis or direct care of an illness; • Within the standards of good practice; • Not primarily for the convenience of the plan member or provider; and • The most appropriate level of care that can be safely provided.
The Medical Care Solutions Program is designed to assist Blue Shield contracted physicians, providers, and hospitals in ensuring that medical services are:• Covered under the member’s health plan benefits• Appropriate and medically necessary and that such determinations are made by qualified licensed health care professionals.
The Medical Management Program is designed to assist VCHCP contracted physicians, providers, and hospitals in ensuring that medical services are: • Covered under the member's health plan benefits • Appropriate and medically necessary.
Medical necessity is defined as services that are: • Appropriate and medically necessary for the symptoms, diagnosis, or treatment of an illness;• Provided for the diagnosis or direct care of an illness;• Within the standards of good practice;• Not primarily for the convenience of the plan member or provider; and• The most appropriate level of care that can be safely provided.
TRS compounds have a strong, unpleasant odor.Which Paper Mills are Affected by This Rule?These changes to Chapter 124 will only affect existing paper mills that use the kraft process.
The Medical Care Solutions Program is designed to assist Blue Shield contracted physicians, providers, and hospitals in ensuring that medical services are: Covered under the member’s health plan benefits; Appropriate and medically necessary and that such determination are made by qualified licensed health care professionals.