Hospital Access definition

Hospital Access. The HMO must ensure that all Members have access to an Acute Care hospital in the Provider Network within 30 miles of the Member’s residence. For HMOs participating in the CHIP Perinatal Program, exceptions to this access standard may be requested on a case-by-case basis and must have HHSC approval. All other Covered Services, except for services provided in the Member’s residence: At a minimum, the HMO must ensure that all Members have access to at least one Network Provider for each of the remaining Covered Services described in Attachment B-2, within 75 miles of the Member’s residence. This access requirement includes, but is not limited to, specialists, specialty hospitals, psychiatric hospitals, diagnostic and therapeutic services, and single or limited service health care physicians or Providers, as applicable to the HMO Program. The HMO is not precluded from making arrangements with physicians or providers outside the HMO’s Service Area for Members to receive a higher level of skill or specialty than the level available within the Service Area, including but not limited to, treatment of cancer, ▇▇▇▇▇, and cardiac diseases. HHSC may consider exceptions to the above access-related requirements when an HMO has established, through utilization data provided to HHSC, that a normal pattern for securing health care services within an area does not meet these standards, or when an HMO is providing care of a higher skill level or specialty than the level which is available within the Service Area such as, but not limited to, treatment of cancer, ▇▇▇▇▇, and cardiac diseases.
Hospital Access. The MCO must ensure that all Members have access to an Acute Care Hospital in the Provider Network within 30 miles of the Member’s residence. For MCOs participating in the CHIP Program, exceptions to this access standard must be approved by HHSC on a case-by-case basis for Perinate Members (unborn children). MCOs participating in the Medicaid Rural Service Area may also request exceptions on a case-by-case basis.
Hospital Access. The HMO must ensure that all Members have access to an Acute Care hospital in the Provider Network within 30 miles of the Member’s residence. All other Covered Services, except for services provided in the Member’s residence: At a minimum, the HMO must ensure that all Members have access to at least one Network Provider with an Open Panel for each of the remaining Covered Services described in Attachment B-2, within 75 miles of the Member’s residence. This access requirement includes, but is not limited to, specialists, specialty hospitals, psychiatric hospitals, diagnostic and therapeutic services, and single or limited service health care physicians or Providers. The HMO is not precluded from making arrangements with physicians or providers outside the HMO’s Service Area for Members to receive a higher level of skill or specialty than the level available within the Service Area, including but not limited to, treatment of cancer, ▇▇▇▇▇, and cardiac diseases. HHSC may consider exceptions to the above access-related requirements when an HMO has established, through utilization data provided to HHSC, that a normal pattern for securing health care services within an area does not meet these standards, or when an HMO is providing care of a higher skill level or specialty than the level which is available within the Service Area such as, but not limited to, treatment of cancer, ▇▇▇▇▇, and cardiac diseases.

Examples of Hospital Access in a sentence

  • Hospital Access: The MCO must ensure that all Members have access to an Acute Care Hospital in the Provider Network within 30 miles of the Member's residence.

  • Hospital Access: The HMO must ensure that all Members have access to an Acute Care hospital in the Provider Network within 30 miles of the Member’s residence.

  • Hospital Access: The MCO must ensure that all Members have access to an Acute Care Hospital in the Provider Network within 30 miles of the Member’s residence.

  • The alternative capital used by these music producers includes, for instance, networking (e.g., partying with other bands’ members) and the use of “favours” (e.g., accessing graphic designers or music video directors to provide service for free).

  • Summary Hospital Access Payment Report to Department of Health Services 322 G.

  • Hospital Access to ▇▇▇▇.▇▇▇ Set-up* Monthly* ---------------------------------------------------------------------------------------------------------------- Each Hospital connection to the ▇▇▇▇.▇▇▇ web server includes router installation and set-up, programming, coordination of circuit provisioning, connection to hospital LAN, testing, set-up, and IS support.

  • This applies solely to disputes with non-contracted hospital providers that have signed the Hospital Access Agreement.

  • The Department shall provide advance notice to each Hospital that has signed the Hospital Access Agreement of any change to defined terms included as Attachment D to this bulletin.

  • The Hospital Access Agreement is not a contract between a hospital and health plan.

  • The road passes Maendeleo Road (0.26 km), New Municipal Hospital Access Road (1.95 km), Kalangasa Road (0.53 km), Kasema Road (0.49 km), Airport-Senga-Wipanga Road (3.3 km), ▇▇▇▇▇▇▇ Road (0.4 km), Maweni II Road (0.4 km), Muva Road (0.2 km), Sido-Senga-Mafulala Road (2.7 km), Sokolo Bible-Mbeya Road (2.6 km), Kimati-Ufipa Road (0.2 km).

Related to Hospital Access

  • Critical access hospital or “CAH” means a hospital licensed as a critical access hospital by the department of inspections and appeals pursuant to rule 481—51.52(135B).

  • Hospital system means a hospital and one or more

  • Persistent vegetative state means a condition caused by injury, disease or illness in which a patient

  • Infrastructure improvement means permanent infrastructure that is essential for the public health and safety or that:

  • Infrastructure Improvements means a street, road, sidewalk, parking facility, pedestrian mall, alley, bridge, sewer, sewage treatment plant, property designed to reduce, eliminate, or prevent the spread of identified soil or groundwater contamination, drainage system, waterway, waterline, water storage facility, rail line, utility line or pipeline, transit-oriented development, transit-oriented property, or other similar or related structure or improvement, together with necessary easements for the structure or improvement, owned or used by a public agency or functionally connected to similar or supporting property owned or used by a public agency, or designed and dedicated to use by, for the benefit of, or for the protection of the health, welfare, or safety of the public generally, whether or not used by a single business entity, provided that any road, street, or bridge shall be continuously open to public access and that other property shall be located in public easements or rights-of-way and sized to accommodate reasonably foreseeable development of eligible property in adjoining areas. Infrastructure improvements also include 1 or more of the following whether publicly or privately owned or operated or located on public or private property: