Medical necessity form definition

Medical necessity form means a document that: is submitted
Sample 1Sample 2Sample 3
Medical necessity form means a document that: is submitted by a Medicaid beneficiary who is requesting that transportation services be provided thereto through the use of a mobility assistance vehicle; identifies the Medicaid beneficiary’s current medical diagnoses, impairments, or functional disabilities, with particular emphasis on factors that affect the beneficiary’s ability to walk; and demonstrates that other modes of transport are not appropriate or available to the beneficiary.
Sample 1

Examples of Medical necessity form in a sentence

  • CBAS Referrals and Prior AuthorizationUpon receipt of a new member inquiry, CBAS providers must fax the following documents to 1- 408-874-1975.• CBAS referral form• Medical necessity form completed by the member’s primary care provider SCFHP Medical Management staff review all documentation and schedule a face-to-faceinterview with the member at a location convenient for the member.

  • CBAS Referrals and Prior AuthorizationUpon receipt of a new member inquiry, CBAS providers must fax the following documents to 1-408-874-1975.• CBAS referral form• Medical necessity form completed by the member’s primary care providerSCFHP Medical Management staff will review all documentation and schedule a face- to-face interview with the member at a location convenient for the member.

  • CBAS Referrals and Prior AuthorizationUpon receipt of a new member inquiry, CBAS providers must fax the following documents to 1-408-874-1975. CBAS referral form Medical necessity form completed by the member’s primary care provider SCFHP Medical Management staff will review all documentation and schedule a face-to-face interview with the member at a location convenient for the member.

  • CBAS Referrals and Prior AuthorizationUpon receipt of a new member inquiry, CBAS providers must fax the following documents to 1-408-874-1975.• CBAS referral form• Medical necessity form completed by the member’s primary care provider SCFHP Medical Management staff will review all documentation and schedule a face-to-face interview with the member at a location convenient for the member.

Related to Medical necessity form

  • Medical history means information regarding any:

  • Medical examination means the preliminary assessment of a person by an authorized health worker or by a person under the direct supervision of the competent authority, to determine the person’s health status and potential public health risk to others, and may include the scrutiny of health documents, and a physical examination when justified by the circumstances of the individual case;

  • Primary care physician means a physician qualified to be an attending physician according to ORS 656.005(12)(b)(A) and who is a general practitioner, family practitioner, or internal medicine practitioner.

  • medical practitioner means a person who holds a valid registration from the Medical Council of any State or Medical Council of India or Council for Indian Medicine or for Homeopathy set up by the Government of India or a State Government and is thereby entitled to practice medicine within its jurisdiction; and is acting within its scope and jurisdiction of license. The registered practitioner should not be the insured or close Family members.