Medically necessary health care services definition

Medically necessary health care services means health care
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Medically necessary health care services means health care services that a
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Medically necessary health care services means health care services that a provider would render to a patient for the purpose of preventing, diagnosing, or treating an illness, injury, disease, or its symptoms in a manner that is:
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Examples of Medically necessary health care services in a sentence

  • Medically necessary health care services, including equipment and supplies, that are prescribed by your provider for the management and treatment of type I diabetes, type II diabetes, and/or gestational diabetes.

  • This indicates that the misalignment of the MVGs was one of the major error sources in the first set of CFD models.

  • Medically necessary health care services or products, including those 2 4 medical, dental, vision, behavioral, home health, and other health care services to which Members are entitled under the Program as described in the Request for Proposal and contract between LHS and HSD.

  • Medically necessary health care services must be obtained through the providers in AmeriHealth Caritas Ohio’s provider network.

  • Medically necessary: health care services that are in accordance with generally accepted evidence based medical standards or that are considered by most physicians within the community of their respective professional standards of care.

  • Medically Necessary Definition Medically necessary health care services or supplies are medically appropriate and:• Necessary to meet members’ basic health needs.• Cost-efficient and appropriate for the covered services.

  • Medically necessary health care services will be administered throughout the referral process with the Alliance, regardless of whether or not the child is accepted into the CCS program (e.g. Early and Periodic Screening, Diagnosis and Treatment (EPSDT) services for Medi-Cal members).


More Definitions of Medically necessary health care services

Medically necessary health care services means health care services that a prudent physician would provide to a covered person for the purpose of preventing, diagnosing or treating an illness, injury, disease or its symptoms in a manner that is: (1) in accordance with generally accepted standards of medical practice; (2) clinically appropriate in terms of type, frequency, extent, site and duration; and (3) not primarily for the economic benefit of the health benefits plan and purchaser of a plan or for the convenience of the covered person, treating physician, or other health care provider.
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Medically necessary health care services means as defined by W.S. 26-40-102(a)(iii);
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Medically necessary health care services means health care services, including diagnostic testing, preventive services, and after care, that are appropriate to the patient’s diagnosis or condition in terms of type, amount, frequency, level, setting, and duration. Medically necessary care must:
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Medically necessary health care services means services including medical, mental health, pharmacologic, vision, and dental services necessary to enable the juvenile to participate in or benefit from programs and goals under AS 47.12.010.
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Medically necessary health care services means health care services that a prudent physician would provide to a patient for the purpose of preventing, diagnosing or treating an illness, injury, disease or its symptoms in a manner that is: (i) in accordance with generally accepted standards of medical practice; and (ii) clinically appropriate in terms of type, frequency, extent, site and duration.
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Medically necessary health care services means services required to identify or treat a medical condition, illness or injury, based on the patient’s symptoms, diagnosis or treatment of the underlying condition, in accordance with professional standards of medical care generally accepted in the medical community.
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Related to Medically necessary health care services

  • Health care services means services for the diagnosis, prevention, treatment, cure, or relief of a health condition, illness, injury, or disease.

  • Medically Necessary means a service which is appropriate and consistent with the treatment of the condition in accordance with accepted standards of community practice.

  • Health care service means that service offered or provided by health care facilities and health care providers relating to the prevention, cure, or treatment of illness, injury, or disease.

  • Health care worker means a person other than a health care professional who provides medical, dental, or other health-related care or treatment under the direction of a health care professional with the authority to direct that individual's activities, including medical technicians, medical assistants, dental assistants, orderlies, aides, and individuals acting in similar capacities.

  • Health care system means any public or private entity whose function or purpose is the management of, processing of, enrollment of individuals for or payment for, in full or in part, health care services or health care data or health care information for its participants;

  • Licensed health care professional means a person who possesses a professional medical license that is valid in Oregon. Examples include, but are not limited to, a registered nurse (RN), nurse practitioner (NP), licensed practical nurse (LPN), medical doctor (MD), osteopathic physician (DO), respiratory therapist (RT), physical therapist (PT), physician assistant (PA), or occupational therapist (OT).

  • Licensed health care practitioner means a physician, as defined in Section 1861(r)(1) of the Social Security Act, a registered professional nurse, licensed social worker or other individual who meets requirements prescribed by the Secretary of the Treasury.

  • Health care provider or "provider" means:

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under: