Nonquantitative treatment limitations definition

Nonquantitative treatment limitations means limitations that are not expressed numerically, but otherwise limit the scope or duration of benefits for treatment.
Sample 1Sample 2Sample 3
Nonquantitative treatment limitations means limitations that are not expressed numerically, but otherwise limit the scope or duration of benefits for treatment, as expressed at 45 CFR 146.136(c)(4)(ii).
Sample 1Sample 2Sample 3
Nonquantitative treatment limitations means those limitations that are not expressed numerically but otherwise limit the scope or duration of benefits for treatment under a health insurance policy or coverage and includes, but is not limited to, the limitations described under 45 CFR 146.136. Nonquantitative treatment limitations do not include a complete exclusion of all benefits for a certain condition or disorder.
Sample 1

Examples of Nonquantitative treatment limitations in a sentence

  • Non-quantitative treatment limitations can be any “non-numerical limitations on the scope or duration of” treatment.24 Common non-quantitative treatment limitations include “priorauthorization” requirements.

  • WSR 14-23-057 (Matter No. R 2012-29), § 284-43-993, filed 11/17/14, effective 12/18/14.] WAC 284-43-7060 Measuring health plan benefits— Nonquantitative treatment limitations.

  • Non-quantitative treatment limitations (NQTLs) such as medical management standards, provider network admission standards and reimbursement rates, fail-first policies, and other limits on the scope or duration of benefits; and3.

  • Non-quantitative treatment limitations are behind-the- scenes administrative activities that take place but may impact coverage.

  • Remunerati on Risk(as approved by the Board on March 6,2015) Board Committee are clearly addressed.

  • Nonquantitative treatment limitations limit the scope or duration of benefits for treatment under a plan or coverage in ways that are not expressed numerically.

  • Non-quantitative treatment limitations, such as definitions of medical necessity or criteria for medical necessity, are applied in an individualized manner that does not preclude coverage of any items or services necessary to correct or ameliorate any medical or physical condition or illness.

  • A negative c indicates that negative returns have a stronger impact on the conditional variance.

  • Non-quantitative treatment limitations (NQTLs) are also regulated under the MHPAEA and must be offered at parity with medical and surgical services.

  • However, by law, the minimum period for which a mortgage rate must be fixed is one year.


More Definitions of Nonquantitative treatment limitations

Nonquantitative treatment limitations or "NQTL" means
Sample 1

Related to Nonquantitative treatment limitations

  • Non-Administrator Substance Use Disorder Treatment Facility means a Substance Use Disorder Treatment Facility that does not meet the definition of an Administrator Substance Use Disorder Treatment Facility.

  • COVID-19 Measures means any quarantine, “shelter in place”, “stay at home”, workforce reduction, social distancing, shut down, closure or sequester order, guideline, recommendation or Law, or any other applicable Laws, guidelines or recommendations by any Governmental Entity in connection with or in response to COVID-19.

  • Treatment plan means a written agreement between the department and the parent or

  • Opioid treatment program means a detoxification or maintenance treatment program which is required to report patient identifying information to the central registry and which is located in the state.

  • Medication-assisted treatment or "MAT" means the use of pharmacologic therapy, often in combination with counseling and behav- ioral therapies, for the treatment of substance use disorders.

  • Treatment works means any devices and systems used in storage, treatment, recycling, and reclamation of municipal sewage and industrial wastes, of a liquid nature to implement section 201 of the Act, or necessary to recycle reuse water at the most economic cost over the estimated life of the works, including intercepting sewers, sewage collection systems, pumping, power and other equipment, and alterations thereof; elements essential to provide a reliable recycled supply such as standby treatment units and clear well facilities, and any works, including site acquisition of the land that will be an integral part of the treatment process or is used for ultimate disposal of residues resulting from such treatment.

  • Categorical pretreatment standard or "categorical standard" means any regulation containing pollutant discharge limits promulgated by the environmental protection agency in accordance with sections 307(b) and (c) of the Act (33 U.S.C. section 1317) that apply to a specific category of users and that appear in 40 CFR chapter I, subchapter N, parts 405 through 471.

  • Treatment program means an abstinence based program or facility that is accredited by any of the following:

  • Indigenous Peoples Safeguards means the principles and requirements set forth in Chapter V, Appendix 3, and Appendix 4 (as applicable) of the SPS;