Post-Stabilization Care means Medically Neces- sary services received after the treating physician determines the emergency medical condition is stabilized.
Post-Stabilization Care means Services you receive for the acute episode of your Emergency Medical Condition after that condition is Clinically Stable. (“Clinically Stable” means that no material deterioration of the Emergency Medical Condition is likely, within reasonable medical probability, to result from or occur during your discharge or transfer from the hospital).
Post-Stabilization Care means Medically Necessary services received after the treating Physician determines the Emergency Medical Condition is stabilized.
Examples of Post-Stabilization Care in a sentence
For purposes of cost sharing, Post-Stabilization Care Services begin upon inpatient admission.
The Contractor shall cover and pay for Post-Stabilization Care in accordance with the guidelines found in 42 CFR 422.113(c).
Generally, Post-Stabilization Care Services begin when an Enrollee is admitted for an inpatient hospital stay after the Enrollee has received Emergency Services.
The Contractor must limit charges to Enrollees for Post-Stabilization Care Services to an amount no greater than that what the Contractor would charge the Enrollee if he or she had obtained the services through the Contractor.
The Contractor must not charge Members upon the end of Post-Stabilization Care Services that the Contractor has not provided service authorization.
More Definitions of Post-Stabilization Care
Post-Stabilization Care means Medically Necessary ser- vices received after the treating physician determines the emergency medical condition is stabilized.
Post-Stabilization Care means Medically Nec- essary services received after the treating physi- cian determines the emergency medical condition is stabilized.
Post-Stabilization Care means Medically Necessary services received after the treating physician determines the emergency medical condition is stabilized. Services or supplies which themselves are not approved or recognized in accordance with accepted professional medical standards, but nevertheless are authorized by law or by a government agency for use in testing, trials, or other studies on human patients, shall be considered experimental or investigational in nature. Note: A Participating home infusion agency may not be a Participating Hemophilia Infusion Provider if it does not have an agreement with Blue Shield to furnish blood factor replacement products and services.
Post-Stabilization Care means Medically Neces- sary services received after the treating physician
Post-Stabilization Care means Medically Necessary services received after the treating physician determines the emergency medical condition is stabilized. Experimental or Investigational in Nature — any treatment, therapy, procedure, drug or drug usage, facility or facility usage, equipment or equipment usage, device or device usage, or supplies which are not recognized in accordance with generally accepted professional medical standards as being safe and effective for use in the treatment of the illness, injury, or condition at issue. Services which require approval by the Federal government or any agency thereof, or by any state government agency, prior to use and where such approval has not been granted at the time the services or supplies were rendered, shall be considered experimental or investigational in nature. Services or supplies which themselves are not approved or recognized in accordance with accepted professional medical standards, but nevertheless are authorized by law or by a government agency for use in testing, trials, or other studies on human patients, shall be considered experimental or investigational in nature. Family — the Subscriber and all enrolled Dependents. Formulary — A comprehensive list of preferred Generic and Brand Drugs maintained by Blue Shield’s Pharmacy and Therapeutics Committee for use under the Blue Shield Outpatient Prescription Drug Benefits, which is designed to assist Physicians in prescribing Drugs that are Medically Necessary and cost effective. The Formulary is updated periodically.
Post-Stabilization Care means Services you receive for the acute episode of your Emergency Medical Condition after that condition is Clinically Stable. (“Clinically Stable” means that no material deterioration of the Emergency Medical Condition is likely, within reasonable medical probability, to result from or occur during your discharge or transfer from the hospital). With respect to a pregnant woman who is having contractions, when there is inadequate time to safely transfer her to another hospital before delivery (or the transfer may pose a threat to the health or safety of the woman or unborn child), Clinically Stable means after delivery (including the placenta).
Post-Stabilization Care means care given when your medical problem no longer requires Urgent or Emergent Care Services and your condition is stable.