Post Stabilization Services definition

Post Stabilization Services means covered services related to an emergency medical or behavioral health condition provided after the condition is stabilized.
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Post Stabilization Services means Covered Services related to an Emergency Medical Condition that are provided after a Member is stabilized in order to maintain the stabilized condition or to improve or resolve the Member’s condition when Contractor does not respond to a request for pre-approval within one hour, Contractor cannot be contacted, or Contractor’s representative and the treating Physician cannot reach an agreement concerning the Member’s care and a Contractor Physician is not available for consultation.
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Post Stabilization Services means contracted services, related to an emergency medical condition and emergency care for a mental health condition that are provided after an enrollee is stabilized in order to maintain the stabilized condition or to improve or resolve the enrollee's condition (42 C.F.R. § 438.114 and 422.113).
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Examples of Post Stabilization Services in a sentence

  • The Post-Stabilization Services were not pre-approved by the PH-MCO because the PH-MCO did not respond to the Provider’s request for pre-approval of these Post- Stabilization Services within one (1) hour of the request.

  • The Contractor shall cover Post Stabilization Services in accordance with Section 1867 of the Social Security Act.

  • This requirement does not prohibit an MCO from negotiating to pay any non-network Hospital at rates lower than the non-network Hospital’s applicable fee-for- service RFA rate less any amount for graduate medical education for Emergency and Post- Stabilization Services.

  • This requirement does not prohibit a Health Plan from negotiating to pay any non-network Hospital at rates lower than the non-network Hospital’s applicable fee-for-service RFA rate less any amount for graduate medical education for Emergency and Post- Stabilization Services.

  • This requirement does not prohibit an MCO from negotiating to pay any non-network Hospital at rates lower than the non-network Hospital’s applicable fee- for-service RFA rate less any amount for graduate medical education for Emergency and Post- Stabilization Services.


More Definitions of Post Stabilization Services

Post Stabilization Services means, with respect to an
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Post Stabilization Services means medically necessary non-emergency services furnished to an Enrollee after the Enrollee is Stabilized, in order to maintain such Stabilization, following an Emergency Medical Condition.
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Post Stabilization Services. See definition for Emergency and Stabilization Services
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Post Stabilization Services means medically necessary Hospital Services provided by 33 CONTRACTOR after the MSN Patient is considered to be Medically Stable following an Emergency 34 Medical Condition, which may include, but not be limited to continued hospitalization and/or Outpatient 35 Hospital Services. 36 // 37 //
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Post Stabilization Services means covered services related to an emergency medical condition provided after the condition is stabilized.
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Post Stabilization Services means medically necessary non-emergency services furnished to a Member after the Member is Stabilized, in order to maintain such Stabilization, following an Emergency Medical Condition.
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Post Stabilization Services means contracted services, related to an emergency medical condition that are provided after an enrollee is stabilized in order to maintain the stabilized condition or to improve or resolve the enrollee's condition (42 CFR 438.114 and 422.113).
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