Examples of Specialized Health Care in a sentence
Contractor shall maintain policies and procedures that are designed to preserve and enhance Contractor’s network development by facilitating the recruitment and retention of Participating Providers necessary to provide access to Specialized Health Care Services.
Contractor shall comply with applicable laws, rules and regulations relating to the provision of Specialized Health Care Services to any individual enrolled in Contractor’s QDP in the Covered California for the Individual Market who is determined by Covered California to be an eligible American Indian or Alaskan Native as defined in § 4(d) of the Indian Self-Determination and Education Assistance Act (25 U.S.C. § 450b(d).
Contractor shall maintain a quality management program to review the quality of Specialized Health Care Services provided by Participating Providers and other subcontractors.
Contractor shall, and shall require Participating Providers to, comply with applicable laws, rules and regulations governing liability of Enrollees for Specialized Health Care Services provided to Enrollees, including those relating to holding an Enrollee harmless from liability in the event Contractor fails to pay an amount owing by Contractor to a Participating Provider as required by Federal and State laws, rules and regulations.
Contractor shall maintain a network that includes participation of dental providers with a history of serving uninsured and low-income populations that are available through Contractor to provide reasonable and timely access to Specialized Health Care Services to low-income populations in each geographic region where Contractor’s QDPs provide services to Enrollees.
Except as otherwise set forth in this Section 7.3.2, Contractor shall continue to provide Specialized Health Care Services to Enrollees in accordance with the terms set forth in the Agreement from and after Contractor’s Non-Recertification Election up through the termination of coverage for Enrollees, as such termination of coverage shall be determined in accordance with the requirements set forth in this section.
The Specialized Health Care Services referred to in this Agreement refers to those services which are covered benefits under the applicable QDP and described in the Evidence of Coverage (EOC).
Contractor shall maintain a network that includes participation of dental providers with a history of serving uninsured and low-income populations that are available through Contractor to provide reasonable and timely access to Specialized Health Care Services to low-income populations in each geographic region where Contractor’s QDPs provide services to Covered California Enrollees.
Specialized health care procedures are described in Section II of the manual entitled Specialized Health Care Procedure Manual for West Virginia Public Schools.
The Specialized Health Care Manual shall be presented to all certificated staff assigned to programs containing medically fragile children.