CONTRACTOR AND DMAHS SERVICE EXCLUSIONS. Neither the contractor nor DMAHS shall be responsible for the following: A. All services not medically necessary, provided, approved or arranged by a contractor's physician or other provider (within his/her scope of practice) except emergency services. B. Cosmetic surgery except when medically necessary and approved. C. Experimental organ transplants.
Appears in 2 contracts
Sources: Agreement to Provide Hmo Services (Amerigroup Corp), Agreement to Provide Hmo Services (Centene Corp)