Common use of Diagnostic Clause in Contracts

Diagnostic. testing and treatment related to Attention Deficit Hyperactivity Disorder (ADHD) are covered subject to Medical Necessity and utilization management guidelines. Covered Services do not include those that are primarily educational or training in nature.

Appears in 18 contracts

Sources: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract

Diagnostic. testing and treatment related to Attention Deficit Hyperactivity Disorder (ADHD) are is covered subject to Medical Necessity Sections 2.48 and utilization management guidelines2.79. Covered Services do not include those that are primarily educational or training in nature.

Appears in 1 contract

Sources: Medical and Hospital Service Contract

Diagnostic. testing and treatment related to Attention Deficit Hyperactivity Disorder (ADHD) are is covered subject to Medical Necessity Sections 2.47 and utilization management guidelines2.78. Covered Services do not include those that are primarily educational or training in nature.

Appears in 1 contract

Sources: Medical and Hospital Service Contract

Diagnostic. testing and treatment related to Attention Deficit Hyperactivity Disorder (ADHD) are is covered subject to Medical Necessity Sections 2.48 and utilization management guidelines2.80. Covered Services do not include those that are primarily educational or training in nature.

Appears in 1 contract

Sources: Large Group Choice Plan Medical and Hospital Service Contract

Diagnostic. testing and treatment related to Attention Deficit Hyperactivity Disorder (ADHD) are is covered subject to Medical Necessity Sections 2.49 and utilization management guidelines2.80. Covered Services do not include those that are primarily educational or training in nature.

Appears in 1 contract

Sources: Medical and Hospital Service Contract

Diagnostic. testing and treatment related to Attention Deficit Hyperactivity Disorder (ADHD) are is covered subject to Medical Necessity Sections 2.46 and utilization management guidelines2.77. Covered Services do not include those that are primarily educational or training in nature.

Appears in 1 contract

Sources: Large Group Hmo Plan Medical and Hospital Service Contract