Common use of Excluded Services Clause in Contracts

Excluded Services. Excluded Services shall be defined as those services that Members may obtain under the South Carolina State Plan but for which the CONTRACTOR is not financially responsible. The CONTRACTOR shall: 4.4.1. Be responsible for informing and educating members on how to access Excluded Services, providing all required referrals and assisting in the coordination of scheduling such services. 4.4.2. Refer to the Managed Care Policy and Procedure Guide for detailed information on the services that will not be covered/reimbursed by the CONTRACTOR under the current Medicaid Managed Care Program.

Excluded Services. Excluded Services shall be defined as those services that Members may obtain under the South Carolina State Plan but for which the CONTRACTOR is not financially responsible. The CONTRACTOR shall: 4.4.1. Be responsible for informing and educating members on how to access Excluded Services, providing all required referrals referrals, and assisting in the coordination of scheduling such services. 4.4.2. Refer to the Managed Care Policy and Procedure Guide for detailed information on the services that will not be covered/reimbursed by the CONTRACTOR under the current Medicaid Managed Care Program.

Excluded Services. Excluded Services shall be defined as those services that Members may obtain under the South Carolina State Plan but for which the CONTRACTOR is not financially responsible. The CONTRACTOR shall: 4.4.1. 4.4.1 Be responsible for informing and educating members on how to access Excluded Services, providing all required referrals referrals, and assisting in the coordination of scheduling such services. 4.4.2. 4.4.2 Refer to the Managed Care Policy Process and Procedure Guide Manual for detailed information on the services that will not be covered/reimbursed by the CONTRACTOR under the current Medicaid Managed Care Program.

Excluded Services. Excluded Services shall be defined as those services that Members may obtain under the South Carolina State Plan but for which the CONTRACTOR is not financially responsible. Excluded services shall include Medical (Non-Ambulance) Transportation, Dental Services, Targeted Case Management, and those services offered through the Department’s waiver programs. 4.4.1 The CONTRACTOR shall: 4.4.1. Be shall be responsible for informing and educating members on how to access Excluded Services, providing all required referrals referrals, and assisting in the coordination of scheduling such services. 4.4.2. Refer to the Managed Care Policy and Procedure Guide for detailed information on the services that will not be covered/reimbursed by the CONTRACTOR under the current Medicaid Managed Care Program.

Excluded Services. Excluded Services services shall be defined as those services that Members may obtain under the South Carolina State Plan but for which the CONTRACTOR is not financially responsible. The CONTRACTOR shall: 4.4.1. Be responsible for informing and educating members on how to access Excluded Servicesexcluded services, providing all required referrals and assisting in the coordination of scheduling such services. 4.4.2. Refer to the Managed Care Policy and Procedure Guide Manual for detailed information on the services that will not be covered/reimbursed by the CONTRACTOR under the current Medicaid Managed Care Programprogram.