Coverage Document definition
Examples of Coverage Document in a sentence
Recipient coverage rules are outlined in Exhibit BB, PH-MCO Recipient Coverage Document.
The PH-MCO must have written administrative policies and procedures to enroll and provide all Medically Necessary services to newborn infants of Members, effective from the time of birth, without delay, in accordance with Section V.F.12, Services for New Members, and Exhibit BB, PH-MCO Recipient Coverage Document.
Community transition services are furnished only to the extent that they are reasonable and necessary as determined through the Community Transition Plan development process and clearly Service Benefit Detail Reference Coverage Document identified in the Community Transition Plan and the individual is unable to meet such expense or when the services cannot be obtained from other sources.
Assisted Living Personal care and services, homemaker, chore, attendant care, companion services, medication oversight (to the extent permitted Certification Standards, Service Benefit Detail Reference Coverage Document under State law), therapeutic social and recreational programming, provided in a home-like environment in a licensed community care facility in conjunction with residing in the facility.
Eyeglass Provider Manual: Vision Service Benefit Detail Reference Coverage Document frames are covered only every 2 years.
Recipient coverage rules are outlined in Exhibit BB, MCO Recipient Coverage Document.
The PH-MCO must have written administrative policies and procedures to enroll and provide all Medically Necessary services to newborn infants of Members, effective from the time of birth, without delay, in accordance with Section V.F.12 of this Agreement, Services for New Members, and Exhibit BB of this Agreement, MCO Recipient Coverage Document.
Be financially responsible for Members placed in inpatient and residential treatment facilities through the dates specified in Section E of the ▇▇-▇▇ Recipient Coverage Document (Appendix V).
Part-Time Employees The Provider claims dispute process for LTD benefits provided pursuant to Section 18.4.3 is described in the Summary Plan Description or Evidence of Coverage Document.
The types and level of coverage for each member shall be shown on a Coverage Document provided to each member.