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Medicaid Managed Care - U.S. Senate Special Committee on Aging

Medicaid Managed Care - U.S. Senate Special Committee on Aging

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VariiaIioils in rownlr-c1t language: Medical necessily definiti<strong>on</strong>s<br />

I . W~~~~~~~~~~~~~~~<br />

"The health care services listed below shall be provided by the<br />

c<strong>on</strong>tractor to enrollees as covered benefits rendered under the terms<br />

of this c<strong>on</strong>tract. Provisi<strong>on</strong> of these services shall be equal in<br />

amount, durati<strong>on</strong> and scope as established by the <str<strong>on</strong>g>Medicaid</str<strong>on</strong>g><br />

program, in accordance with medical necessity without any<br />

predetermined limits unless specifically stated, and set forth in the<br />

<str<strong>on</strong>g>Medicaid</str<strong>on</strong>g> Provider Manuals..."<br />

New Jersey C<strong>on</strong>tract<br />

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.: I lI,<br />

W i, d IaImI,Pod *an(CoUIV 11i t I 11II le1111.<br />

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Ill I 1-IIjI

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