America's Affordable Health Choices Act of 2009, October 14, 2009, 111-1 House Report 111-299, Part 1, *2009 |
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Страница 16
... authorized or approved for an enrollee under such a program , the program shall not , pursuant to retro- spective ... AUTHORIZATION SERVICES.— ( A ) IN GENERAL . - Except as provided in paragraph ( 2 ) , in the case of a utilization ...
... authorized or approved for an enrollee under such a program , the program shall not , pursuant to retro- spective ... AUTHORIZATION SERVICES.— ( A ) IN GENERAL . - Except as provided in paragraph ( 2 ) , in the case of a utilization ...
Страница 17
... authorization . This clause shall not apply if the deadline is speci- fied in clause ( iii ) . ( iii ) EXPEDITED CASES . - In the case of a situation described in section 139A ( c ) ( 1 ) ( A ) , the deadline specified in this ...
... authorization . This clause shall not apply if the deadline is speci- fied in clause ( iii ) . ( iii ) EXPEDITED CASES . - In the case of a situation described in section 139A ( c ) ( 1 ) ( A ) , the deadline specified in this ...
Страница 23
... AUTHORIZED OFFICIALS FOR REFUSING TO AUTHORIZE THE DETERMINATION OF AN EXTERNAL REVIEW ENTITY.- ( 1 ) MONETARY PENALTIES . - In any case in which the determination of an ex- ternal review entity is not followed by a qualified health ...
... AUTHORIZED OFFICIALS FOR REFUSING TO AUTHORIZE THE DETERMINATION OF AN EXTERNAL REVIEW ENTITY.- ( 1 ) MONETARY PENALTIES . - In any case in which the determination of an ex- ternal review entity is not followed by a qualified health ...
Страница 52
... authorized to conduct such determina- tions for any Exchange - eligible individual who requests such a determina- tion ; and ( B ) the Commissioner shall reimburse the State Medicaid agency for the costs of conducting such ...
... authorized to conduct such determina- tions for any Exchange - eligible individual who requests such a determina- tion ; and ( B ) the Commissioner shall reimburse the State Medicaid agency for the costs of conducting such ...
Страница 79
... authorized to perform by the State in which the services are performed , but only if no facility or other provider charges or is paid any amounts with respect to the furnishing of such services ; " ; and ( 2 ) by adding after subsection ...
... authorized to perform by the State in which the services are performed , but only if no facility or other provider charges or is paid any amounts with respect to the furnishing of such services ; " ; and ( 2 ) by adding after subsection ...
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111TH CONGRESS administrative Advisory agencies amount applicable appropriate areas assistance authorized Center clause clinical Commissioner Committee Congress contract coordination cost-sharing costs coverage Current Law dual eligibles durable medical equipment employers enactment end the following enrollee enrollment ensure establish evaluation federal fiscal funds GENERAL.-Section grant Health and Human health benefits plan health care Health Insurance Exchange health plan health workforce HIPAA hospital Human Services implement improve individual inserting items and services Law This provision Medicaid medical home Medicare Part D Medicare Prescription Drug ment mental health counselor nursing facility participate patient payment period PHSA sec PHSA section PHSA title physician pilot program premium prescription drug preventive services Proposed Law qualified health benefits quality measures rebate resident respect retary Security Act 42 Social Security Act specified standards striking submit subparagraph subsection Subtitle Task Force telehealth term tion United States Code