Has entered into a participation agreement accredited by the Director, OCHAMPUS, or designee, which at least complies with the minimum participation agreement necessities of this part. Mammography services may be cost-shared only if the supplier is certified by Medicare for participation as a mammography provider, or is certified by the American College of Radiology as having met its mammography supplier standards. Agrees that a patients’ natural medical problems should receive appropriate concurrent administration by a doctor. OTPs might not discriminate in opposition to CHAMPUS beneficiaries in any manner, together with admission practices or provisions of special or limited treatment. Furnish OCHAMPUS with price knowledge, as requested by OCHAMPUS, licensed by an independent accounting agency or different agency as approved by the Director.
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The Government’s cost-share for ECHO or ECHO house well being advantages throughout any program year is restricted as stated on this part. In order to transition the program yr from a fiscal year to a calendar year foundation, the Government’s annual cost-share limitation specified in paragraph of this part shall be prorated for the last quarter of calendar yr 2018 as licensed by 10 U.S.C. 1079. The supplier had obtained written materials, together with notices, handbook issuances, bulletins, guides, directives or different materials, offering notification of PRO screening standards specific to the condition of the beneficiary. Attending physicians who are members of the medical staff of an institutional supplier shall be discovered to have also received written supplies offered to the institutional provider. Services and provides not specifically listed as a benefit in this half. This exclusion is not intended to preclude extending benefits for those providers or supplies particularly decided to be lined throughout the intent of this half by the Director, OCHAMPUS, or a designee, despite the very fact that not otherwise listed.
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Phase II is a medically supervised outpatient program which begins following discharge. Phase III is a lifetime maintenance program emphasizing continuation of physical fitness with periodic followup. Each section includes an train element, patient training, and threat factor modification.
No CHAMPUS eligibility arises as the outcomes of the wedding of two energetic obligation members. All advantages for which in any other case eligible, January 1, 1969. Extended Care Health Option advantages limited to dependent children of members solely, August 31, 1972. Ineligible for benefits underneath the Extended Care Health Option. For medical advantages under the Basic Program, January 1, 1967.