The per diem quantity, nonetheless, may not exceed the cap quantity relevant to other higher quantity hospitals. Elective or exclusive association. Alternative delivery methods may be established by contract or other association on either an elective or unique foundation for beneficiary number of taking part and licensed providers in accordance with contractual necessities and guidelines. Benefit limitations and exclusions. The Director, OCHAMPUS, or designee, may establish such exclusions and limitations as are in preserving with these established by dental insurance coverage and prepayment plans to regulate utilization and high quality of look after the services and objects lined by the TDP.
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