Basic Active Duty Dependents Dental Benefit Plan. The Basic Active Duty Dependents Dental Plan was efficient from August 1, 1987, up to the date of implementation of the Expanded Active Duty Dependents Dental Benefit Plan. The Basic Active Duty Dependents Dental Benefit Plan terminated upon implementation of the expanded plan. Defined in 10 U.S.C. 101 as a navy operation designated as a contingency operation by the Secretary of Defense or a military operation that ends in the exercise of authorities for ordering Reserve Component members to lively obligation with out their consent and is due to this fact mechanically a contingency operation. The provisions of this section apply all through the Department of Defense , the United States Coast Guard, the USPHS and NOAA. The TDP is applicable geographically inside the fifty States of the United States, the District of Columbia, the Commonwealth of Puerto Rico, Guam, and the U.S.

Fragmented, Biased Oral Well Being Care

Initial denial determinations by PROs pursuant to paragraph of this section (concerning medical necessity determinations, DRG validation actions, and so forth.) and subsequent selections regarding those determinations are not nondisclosable quality assurance records under 10 U.S.C. 1102. Except as provided in paragraph , a PRO reconsidered determination will not be additional appealed by a provider. Revision of coding regarding DRG validation. The following provisions apply in reference to the DRG validation process set forth in paragraph of this section. Transfers of CHAMPUS beneficiaries from a hospital or hospital unit topic to the CHAMPUS DRG-based fee system to another hospital or hospital unit. Participating hospitals should execute a memorandum of understanding with the PRO providing acceptable procedures for implementation of the PRO program.

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