Reimbursement of all facility services, X including triage and For diagnostic tests, X members X regardless of principal For a determined For a CRS diagnosis when X X X CRS X X X to have related related provided in an SMI who condition condition emergency department are and there is no integrated admission to the facility. X For Reimbursement of X members X with a professional fees For a determined For a CRS physical health X X X CRS X X X to have related related principal diagnosis, SMI who condition condition regardless of setting. are integrated
Reimbursement of all facility services, including triage and diagnostic tests, regardless of principal diagnosis when provided in an emergency department and there is no admission to the facility. X X For members determined to have SMI who are integrated X X For a CRS related condition X X For a CRS related condition X X X Reimbursement of professional fees with a physical health principal diagnosis, regardless of setting. X X For members determined to have SMI who are integrated X X For a CRS related condition X X For a CRS related condition X X X
Attachment-A-Matrix-of-Financial-Responsibility-by-Responsible-Party.docx