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62 documents found matching dt:legal-brief.
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Showing 1-10 of 62 documents
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1.
Iowa Administrative Code: Medical Assistance - Amount, Duration and Scope of Medical and Remedial Services
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Document Date:
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20020515
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Corporate Author:
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Human Services Department
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Search Terms in Context:
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pgNbr=1
Page 2 of 35
IA ADC 441-78.1(249A)
Iowa Admin. Code 441-78.1(249A)
IOWA ADMINISTRATIVE CODE
AGENCY 441 HUMAN SERVICES DEPARTMENT
TITLE VIII MEDICAL ASSISTANCE
CHAPTER 78 AMOUNT, DURATION AND SCOPE OF MEDICAL AND REMEDIAL SERVICES
Current through May 15, 2002
441-78.1(249A) Physicians' services.
Page 2
Payment will be approved for all medically necessary services and supplies provided by the physician including
services rendered in the physician's office or clinic, the home, in a hospital, nursing home or elsewhere.
payment shall be made for all services rendered by a doctor of medicine or osteopathy within the scope of this
practice and the limitations of state law subject to the following limitations and exclusions:
78.1(1) Payment will not be made for
a. Drugs dispensed by a physician or other legally qualified practitioner (dentist, podiatrist, therapeutically
certified optometrist, physician assistant, or advanced registered nurse practitioner) unless it is established that
there is no li
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http://dida.library.ucsf.edu/tid/cha00a10
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2.
Return of Service: Constable
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Document Date:
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20000501
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Search Terms in Context:
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RETURN OF SERVICE
Service of the Summons and Complaint was made by me (1) DATE
May 1, 2000
NAME OF SERVER TITLE
LISA A. PODESTA Constable
Check one box below to indicate Appropriate method of service
Served perhonally upon the defendant. Place where served: /
, MASSACHUSETT4
^ Left copies thereof at the defendant's dwelling house or usual place of abode with a person of suitabl
e age and
discretion then residing therein. Name of person whom the summons and complaint were left:
Said service was made at: , MASSACHUSETTS
Other: By handing true and attested copies thereof to Ms
Morgan Inniss
Processin
ecialist r
S
.
.
g
p
or
Co rations Trust Corp., ered
iori:od Agent for the wit in-named Warner Lambert Co. (Parke-Davis Div, or Warner Lambert Co.)
Said service was made at:
101 Federal Street. Ste, 300. Boston , MASSACHUSETTS
STATEMENT OF SERVICE FEES
TRAVEL SERVICES TOTAL
22 $ ______12
00
.
DECLARATION OF RVER
I declare under penalty of perjury under the laws of the United t tes of A er' that
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http://dida.library.ucsf.edu/tid/dab00a10
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3.
Missouri Code of State Regulations, Title 13 - Department of Social Services, Division 70 - Division of Medical Services: Chapter 20 - Pharmacy Program
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Document Date:
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20020331
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Corporate Author:
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Department of Social Services|Division of Medical Services
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Search Terms in Context:
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pgNbr=1
Page 2 of 4
0
13 MO ADC 70-20.030
13 Mo. Code of State Regulations 70-20.030
MISSOURI CODE OF STATE REGULATIONS
TITLE 13 - DE?ARTNT OF SOCIAL SERVICES
DIVISION 70 - DIVISION OF MEDICAL SERVICES
CHAPTER 20 - PHARMACY PROGRAM
Current through March 31, 2002
13 CSR 70-20.030 Drugs Covered by Medicaid
PURPOSE: This rule implements recent changes in drug coverage as mandated by
federal Health Care Financing Administration.
Paee 2
(1) Limiting Definition-As defined in the Social Security Act, section
1927(k) (3), the term covered outpatient drug does not include any drug, biological
product, or insulin provided as part of, or as incident to and in the same setting
as any of the following (and for which payment may be made under this title as
part of payment for the following and not as direct reimbursement for the drug):
"(A) Inpatient hospital services.
"(B) Hospice services.
"(C) Dental services, except that drugs for which the state plan authorized
direct reimbursement to the dispensing den
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4.
Rule R414-63: Medicaid Policy for Pharmacy Reimbursement
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Document Date:
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20030101
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Search Terms in Context:
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pgNbr=1
C
pgNbr=2
UT Admin Code R414-63. Medicaid Policy for Pharmacy Reimbursement.
Page 1 of 4
[Division of Administrative Rules Home] I [Utah Administrative Code List of Titles] I [Search
Rules Publications)
Rule R414-63. Medicaid Policy for Pharmacy
Reimbursement.
As in effect on January 1, 2003
Table of Contents
R414-63-1. Introduction and Authority.
R414-63-2. Pharmacy Reimbursement.
KEY
Date of Enactment or Last Substantive Amendment
Authorizing, Implemented, or Interpreted Law
R414-63-1. Introduction and Authority.
(1) The Medicaid Policy for reimbursement of dispensing fees for pharmacy providers was achieved
through negotiations with representatives of the pharmacy industry.
(2) This rule is authorized under Chapter 26-18.
R414-63-2. Pharmacy Reimbursement.
(1) For each prescription filled for a Medicaid recipient the Department may reimburse the pharmacy
provider for up to seven (7) non-exempt prescriptions in any calendar month. The limit on prescriptions
will not take effect un
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5.
13 CSR 70 - 2. 100: XIX Procedure of Exception to Medical Care Services Limitations
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Document Date:
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20020331
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Corporate Author:
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Department of Social Services|Division of Medical Services
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Search Terms in Context:
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requiring a second surgical opinion, voluntary sterilizations,
hysterectomies or legal abortions;
(I) Failure to obtain prior authorization as required for a service otherwise
covered by Medicaid;
(J) Delivery or placement of custom-made items following the recipient's death
or loss of eligibility for the service;
(K) Previous denial by the Medicaid state agency of a request for exception
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6.
Rule R414-1A: Medicaid Policy for Experimental or Unproven Medical Practices
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Document Date:
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20030101
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Search Terms in Context:
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UT Admin Code R414-1A. Medicaid Policy for Experimental or Unproven Medical Practices. Page 1 of 3
[Division of Administrative Rules Home] I [Utah Administrative Code List of Titles] I [Search
Rules Publications]
Rule R414-1A. Medicaid Policy for
Experimental or Unproven Medical Practices.
As in effect on January 1, 2003
Table of Contents
R414-1A-1. Introduction and Authority.
R414-1A-2. Definitions.
8414-1A-3._ Medicaid Policy..
KEY
Date of Enactment or Last Substantive Amendment
Notice of Continuation
Authorizing,. Implemented, or Interpreted Law
R414-1A-1. Introduction and Authority.
(1) This rule establishes Medicaid payment policy for experimental or unproven medical practices.
(2) This rule is authorized by Sections 26-1-5, 26-1-15, and 26-18-6, and by Subsections 26-18-3(2)
and 26-18-5(4).
R414-1A-2. Definitions.
(1) The definitions in R414-1 apply to this rule.
(2) In addition:
(a) "Experimental or unproven medical practice" means any procedure, medication product, or service
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http://dida.library.ucsf.edu/tid/fva00a10
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7.
Nebraska Administrative Code
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Document Date:
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20020214
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Corporate Author:
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Nebraska Medical Assistance Program Services|Pharmacy Services
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Search Terms in Context:
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pgNbr=1
Page 2 of 3
471 NE ADC Ch. 16, § 003
Neb. Admin- R. & Regs. Tit. 471, Ch. 16, § 003
471 NAC Ch. 16, § 003
NEBRASKA ADMINISTRATIVE CODE
HEALTH AND HUMAN SERVICES SYSTEM
TITLE 471: NEBRASKA MEDICAL ASSISTANCE PROGRAM SERVICES
CHAPTER 16 PHARMACY
with amendments through Update #276, dated February 14, 2002.
Page 2
16-003 Non-Covered Services:
Payment by NMAP will not be approved for.
1. More than a three-month supply of birth control tablets;
2. Experimental drugs or non-FDA approved drugs;
3. Drugs or items when the prescribed use is not for a medically accepted indication;
4. Drugs or items prescribed or recommended for weight control and/or appetite suppression (see 471 NAC
16-004.03);
5. Liquors (any alcoholic beverage);
6. D.E.S.I. drugs and all identical, related, or similar drugs;
7. Personal care items (examples: non-medical mouthwashes, deodorants, talcum powders, bath powders, soaps,
dentifrices, eye washes, and contact solutions);
8. Medical supplies and certain drugs f
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http://dida.library.ucsf.edu/tid/gga00a10
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8.
Code of Massachusetts - Regulations, Title 130: Division of Medical Assistance
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Document Date:
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20020412
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Corporate Author:
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Pharmacy Services|Massachusetts Division of Medical Assistance
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Search Terms in Context:
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pgNbr=1
page 2of3
Page 2
I
0
130 MA ADC 406.413
130 CMR 406.413
CODE SS
REGULATIONS
TITLE 130: DIVISION OF MEDICAL
ASSISTANCE
CHAPTER 406.000: PHARMACY SERVICES
Current through April 12, 2002, Register #945
406.413: Service Limitations
(A) Interchangeable Drug Products. For drugs
listed in the current edition of the M (hCMR
List of In terchangeable Drug ~ ~
720.000) or any supplement thereof. the
pays no more than the FULP or MULP, whichever
applies, unless:
(1) the prescriber has requested and received prior
authorization from the 130 CMR 406.4227 and c
multiple-source drug
(2) the prescriber has written on the face of the
prescription in the presc fiber's own handwriting the
words "brand name medically necessary" under the
words "no substitution" in a manner consistent with
applicable state law. These words must be written
out in full and may not be abbreviated.
450.117.
(2) Other Health Insurance. The Division will pay
for pharmacy claims for services to MassHealth
members who have health in
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http://dida.library.ucsf.edu/tid/hha00a10
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9.
Stipulation & Order to Extend Time
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Document Date:
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20000615
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Author:
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Hoffman, Thomas G|Greene, Thomas M|Murray, James E|Rouhandeh, James P|Ferrell, Kathleen L
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Corporate Author:
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Warner-Lambert Company|Davis, Polk & Wardwell|Greene & Hoffman, PC|United States District Court for the District of Massachusetts
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Search Terms in Context:
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UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF MASSACHUSETTS
UNITED STATES OF AMERICA : Civil Action
ex rel. DAVID FRANKLIN : No. 96-11651-PBS
Plaintiff,
V.
STIPULATION & ORDER
PARKE-DAVIS, DIVISION OF : TO EXTEND TIME
WARNER-LAMBERT COMPANY,
Defendant.
WHEREAS, plaintiff served the Complaint on the undersigned defendant on or
about May 1, 2000; and
WHEREAS, the undersigned parties previously submitted a stipulation and order,
"so ordered" by the Court on May 22, 2000, whereby defendant's time to answer, move
or otherwise respond to the Complaint was extended to June 16, 2000;
IT IS HEREBY STIPULATED by the undersigned parties, subject to the approval
of the Court, as follows:
1. Defendant's time to answer, move or otherwise respond to the Complaint
shall be extended to July 21, 2000.
2. Plaintiffs response in opposition to any motion made by defendant with
respect to the Complaint shall be served on defendant by facsimile and first class mail on
or before October 6, 2000.
pgNbr=1
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10.
Iowa Administrative Code: Agency 441 Human Services Department - 441-78.1(249A) Physicians' Services
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Document Date:
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20030319
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Search Terms in Context:
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14
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page 8
I ADC )78.1(249A)
Iowa Admin. . Code 441-78.1(249A)
INISTRATIVE CODE
IOWA ADM
AGENCY 44VI MEDICAL N DERMA S DTANpCREMENT
TITLE
78 AMOUNT, DURATION AND SCOPE OF MEDICAL AND REMEDIAL SERVIC
CHAPTER Current through March 19' 200'
' services.
441-78.1(249A) physicians provided by the physician including
roved for all medically necessary services and supplies home or elsewhere.
payment will be app the home, in a hospital, nursing
services rendered in the physician's office or clinic,
a doctor of medicine or osteopathy within the scope of this
payment shall be made for all services rendered by limitations and exclusions:
practice and the limitations of state law subject to the following
78.1(1) Payment will not be made for: podiatrist, therapeutically
a or other legally qualified practitioner (dentist, a. Drugs dispensed by physician istered nurse practitioner) unless it is established that
certified optometrist, physician assistant, or advanced registered which
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Bookmark:
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http://dida.library.ucsf.edu/tid/iva00a10
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