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Administration
Chapter 1
Section 1.3
Court-Ordered Care
Issue Date: December 5, 1984
Revision:
1.0 DESCRIPTION
Court-ordered care is medical service, including
inpatient admissions, that a court of law orders or directs a party
in a legal proceeding to obtain.
2.0 POLICY
The fact that medical services are ordered
by a court does not determine the coverage of those medical services.
Benefits will be paid only if the service is to diagnose or treat
a covered condition, if the service is at the appropriate level
of care to treat the condition, and if the beneficiary (or the beneficiary’s
family) has a legal obligation to pay for the service.
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