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The Managed Care Support (MCS) Manuals (T-3) for contracts prior to 07/21/2016 are now superseded and can be found in the "Superseded" portion (indicated by a red banner) of each T-17 manuals' web page.
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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