Definitions for "Emergency Services"
A critical infrastructure characterized by medical, police, fire, and rescue systems and personnel that are called upon when an individual or community is responding to emergencies. These services are typically provided at the local level (county or metropolitan area). In addition, state and Federal response plans define emergency support functions to assist in response and recovery.
42 CFR §422.113] Means covered inpatient and outpatient services that are: Furnished by a provider qualified to furnish emergency services; and Needed to evaluate or stabilize an emergency condition.
any health care services provided to a member after the sudden onset of a medical condition. The condition manifests itself by acute symptoms of sufficient severity or severe pain, such that a prudent layperson, who possesses an average knowledge of health and medicine, could reasonably expect the absence of immediate medical attention to result in: placing the health of the member or the health of a member's unborn child serious jeopardy; serious impairment of bodily functions; serious dysfunction of any bodily organ or part.
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