NATIONAL PROVIDER IDENTIFICATION. All Providers must have a National Provider Identifier (NPI) in accordance with the timelines established in 45 C.F.R. Part 162, Subpart D (for most Providers, the NPI must be in place by May 23, 2007.)
NATIONAL PROVIDER IDENTIFICATION. Contractor shall comply with the National Provider Identification (NPI) system and will provide the Department with the NPI numbers for all staff providing direct health care or clinical services. Contractor shall comply with all guidelines and requirements set forth in Exhibit M, “Program Integrity Requirements,” attached hereto.
NATIONAL PROVIDER IDENTIFICATION. Providers rendering services to Members must have a National Provider Identifier (NPI). The NPI shall be included in Exhibit 1.
NATIONAL PROVIDER IDENTIFICATION. Enter additional ten (10) digit NPI numbers assigned by the Federal Government to eligible health care providers.
NATIONAL PROVIDER IDENTIFICATION. A. Contractor understands that it must comply with the National Provider Identification (NPI) system and will provide to Behavioral Health NPI numbers for all staff providing direct health care or clinical services. Contractor further agrees to verify the NPI number(s) upon hiring staff and to apply for NPI numbers on new employees within five (5) business days of the hiring date, immediately providing confirmation of NPI application to Behavioral Health. Contractor further understands that all services entered in the EHR will suspend and agrees that electronic xxxxxxxx for services will not be accepted without the inclusion of the NPI number(s). If the NPI number is not received within ninety (90) days after the service, the service will no longer be billable and reimbursable to Contractor. Contractor shall notify Behavioral Health within forty-eight (48) hours of any change to staff NPI numbers or related information, including the termination of employment of any Contractor staff. NPI numbers are also required for each physical delivery site. Federal and state government departments maintain lists of providers and individuals who are not eligible for payment for services. The United States Department of Health and Human Service, Office of the Inspector General, maintains the List of Excluded Individuals/Entities. The General Services Administration maintains the Excluded Parties List System. The California Department of Health Care Services maintains a Medi-Cal Suspended and Ineligible Provider list. The United States Social Security Administration maintains the Social Security Death Master File. Centers for Medicaid & Medicare, through the National Plan and Provider Enumeration System, maintains the NPI list. These lists include entities and individuals who have been suspended from receiving payments for services provided under any provider number to Medi-Cal beneficiaries. If Contractor or subcontractor is listed, this Agreement shall terminate consistent with Paragraph 51 below. Contractor shall conduct an initial check prior to hiring new staff and shall perform subsequent checks every month. Contractor shall verify that all new and existing employees (including interns and/or volunteers) do not appear on the aforementioned Exclusion lists. Contractor shall ensure that any excluded individual is immediately prevented from performing services resulting in claims for payment for services, directly or indirectly to a Medicare or Medi-Cal recipient. The...
