NETWORK PROVIDER CREDENTIALING Sample Clauses

NETWORK PROVIDER CREDENTIALING a. CONTRACTOR and ADMINISTRATOR shall work together on credentialing Network Providers in accordance with State guidelines which include, but are not limited to, verifying the following information. Unless otherwise specified, primary source verification of information shall be required. Primary source verification means confirmation and evidence from the issuing source or designated monitoring entity of the requested information. 1) A current valid license to practice as an independent mental health practitioner; 2) A valid DEA certificate for physicians (primary source not required); 3) Graduation from an accredited professional school and/or highest training program applicable to the academic degree, discipline, and licensure of the mental health practitioner which is verified through license verification; 4) Board certification if the practitioner states that he/she is board certified on the application; 5) Work history (primary source not required); 6) Current, adequate malpractice insurance in accordance with the Indemnification and Insurance Paragraph of the Contract; 7) History of professional liability claims; and 8) Information from recognized monitoring organizations regarding the applicant’s sanctions or limitations of licensure from: a) State Board of Licensure or Certification and/or the National Practitioner Data Bank; b) State Board of Medical Examiners, the Federation of State Medical Boards, or appropriate agency; and
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NETWORK PROVIDER CREDENTIALING a. CONTRACTOR and ADMINISTRATOR shall work together on credentialing Network Providers in accordance with State guidelines which include, but are not limited to, verifying the following information. Unless otherwise specified, primary source verification of information shall be required. Primary source verification means confirmation and evidence from the issuing source or designated monitoring entity of the requested information. 1) A current valid license to practice as an independent mental health 2) A valid DEA certificate for physicians (primary source not required); 3) Graduation from an accredited professional school and/or highest training program applicable to the academic degree, discipline, and licensure of the mental health practitioner which is verified through license verification; 4) Board certification if the practitioner states that he/she is board certified on 5) Work history (primary source not required); 6) Current, adequate malpractice insurance in accordance with the Indemnification and Insurance Paragraph of the Contract;
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NETWORK PROVIDER CREDENTIALING. 19 a. CONTRACTOR shall be responsible for credentialing Network Providers in 20 accordance with State guidelines which include, but are not limited to, verifying the following 21 information. Unless otherwise specified, primary source verification of information shall be required.
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NETWORK PROVIDER CREDENTIALING. 7 a. CONTRACTOR shall be responsible for credentialing Network Providers in 8 accordance with State guidelines which include, but are not limited to, verifying the following
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NETWORK PROVIDER CREDENTIALING. 21 a. CONTRACTOR and ADMINISTRATOR shall work together on credentialing Network 22 Providers in accordance with State guidelines which include, but are not limited to, verifying the following 24 monitoring entity of the requested information. 25 1) A current valid license to practice as an independent mental health practitioner; 26 2) A valid DEA certificate for physicians (primary source not required);
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Related to NETWORK PROVIDER CREDENTIALING

  • Provider Network The Panel of health service Providers with which the Contractor contracts for the provision of covered services to Members and Out-of-network Providers administering services to Members.

  • Provider Directory a. The Contractor shall make available in electronic form and, upon request, in paper form, the following information about its network providers: i. The provider’s name as well as any group affiliation; ii. Street address(es); iii. Telephone number(s); iv. Website URL, as appropriate; v. Specialty, as appropriate; vi. Whether the provider will accept new beneficiaries; vii. The provider’s cultural and linguistic capabilities, including languages (including American Sign Language) offered by the provider or a skilled medical interpreter at the provider’s office, and whether the provider has completed cultural competence training; and viii. Whether the provider’s office/facility has accommodations for people with physical disabilities, including offices, exam room(s) and equipment. b. The Contractor shall include the following provider types covered under this Agreement in the provider directory: i. Physicians, including specialists ii. Hospitals

  • Provider Services Charges for the following Services when ordered by a Physician for the treatment of an Injury or Illness.

  • Compliance with Contractor Employee Jury Service Ordinance Contractor shall comply with the County Ordinance with respect to provision of jury duty pay to employees and have and adhere to a written policy that provides that its employees shall receive from the Contractor, on an annual basis, no less than five days of regular pay for actual jury service in San Mateo County. The policy may provide that employees deposit any fees received for such jury service with the Contractor or that the Contractor deduct from the employees’ regular pay the fees received for jury service.

  • STATEWIDE CONTRACT MANAGEMENT SYSTEM If the maximum amount payable to Contractor under this Contract is $100,000 or greater, either on the Effective Date or at any time thereafter, this section shall apply. Contractor agrees to be governed by and comply with the provisions of §§00-000-000, 00-000-000, 00-000-000, and 00- 000-000, C.R.S. regarding the monitoring of vendor performance and the reporting of contract information in the State’s contract management system (“Contract Management System” or “CMS”). Contractor’s performance shall be subject to evaluation and review in accordance with the terms and conditions of this Contract, Colorado statutes governing CMS, and State Fiscal Rules and State Controller policies.

  • Volunteer Peer Assistants 1. Up to eight (8)

  • Service Level Agreements If a Service or a Plan includes a Service Level Agreement (SLA): (a) we are liable for any remedy or rebate specified by the SLA; and (b) subject to clauses 40 to 42, and to the express terms of the SLA, our liability for breach of the SLA is limited to such remedy or rebate.

  • File Management and Record Retention relating to CRF Eligible Persons or Households Grantee must maintain a separate file for every applicant, Eligible Person, or Household, regardless of whether the request was approved or denied. a. Contents of File: Each file must contain sufficient and legible documentation. Documents must be secured within the file and must be organized systematically.

  • The Web Services E-Verify Employer Agent agrees to, consistent with applicable laws, regulations, and policies, commit sufficient personnel and resources to meet the requirements of this MOU.

  • DEPENDENT PERSONAL SERVICES 1. Subject to the provisions of Articles 16, 18 and 19, salaries, wages and other similar remuneration derived by a resident of a Contracting State in respect of an employment shall be taxable only in that State unless the employment is exercised in the other Contracting State. If the employment is so exercised, such remuneration as is derived therefrom may be taxed in that other State. 2. Notwithstanding the provisions of paragraph 1, remuneration derived by a resident of a Contracting State in respect of an employment exercised in the other Contracting State shall be taxable only in the first-mentioned State if: a) the recipient is present in the other State for a period or periods not exceeding in the aggregate 183 days in any twelve-month period commencing or ending in the tax year concerned, and b) the remuneration is paid by, or on behalf of, an employer who is not a resident of the other State, and c) the remuneration is not borne by a permanent establishment or a fixed base which the employer has in the other State. 3. Notwithstanding the preceding provisions of this Article, remuneration derived in respect of an employment exercised aboard a ship or aircraft operated in international traffic by a resident of a Contracting State, may be taxed in that State.

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