Common use of Network Provider Clause in Contracts

Network Provider. An appropriately credentialed and licensed individual, facility, agency, institution, organization, or other entity that has an agreement with the Contractor or any subcontractor, for the delivery of services covered under the Contract. Ombudsman — A neutral entity that has been contracted by MassHealth to assist Enrollees (including their families, caregivers, representatives, and/or advocates) with information, issues, or concerns related to One Care (may also be referred to as My Ombudsman). Ombudsman staff fulfill both individual and systemic advocacy roles. One Care Plan — A health plan or provider‑based organization located in the United States contracted to provide and accountable for providing or arranging for the provision of integrated care to Enrollees under a capitated payment arrangement. Previously referenced as Integrated Care Organization (ICO).

Network Provider. An appropriately credentialed and licensed individual, facility, agency, institution, organization, or other entity that has an agreement with the Contractor or any subcontractor, for the delivery of services covered under the Contract. Ombudsman — A neutral entity that has been contracted by MassHealth to assist Enrollees (including their families, caregivers, representatives, and/or advocates) with information, issues, or concerns related to One Care (may also be referred to as My Ombudsman). Ombudsman staff fulfill both individual and systemic advocacy roles. One Care Plan — A health plan or provider‑based provider-based organization located in the United States contracted to provide and accountable for providing or arranging for the provision of integrated care to Enrollees under a capitated payment arrangement. Previously referenced as Integrated Care Organization (ICO).

Network Provider. An appropriately credentialed and licensed individual, facility, agency, institution, organization, or other entity that has an agreement with the Contractor theContractor or any subcontractor, for the delivery of services covered under the Contract. Ombudsman — A neutral entity that has been contracted by MassHealth to assist Enrollees (including their families, caregivers, representatives, and/or advocates) with information, issues, or concerns related to One Care (may also be referred to as My Ombudsman). Ombudsman staff fulfill both individual and systemic advocacy roles. One Care Plan — A health plan or provider‑based provider-based organization located in the United States contracted to provide and accountable for providing or arranging for the provision of integrated care to Enrollees under a capitated payment arrangement. Previously referenced as Integrated Care Organization (ICO).