Participating Physician Sample Clauses

Participating Physician. A physician or a member of a Medical Group that has a contract in effect with Contractor to provide Covered Services to Enrollees.
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Participating Physician. A physician licensed to practice in Rhode Island who has contracted with or is employed by the Contractor to furnish services covered in this Contract.
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Participating Physician. A fully licensed physician or entity authorized to practice medicine who has entered into a Participating Physician Agreement with WellCare directly or indirectly.
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Participating Physician. Duly licensed doctor of medicine, dentistry, psychiatry, osteopathic medicine, doctor of chiropractic or podiatric medicine, each respectively having an unrestricted license to practice in the jurisdiction in which such individual’s services are to be provided, including, if applicable an unrestricted license to prescribe controlled medications, substances and supplies. Each Participating Physician must be credentialed pursuant to Health Plan’s credentialing criteria and have a contract with Health Plan to be considered “participating.” a) Primary Care Provider (PCP). A Participating Physician who has agreed to provide Covered Services to Members who have selected or have been assigned to that Participating Physician, and who assumes primary responsibility for arranging and coordinating the overall health services of such Members, as applicable. Any Covered Services provided by a PCP as a Specialist shall be compensated as a PCP.
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Participating Physician. A doctor of medicine that is legally authorized to practice medicine and surgery within the Commonwealth of Puerto Rico and has in effect a contract with the ADMINISTRATION or TPA.
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Participating Physician. A physician who has contracted, directly or indirectly, as an independent contractor with AMERICAID to provide certain Covered Services to Covered Persons and who is duly licensed under applicable state law.
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Related to Participating Physician

  • Physician Visits This plan covers the services of a physician or other provider in charge of your medical care while you are inpatient in a general or specialty hospital.

  • Contract for Professional Services of Physicians Optometrists, and Registered Nurses

  • Annual Physical The Executive may, if the Executive so elects, within the twelve (12) months following the Date of Termination, receive an annual physical at the Company’s expense consistent with the physical provided under, and subject to the requirements of, the Company’s annual physical program as in effect immediately prior to the Date of Termination.

  • HEALTH PROGRAM 3701 Health examinations required by the Employer shall be provided by the Employer and shall be at the expense of the Employer. 3702 Time off without loss of regular pay shall be allowed at a time determined by the Employer for such medical examinations and laboratory tests, provided that these are performed on the Employer’s premises, or at a facility designated by the Employer. 3703 With the approval of the Employer, a nurse may choose to be examined by a physician of her/his own choice, at her/his own expense, as long as the Employer receives a statement as to the fitness of the nurse from the physician. 3704 Time off for medical and dental examinations and/or treatments may be granted and such time off, including necessary travel time, shall be chargeable against accumulated income protection benefits.

  • Qualified Personnel Contractor shall utilize only competent personnel under the supervision of, and in the employment of, Contractor (or Contractor’s authorized subcontractors) to perform the Services. Contractor will comply with City’s reasonable requests regarding assignment and/or removal of personnel, but all personnel, including those assigned at City’s request, must be supervised by Contractor. Contractor shall commit adequate resources to allow timely completion within the project schedule specified in this Agreement.

  • Local Professional Development Committee A. There shall be a Local Professional Development Committee (LPDC) to oversee, review, and approve individual professional development plans (IPDP) for course work, continuing education units and/or other equivalent activities. 1. The LPDC shall be responsible to recommend for the Superintendent’s approval, all in-service activities and workshops offered in the district during the school year for staff professional development. 2. Recommendations for District Workshops and In-Service activities should be submitted to the LPDC for approval and recommendation no later than the last school day of the year prior to the year it will be implemented. 3. The LPDC chair shall review and approve all “Professional Growth Reimbursement Application” forms. B. The LPDC shall consist of three (3) teachers appointed by the Association President and two (2) members appointed by the Superintendent. One of the Superintendent's appointees will be a Principal employed by the district. C. Appointments shall be for two (2) years with half of the committee members being appointed every other year. 1. Appointments shall be made on or before May 1. 2. The Appointments shall be made by each party outlined above, notifying the other of those appointed. 3. In the event of a vacancy, the committee members shall be replaced in accordance with "B." above. 4. The Association shall name a fourth teacher member and the Superintendent shall name a third administrative member to serve as alternates and attend trainings. These two (2) people shall act as substitutes when a committee member is absent. D. This committee shall meet monthly. 1. The committee may also be convened by the request of two sitting members. 2. A quorum shall consist of five (5) members. When administrative licenses/certificates are reviewed, two (2) sitting teacher members will abstain and the decision will be decided by three (3) members. 3. If the committee determines it is needed, they will be provided two (2) professional release days to meet during regular school hours. Substitutes will be provided for the committee members on these release days. 4. Committee members shall be provided an additional annual stipend of $1,000 for meetings beyond the normal work day or year. This stipend shall be paid in two (2) semi-annual payments. Any member who fails to serve the full year shall have the above compensation prorated on a monthly basis for each month served. 5. Decisions of the LPDC will be made by consensus of the committee members present. 6. The committee minutes shall be prepared and maintained in compliance with the laws governing the operation of committees of public bodies.

  • SKILLED TRADES The Company agrees that maintenance employees are engaged to perform wholly maintenance duties, however, they may perform production duties until the set up or repair has been completed. Also, production employees may catty our minor adjustments and repairs. The Company will establish a tool allowance over the lifetime of this agreement of ($210.00 per contract year) to be used as a credit for the purchase of tools deemed necessary or as required by the Company by all Maintenance Men, Maintenance Machinists and Stationary Engineers In the event an employee eligible for a tool allowance terminates their and has exceeded their allowance of per contract year, then such excess will be withheld from their final earnings. Electronic Technician Electrician Maintenance Maintenance Maintenance Stationary Engineer (Chief) Stationary Engineer Pollution Control Operator Maintenance Trainee Oiler and Greaser Mould Cleaner Stores Roving C Remelt Pot Operator Material Handler Scrap Pickup Oxide Mill Operator Acid Tender Janitor Battery Repair Warehouser Stock Picker Circuit Tender Circuit Tender Commercial Re-Charge Operator Starting rate shall be below published job rate. Publishedjob rate to be effective no later than completion of probationary period. A premium of per hour over the published rate for employees designated as a lead hand by the Company. Base Rate Pasting Machine Operator Off-Bearer Paste Mixing Parting Machine Operator Off-Bearer Forming Room Operator Negative On-Bearedoperator Sinker Assembly Foundry Box Developing Operator Packaging Operator Floater of Jobs Element Burner Sinker Intercell Burner Stacking Operator Off-Bearer Stacking Assembly Burner Battery On-Bearer Place Covers & Mix Resin Inverter Resin Operator Saw Parting CLASSIFICATION SKILLED SEMI-SKILLED * * * Electronic Technician Electrician Maintenance Machinist Maintenance Class Maintenance Class Maintenance Trainee Oiler and Greaser * * * Pollution Control Operator Stationary Engineer Chief Stationary Engineer * Mold Cleaner Stores Machine Operator Off-Bearer Paste Mixing Operator Off-Bearer Operator Negative Ovens Circuit Tender On-Bearer Sinker Assembly SKILLED SEMI-SKILLED * * * * * * * * *

  • Covered Services You will receive Covered Services under the terms and conditions of this Contract only when the Covered Service is: • Medically Necessary; • Provided by a Participating Provider for in-network coverage; • Listed as a Covered Service; • Not in excess of any benefit limitations described in the Schedule of Benefits section of this Contract; and • Received while Your Contract is in force.

  • Medical Director The Contractor shall employ the services of a Medical Director who is a licensed Indiana Health Care Provider (IHCP) provider board certified in family medicine or internal medicine. If the Medical Director is not board certified in family medicine, they shall be supported by a clinical team with experience in pediatrics, behavioral health, adult medicine and obstetrics/gynecology. The Medical Director shall be dedicated full-time to the Contractor’s Indiana Medicaid product lines. The Medical Director shall oversee the development and implementation of the Contractor’s disease management, case management and care management programs; oversee the development of the Contractor’s clinical practice guidelines; review any potential quality of care problems; oversee the Contractor’s clinical management program and programs that address special needs populations; oversee health screenings; serve as the Contractor’s medical professional interface with the Contractor’s primary medical providers (PMPs) and specialty providers; and direct the Quality Management and Utilization Management programs, including, but not limited to, monitoring, corrective actions and other quality management, utilization management or program integrity activities. The Medical Director, in close coordination with other key staff, is responsible for ensuring that the medical management and quality management components of the Contractor’s operations are in compliance with the terms of the Contract. The Medical Director shall work closely with the Pharmacy Director to ensure compliance with pharmacy-related responsibilities set forth in Section 3.4. The Medical Director shall attend all OMPP quality meetings, including the Quality Strategy Committee meetings. If the Medical Director is unable to attend an OMPP quality meeting, the Medical Director shall designate a representative to take his or her place. Notwithstanding the Medical Director ‘s sending of a representative, the Medical Director shall be responsible for knowing and taking appropriate action on all agenda and action items from all OMPP quality meetings.

  • Professional Development Program (a) The parties agree to continue a Professional Development Program for the maintenance and development of the faculty members' professional competence and effectiveness. It is agreed that maintenance of currency of subject knowledge, the improvement of performance of faculty duties, and the maintenance and improvement of professional competence, including instructional skills, are the primary professional development activities of faculty members. (b) Information collected as part of this program shall be the sole property of the faculty member. This information or any judgments arising from this program shall not be used to determine non-renewal or termination of a faculty member's contract, suspension or dismissal of a faculty member, denial of advancement on the salary scale, nor affect any other administrative decisions pertaining to the promotion or employment status of the faculty member. (c) A joint advisory committee consisting of three regular faculty members who shall be elected by and are P.D. Committee Chairpersons and three administrators shall make recommendations for the operation, financing and management of the Professional Development Program.

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