Provider State Registration. (a) Provider must meet minimum requirements for participation in the State Programs. An AHCCCS Provider Participation Agreement, as defined by AHCCCS, must be signed if Provider is not already an AHCCCS registered provider. Except as otherwise required by law or as otherwise specified in the Agreement--which shall control in the event of a conflict, Provider agrees, AHCCCS Administration fee-for-service provisions referenced in the AHCCCS Provider Participation Agreement located on AHCCCS website (e.g., billing requirements, coding standards, payment rates) are in force between Provider and Health Plan. (b) Because AHCCCS registration is mandatory for consideration for payment by Health Plan for services rendered by managed care providers as well as submission of encounter data to the AHCCCS by Health Plan, Provider must be registered as approved service provider with AHCCCS.
Appears in 2 contracts
Samples: Arizona Medicaid Developmentally Disabled Program Regulatory Requirements Appendix, Arizona Medicaid and Chip Program Regulatory Requirements Appendix
Provider State Registration. (a) Provider must meet minimum requirements for participation in the State Programs. An AHCCCS Provider Participation Agreement, as defined by AHCCCS, must be signed if Provider is not already an AHCCCS registered provider. Except as otherwise required by law or as otherwise specified in the Agreement--which shall control in the event of a conflict, Provider agrees, AHCCCS Administration fee-fee- for-service provisions referenced in the AHCCCS Provider Participation Agreement located on AHCCCS website (e.g., billing requirements, coding standards, payment rates) are in force between Provider and Health Plan.
(b) Because AHCCCS registration is mandatory for consideration for payment by Health Plan for services rendered by managed care providers as well as submission of encounter data to the AHCCCS by Health Plan, Provider must be registered as approved service provider with AHCCCS.
Appears in 2 contracts
Samples: Arizona Acc Medicaid and Chip Program Regulatory Requirements Appendix, Downstream Provider Agreement
Provider State Registration. (ai) Provider must meet minimum requirements for participation in the State Programs. An AHCCCS Provider Participation Agreement, as defined by AHCCCS, must be signed if Provider is not already an AHCCCS registered provider. Except as otherwise required by law or as otherwise specified in the Agreement--which shall control in the event of a conflict, Provider agrees, AHCCCS Administration fee-for-service provisions referenced in the AHCCCS Provider Participation Agreement located on AHCCCS website (e.g., billing requirements, coding standards, payment rates) are in force between Provider and Health Plan.
(bii) Because AHCCCS registration is mandatory for consideration for payment by Health Plan for services rendered by managed care providers as well as submission of encounter data to the AHCCCS by Health Plan, Provider must be registered as approved service provider with AHCCCS.
Appears in 2 contracts
Samples: Arizona Long Term Care Program Regulatory Requirements Appendix, Arizona CRS State Program Regulatory Requirements Appendix
