Provider. (1) any individual who is engaged in the delivery of health care services in a State and is licensed or certified by the State to engage in that activity in the State; and (2) any entity that is engaged in the delivery of health care services in a State and is licensed or certified to deliver those services if such licensing or certification is required by State law or regulation.
Appears in 6 contracts
Samples: Blue Cross Medicare Advantage (Ppo) Addendum, Blue Cross Medicare Advantage Hmo Addendum, Blue Cross Medicare Advantage (Ppo) Addendum
Provider. (1) any Any individual who is or entity engaged in the delivery of health care services in a State and is licensed or certified by the State to engage in that activity in the State; and (2) any entity that is engaged in the delivery of health care services in a State state and is licensed or certified to deliver those services if such licensing or certification is required by State state law or regulation. [42 C.F.R. § 422.2.]
Appears in 1 contract
Samples: Ancillary Provider Service Agreement
