Contracting ED Hospital definition

Contracting ED Hospital means a hospital that has executed an Agreement for Provision 8 of Emergency and Stabilization Hospital Services for the MSN Program with COUNTY.
Sample 1Sample 2

Examples of Contracting ED Hospital in a sentence

  • For inpatient Hospital Services – No Contracting ED Hospital shall be paid more than seventy-five (75%) of the equivalent CalOptima reimbursement, or Allowable Costs, less applicable co-payments, whichever is less.

  • For Emergency Services and Outpatient Hospital Services - No Contracting ED Hospital 17 shall be reimbursed more than seventy-five (75%) of CalOptima fee-for-service rates or Allowable 18 Costs, less the required co-payments, whichever is less.

  • For inpatient Hospital Services – No Contracting ED Hospital shall be paid more than 20 seventy-five (75%%) of the equivalent CalOptima reimbursement, or Allowable Costs, less applicable 21 co-payments, whichever is less.

  • For inpatient Hospital Services – No Contracting ED Hospital shall be paid more than the 20 calculated Final Settlement, or Allowable Costs, less the required co-payments, whichever is less.

  • For Emergency Services and Outpatient Hospital Services - No Contracting ED Hospital shall be reimbursed more than seventy-five percent (75%) of CalOptima fee-for-service rates or Allowable Costs, less the required co-payments, whichever is less.

  • Any Hospital that does not become a Contracting ED Hospital or Contracting Hospital and 14 elects to provide any Hospital Services to any MSN Enrollee shall be reimbursed by COUNTY at the 15 Non-Contract Hospital rates.

  • The basic assessment principles developed for the Institute are summarized below in Table 1, in terms of challenges and objectives, deontology and methodology.

  • Any Hospital that does not become a Contracting ED Hospital or Contracting Network 11 Hospital and elects to provide any Hospital Services to any MSN Enrollee shall be reimbursed by 12 COUNTY at the Non-Contract Hospital rates.

  • Any Hospital that does not become a Contracting ED Hospital or Contracting Network 2 Hospital and elects to provide any Hospital Services to any MSN Enrollee shall be reimbursed by 3 COUNTY at the Non-Contract Hospital rates.

  • Any Hospital that does not become a Contracting ED Hospital or Contracting Hospital and 11 elects to provide any Hospital Services to any MSN Enrollee shall be reimbursed by COUNTY at the 12 Non-Contract Hospital rates.

Related to Contracting ED Hospital

  • Contracting entity means any person that has a primary business purpose of contracting with participating providers for the delivery of health care services.

  • Transplant hospital means a hospital that furnishes organ transplants and other medical and surgical specialty services required for the care of transplant patients.

  • Inpatient hospital services means any health care service provided to a patient who has been admitted to a hospital and is required to remain in that hospital overnight, but does not include any secure forensic mental health services;

  • Individual subcontracting plan means a subcontracting plan that covers the entire contract period (including option periods), applies to a specific contract, and has goals that are based on the offeror’s planned subcontracting in support of the specific contract, except that indirect costs incurred for common or joint purposes may be allocated on a prorated basis to the contract.

  • Behavioral health provider means a person licensed under 34 chapter 18.57, 18.57A, 18.71, 18.71A, 18.83, 18.205, 18.225, or 18.79

  • Acute care hospital means a Hospital that provides Acute Care Services. Adjudicate means to deny or pay a Clean Claim. Administrative Services see MCO Administrative Services. Administrative Services Contractor see HHSC Administrative Services Contractor.

  • Outpatient hospital services means preventive, diagnostic, therapeutic, observation, rehabilitation, or palliative services provided to an outpatient by or under the direction of a physician, dentist, or other practitioner by an institution that:

  • Master subcontracting plan means a subcontracting plan that contains all the required elements of an individual subcontracting plan, except goals, and may be incorporated into individual subcontracting plans, provided the master subcontracting plan has been approved.

  • Non-Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has not been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Training provider means an organization meeting the eligibility conditions as mentioned in Data Sheet and selected in accordance with the criteria set forth for the purpose.

  • Contracting Party shall have the meaning designated in the preamble to Section 5.2 hereof.

  • Approved abuse education training program means a training program using a curriculum approved by the abuse education review panel of the department of public health or a training program offered by a hospital, a professional organization for physicians, or the department of human services, the department of education, an area education agency, a school district, the Iowa law enforcement academy, an Iowa college or university, or a similar state agency.

  • Contracting Parties has the meaning set forth in Section 9.14.

  • Rural hospital means a hospital that meets both of the following:

  • o GENERAL HOSPITAL means a hospital that is designed to care for medical and surgical patients with acute illness or injury.

  • Residential child care facility means a twenty-four-hour residential facility where children live together with or are supervised by adults who are not their parents or relatives;

  • SPECIALTY HOSPITAL means a hospital or the specialty unit of a general hospital that is licensed by the state. It must be designed to care for patients with injuries or special illnesses. This includes, but is not limited to, a long-term acute care unit, an acute mental health or acute short-term rehabilitation unit or hospital. • convalescent home; • rest home; • nursing home; • home for the aged; • school and college infirmary; • residential treatment facility; • long-term care facility; • urgent care center or freestanding ambulatory surgical center; • facility providing mainly custodial, educational or rehabilitative care; or • a section of a hospital used for custodial, educational or rehabilitative care, even if accredited by the JCAHO or listed in the AHA directory.

  • Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Rape Crisis Center means an office, institution, or center offering assistance to victims of sexual offenses through crisis intervention, medical and legal information, and follow-up counseling.

  • public hospital means a governmental entity of a political subdivision of the state of Iowa that is authorized by legislative authority. For purposes of this subrule, a “public hospital” must also meet the requirements of Iowa Code section 249J.3. Under Iowa Code section 249J.3, a “public hospital” must be licensed pursuant to Iowa Code chapter 135B and governed pursuant to Iowa Code chapter 145A (merged hospitals), Iowa Code chapter 347 (county hospitals), Iowa Code chapter 347A (county hospitals payable from revenue), or Iowa Code chapter 392 (creation by city of a hospital or health care facility). For the purposes of this definition, “public hospital” does not include a hospital or medical care facility that is funded, operated, or administered by the Iowa department of human services, Iowa department of corrections, or board of regents, or the Iowa Veterans Home.

  • Non-Participating Home Infusion Therapy Provider means a Home Infusion Therapy Provider who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Marijuana retailer means a person who sells marijuana items to a consumer in this state.

  • Municipal Separate Storm Sewer System Management Program means a management program covering the duration of a state permit for a municipal separate storm sewer system that includes a comprehensive planning process that involves public participation and intergovernmental coordination, to reduce the discharge of pollutants to the maximum extent practicable, to protect water quality, and to satisfy the appropriate water quality requirements of the CWA and regulations, and this article and its attendant regulations, using management practices, control techniques, and system, design, and engineering methods, and such other provisions that are appropriate.

  • HUB Subcontracting Plan or “HSP” means written documentation regarding the use of subcontractors, which is required to be submitted with all responses to state agency contracts with an expected value of $100,000.00 or more where subcontracting opportunities have been determined by the state agency to be probable. The HUB subcontracting plan subsequently becomes a provision of the awarded Contract and shall be monitored for compliance by the state agency during the term of the Contract.

  • Service Control Point (SCP) is the node in the common channel signaling network that accepts Queries for certain Database services. The SCP is a real time database system that receives Queries from service platforms, performs subscriber or application-specific service logic, and then sends a Response back to the Query-originating platform. Such service platforms can be Service Switching Points (SSPs) or other network nodes capable of properly formatting and launching Queries.

  • General hospital means a subclass of hospital that provides surgical services and emergency services.