Examples of Covered Services Provider in a sentence
Upon prior written request, and to the extent permitted by law, Provider shall provide to OhioHealthy, to a Payor, to their designees, to appropriate state and federal authorities and their agents (involved in assessing the quality of care or investigating grievance or complaints from Beneficiaries) and to Beneficiaries, copies of medical records and information relating to the treatment and Covered Services Provider provided to Beneficiaries.
For any DSP and/or Indirect Staff who uses a vehicle for any purpose related to the provision of Covered Services, Provider shall have a written policy which is communicated to all DSPs upon hire and no greater than every 12 months thereafter requiring immediate (within 24 hours of the event) notification to Provider of any change in validity (suspended, revoked, expired, surrendered, etc.) of driver’s license.
This Appendix applies to the Covered Services Provider provides to Medicare Advantage Customers.
Before a Provider provides items or services to a Member that are not Covered Services, Provider shall (a) inform the Member of the specific items or services that are not Covered Services and that they will not be paid for by Health Plan, and (b) obtain the Member’s written agreement to pay for such specific items or services after being so advised.
By the 15th of the month following the month of the provision of Covered Service(s), Provider must submit completed and signed original billing vouchers indicating the number of units of authorized Covered Service(s) provided to Participants during the previous month.
By the 15th of the month following the month of the provision of Covered Service(s), Provider must submit completed and signed original billing vouchers indicating the number of units of authorized services provided to Participants during the previous month.
If a Covered Person requests contraceptive services or family planning services under Medicaid Covered Services, Provider must also provide the Covered Person counseling and education about family planning and available family planning services.
Provider shall be responsible for responding to emergent needs of Plan Members twenty-four (24) hours per day, seven (7) days per week, including holidays provided, however, in the event that Provider is unable to provide the required coverage of Covered Services, Provider shall arrange with another equivalently licensed PHO Provider to provide the required Covered Services on a locum tenens, on-call, or other backup basis.
If Provider refers a Member to an emergency room for Covered Services, Provider will notify Health Plan within twenty-four (24) hours of the referral.
If Provider refers a client to an emergency room for Covered Services, Provider shall provide notification to GRBH-ASO within twenty-four (24) hours of the referral.