Credentialing Criteria definition

Credentialing Criteria means Health Plan’s criteria for the credentialing or re- credentialing of Providers.
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Credentialing Criteria means Alliance’s criteria for the credentialing or re- credentialing of Providers.
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Credentialing Criteria means the criteria established, from time to time, by KHF for the initial credentialing and re-credentialing (as needed and determined by the Board) of Participating Providers, which may be amended from time to time by KHF in its sole discretion.
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Examples of Credentialing Criteria in a sentence

  • Credentialing Criteria – criteria establishing the qualifications of Network Providers.

  • Contracted Provider and its subcontracted Providers shall secure and maintain for themselves and their employees, commercial general liability and professional liability (malpractice) insurance or self-insurance coverage for claims arising out of events occurring during the term of this Agreement and any post expiration or termination activities under this Agreement, in amounts required to meet Credentialing Criteria, and worker’s compensation insurance as required by State Laws.

  • Refer to Network Credentialing Criteria for details regarding satisfactory malpractice history.

  • Provider must maintain licensure, accreditation, and credentials sufficient to meet Health Plan’s network participation requirements pursuant to Health Plan’s Credentialing Criteria.

  • The municipal services in Plan 65M- 3365 were installed in June 1999 and the top course asphalt was placed in June 2002.

  • Comments will inform development of a final version of the Radon Credentialing Criteria to help align and ensure consistency across credentialing programs operated by certification bodies and states.

  • Sammons, Ph.D., ABPP dated November 15, 2016 representing the National Register of Health Service Psychologists: Credentialing Criteria and Guidelines which requested that the Board consider accepting the National Register's licensure mobility program as reciprocal licensing in Louisiana.

  • Credentialing Criteria and Application Process – Providers requesting inclusion in the Summit Pointe Provider Network will complete the designated SWMBH Credentialing Application.

  • This in turn may lead to increased consumer confidence in, and demand for, radon service providers, as well as expanded markets for radon service providers.As mentioned previously, the EPA isparticularly interested in feedback on Sections III (Evaluation Framework) and IV (Implementation Approach) of the Proposed Radon Credentialing Criteria document, which is available in the docket.

  • Credentialing Criteria include, without limitation, participation in federal and state health care programs, satisfaction of all licensure/registry requirements in the state where Services are provided, and in states without audiology licensure, a Certificate of Clinical Competence in Audiology (CCC-A) from the American Speech-Language-Hearing Association (ASHA), and/or Board Certification in Audiology from the American Board of Audiology, and/or Hearing Aid Dispenser licensure.


More Definitions of Credentialing Criteria

Credentialing Criteria means criteria which may be established by a Payor, IGS or third party for the credentialing and re-credentialing of Participating Providers, and which may be amended by them from time to time.
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Credentialing Criteria means the standards and processes for credentialing and/or recredentialing Affiliated Providers, as described in APS's Credentialing Activities, required for the accreditation of managed care organizations by NCQA or other recognized accrediting entity.
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Credentialing Criteria means the rules and regulations that govern BCBSMT’s Credentialing and Recredentialing process for the HELP Program. The applicable Credentialing and Recredentialing Criteria will be consistent with the applicable Montana and federal statutes, rules and regulations, including, without limit, the CMS Medicaid requirements for provider screening and enrollment requirements as outlined under 42 Code of Federal Regulations 455 Subpart E, including but not limited to disclosure of information regarding ownership and control, business transactions and persons convicted of crimes, site visits, criminal background checks, federal database checks, enrollment screening based on provider risk category (including unannounced pre and post site visits where applicable).
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Credentialing Criteria. Credentialing Criteria" means the criteria established by CHN for the initial credentialing and re-credentialing (every 3 years) of Participating Providers, which may be amended from time to time by CHN in its sole discretion. The Credentialing Criteria pertaining to Provider are set forth in EXHIBIT 2.12. All Providers must pass the CHN credentialing process prior to participation in any Plan of CHN PPO.
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Credentialing Criteria means Health Plan’s criteria for the credentialing or re- credentialing of Providers that is consistent with New Jersey Department of Health licensure standards found at NJAC 8:39-1.1 et seq.
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Credentialing Criteria means the criteria established by the IPA for the credentialing and recredentialing of Participating Providers, which may be amended from time to time by IPA in its sole discretion. (The Credentialing Criteria pertaining to Professional are set forth in Exhibit "B" hereto).
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Related to Credentialing Criteria

  • Credentialing means the process of collecting, assessing, and validating qualifications and other relevant information pertaining to a health care provider to determine eligibility and to deliver Covered Services.

  • Rating Criteria with respect to any Person, means that (i) the short-term unsecured debt obligations of such Person are rated at least “A-1” by S&P, “P-1” by Xxxxx’x and “F-1” by Fitch, if deposits are held by such Person for a period of less than one month, or (ii) the long-term unsecured debt obligations of such Person are rated at least “AA-” by S&P, “Aa3” by Xxxxx’x and “AA-” by Fitch, if deposits are held by such Person for a period of one month or more.

  • Review Criteria has the meaning assigned to that term in Section 12.02(b)(i).

  • Fitch Criteria means the Collateral Amount shall equal the sum of (i) the product of A multiplied by the mark-to-market value of the outstanding Transactions dxxxxmined by Party A in good faith from time to time, and (ii) the product of B multiplied by the current aggregate notional amount of the outstanding Transactions, where:

  • ASAM criteria means admission, continued service, transfer, and discharge criteria for the treatment of substance use disorders as published by the American Society of Addiction Medicine (ASAM).

  • Qualifying Criteria means the criteria outlined in Section 3 and which is used to determine whether an individual is eligible to receive criminal Legal Aid;

  • Over-Riding Nomination Criteria means the criteria set out in clause 4.2.

  • Servicing Criteria The "servicing criteria" set forth in Item 1122(d) of Regulation AB, as such may be amended from time to time.

  • Nomination Criteria means the criteria made up of the Over-Riding Nomination Criteria andthe Specific Nomination Factors, and is also referred to as “this Criteria”.

  • Clinical review criteria means the written screening procedures, decision abstracts, clinical protocols, and practice guidelines used by a health carrier to determine the necessity and appropriateness of health care services.

  • Evaluation Criteria means the criteria set out under the clause 27 (Evaluation Process) of this Part C, which includes the Qualifying Criteria, Functional Criteria and Price and Preferential Points Assessment.

  • Applicable Servicing Criteria With respect to the Servicer, the Special Servicer or any Servicing Function Participant, the Servicing Criteria applicable to it, as set forth on Exhibit L attached hereto. For clarification purposes, multiple parties can have responsibility for the same Applicable Servicing Criteria and with respect to a Servicing Function Participant engaged by the Servicer or the Special Servicer, the term “Applicable Servicing Criteria” may refer to a portion of the Applicable Servicing Criteria applicable to the Servicer or the Special Servicer, as the case may be.

  • Selection Criteria means and includes all of the requirements, considerations,

  • Business Criteria means any one or any combination of Income before Taxes, Net Income, Return on Equity, Return on Assets, Pre-tax Margin, Free Cash Flow, Valuation or EPS.

  • Examination Criteria means the loan classification criteria employed by, or any applicable regulations of, the Assuming Institution’s Chartering Authority at the time such action is taken, as such criteria may be amended from time to time.

  • Functional Criteria means the criteria set out in clause 27 of this Part C.

  • Board-Established Criteria means criteria that the Board of a Regulated Fund may establish from time to time to describe the characteristics of Potential Co-Investment Transactions regarding which the Adviser to the Regulated Fund should be notified under Condition 1. The Board-Established Criteria will be consistent with the Regulated Fund’s Objectives and Strategies (defined below). If no Board-Established Criteria are in effect, then the Regulated Fund’s Adviser will be notified of all Potential Co-Investment Transactions that fall within the Regulated Fund’s then-current Objectives and Strategies. Board-Established Criteria will be objective and testable, meaning that they will be based on observable information, such as industry/sector of the issuer, minimum EBITDA of the issuer, asset class of the investment opportunity or required commitment size, and not on characteristics that involve a discretionary assessment. The Adviser to the Regulated Fund may from time to time recommend criteria for the Board’s consideration, but Board-Established Criteria will only become effective if approved by a majority of the Independent Directors (defined below). The Independent Directors of a Regulated Fund may at any time rescind, suspend or qualify their approval of any Board-Established Criteria, though Applicants anticipate that, under normal circumstances, the Board would not modify these criteria more often than quarterly.

  • Criteria means one of the eight (8) state defined categories to be scored.

  • Compliance schedule means a schedule of events, by date, which will result in compliance with these regulations.

  • Relevant Servicing Criteria The Servicing Criteria applicable to a specific party, as set forth on Exhibit O to this Agreement. For clarification purposes, multiple parties can have responsibility for the same Relevant Servicing Criteria. With respect to a Servicing Function Participant engaged by the Master Servicer, the Special Servicer or the Certificate Administrator, the term “Relevant Servicing Criteria” may refer to a portion of the Relevant Servicing Criteria applicable to the Master Servicer, the Special Servicer or the Certificate Administrator.

  • Credential means a valid credential, life diploma, permit, or document in special education or pupil personnel services issued by, or under the jurisdiction of, the State Board of Education if issued prior to 1970 or the California Commission on Teacher Credentialing, which entitles the holder thereof to perform services for which certification qualifications are required as defined in Title 5 of the California Code of Regulations section 3001(g).

  • Credential analysis means a process or service by which a third party affirms the validity of an identity document described in section 25(6)(c) through a review of public and proprietary data sources conducted remotely.

  • Objective medical evidence means reports of examinations or treatments; medical signs which are anatomical, physiological, or psychological abnormalities that can be observed; psychiatric signs which are medically demonstrable phenomena indicating specific abnormalities of behavior, affect, thought, memory, orientation, or contact with reality; or laboratory findings which are anatomical, physiological, or psychological phenomena that can be shown by medically acceptable laboratory diagnostic techniques, including but not limited to chemical tests, electrocardiograms, electroencephalograms, X-rays, and psychological tests;

  • Performance Standards or “PS” shall mean the cleanup levels and other measures of achievement of the remedial action objectives, as set forth in the ROD.

  • Eligibility and selection criteria means criteria for determining:

  • Credentialed Evaluator For purposes of this policy, each teacher subject to evaluation will be evaluated by a person who: