Direct provider definition

Direct provider means a health care professional licensed, accredited, registered, or certified to perform specified primary care health services consistent with the law of this state. “Direct provider” includes an individual health care professional or other legal health care entity alone or with other health care professionals professionally associated with the individual health care professional or other legal health care entity.
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Direct provider means an individual who is a direct
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Direct provider means a Participating Agency that provides fire/EMS services and/or police services directly, rather than through contract with another agency.
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Examples of Direct provider in a sentence

  • Direct provider payments are made under three types of arrangements: when a child is not enrolled in any type of managed care and the state Medicaid agency reimburses all Medicaid services; when a child is enrolled in a primary care case management system (PCCM) and the state Medicaid agency reimburses all or most Medicaid services; or when a child is enrolled in an MCO and hearing services are carved out of the managed care contract.

  • Children will be identified for the CMARC program through the following methods:o Direct provider referralso Hospital Referralso Social service agency referrals (e.g. Women, Infants and Children [WIC], DSS)o Direct referral by enrollees or familieso Risk stratification or other identification methods by health plans.When an at-risk child is identified for CMARC by an entity outside the health plan (e.g. pediatric practice), they will be encouraged to make the referral directly to the LHD.

  • Direct provider to provider contact is to be encouraged to try to address matters in the first instance.

  • However, three modes of jurisdiction define the SIM operation: Direct provider of social housing: this is a mandate under which SIM provides affordable housing for the lower-income groups.

  • Roehampton is a top 10 national teacher training provider and London’s largest School Direct provider.

  • Direct provider, funding partner, advocacy, or no direct responsibility? Define the scope of infrastructure to be assessed and planned for.Further information: refer to examples of local government social infrastructure policies, guidelines and planning frameworks such as the cities of Yarra, Knox and Melbourne, and the Shire of Moorabool.

  • Mr Airey questioned if this was reflected in the budget forecast.

  • Partners shall include Provider’s name in Partners’ Medicaid Direct provider directory distributed to Covered Persons; Provider hereby authorizes such inclusion.

  • This project participant, or other stakeholders, may also use it to assess performance of individual frontline workers, to give them feedback on their work, and to identify technical problems with individuals’ CommCare devices.

  • Children will be identified for the CMARC program through the following methods:o Direct provider referrals;o Social service agency referrals (e.g. Women, Infants and Children [WIC], DSS;o Direct referral by enrollees or families; ando Risk stratification or other identification methods by PHPs.When an at-risk child is identified for CMARC by an entity outside the PHP (e.g. pediatric practice), they will be encouraged to make the referral directly to the LHD and PHP.


More Definitions of Direct provider

Direct provider means a health care provider that is not an indirect treatment provider.
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Direct provider means an individual who is a direct provider of health care services under a benefit plan of a health maintenance organization or an individual whose primary current activity is the administration of health facilities in which such care is provided. An individual shall not be considered a direct provider of health care solely because the individual is a member of the governing body of a health-related organization.
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Direct provider means a health care professional
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Related to Direct provider

  • Contract Provider means any Person or any employee, agent or subcontractor of such Person who provides professional health care services under or pursuant to any contract with any Consolidated Party.

  • Enhancement Provider means the Person providing any Enhancement as designated in the applicable Series Supplement.

  • Replacement Provider has the meaning set forth in Section II.D.1.

  • Content Provider means any video programming provider of copyrighted works for transmission to Licensed Products and the copyright owners of such work.

  • Credit Enhancement Provider means, with respect to any Securities, any person issuing, funding or otherwise making available, for the benefit of Securityholders or any party to a Serviced Corporate Trust Contract, an asset as an enhancement of the credit quality or liquidity of any Securities or the mortgage assets or other assets pledged for or underlying such Securities, such as a letter of credit, surety bond, insurance policy, guaranty, reserve fund pledge or collateral undertaking.

  • New Provider means any replacement service provider or providers engaged to provide the Services (or part thereof) or substantially similar services or the Authority itself where the Services or substantially similar services or part thereof continue to be provided by the Authority after partial termination, termination or expiry of this Contract;

  • Individual provider means an individual provider as defined

  • Direct Patient Care means the provision of health care services provided directly to individuals being treated for or suspected of having physical or mental illnesses. Direct patient care includes both, face-to-face and telehealth-based preventative care and first-line supervision.

  • Medical provider means a medical service provider, a hospital, a medical clinic, or a vendor of medical services.

  • Program Support Provider means and includes with respect to each Conduit Purchaser any Liquidity Provider and any other Person (other than any customer of such Conduit Purchaser) now or hereafter extending credit or having a commitment to extend credit to or for the account of, or to make purchases from, such Conduit Purchaser pursuant to any Program Support Agreement.

  • Independent provider means a self-employed person who provides services for which he or she must be certified in accordance with rule 5123:2-2-01 of the Administrative Code and does not employ, either directly or through contract, anyone else to provide the services.

  • Credit Provider means a Person providing Credit Link Documents, in form and substance acceptable to the Administrative Agent in its sole discretion, of the obligations of an Investor to make Capital Contributions.

  • Participating Provider means an Administrator Hospital or Professional Provider which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to participants in the Participating Provider Option program or an Administrator facility which has been designated by the Claim Administrator as a Participating Provider.

  • Financial Services Provider means any Lender and any other provider of financial services or products;

  • Bank Product Provider means Xxxxx Fargo or any of its Affiliates.

  • Banking Services Provider means any Lender (other than a Defaulting Lender) or Affiliate of a Lender (other than a Defaulting Lender) that provides Banking Services to any Credit Party.

  • Collection Agent means at any time the Person then authorized pursuant to Section 6.01 to service, administer and collect Transferred Receivables.

  • Bank Product Provider Agreement means an agreement in substantially the form attached hereto as Exhibit B-2 to this Agreement, in form and substance satisfactory to Agent, duly executed by the applicable Bank Product Provider, the applicable Loan Parties, and Agent.

  • Professional Provider means a Physician, Dentist, Podiatrist, Psychologist, Chiropractor, Optometrist or any Provider designated by the Claim Administrator or another Blue Cross and/or Blue Shield Plan.

  • Non-Participating Provider means an Administrator Hospital or Professional Provider which does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to participants in the Participating Provider Option program or a facility which has not been designated by the Claim Administrator as a Participating Provider.

  • Corporate Services Provider means Computershare Trust Company of Canada, a trust company formed under the laws of Canada, as corporate services provider to the Liquidation GP under the Corporate Services Agreement, together with any successor corporate services provider appointed from time to time;

  • Alien insurer means an insurer domiciled outside the United States.

  • Local education provider means a school district, a

  • Hedging Agreement Provider means any Person that enters into a Hedging Agreement with a Credit Party or any of its Subsidiaries that is permitted hereunder to the extent such Person is a (a) Lender, (b) an Affiliate of a Lender or (c) any other Person that was a Lender (or an Affiliate of a Lender) at the time it entered into the Hedging Agreement but has ceased to be a Lender (or whose Affiliate has ceased to be a Lender) under the Credit Agreement.

  • Support Provider means in relation to Party A, none. Credit Support Provider means in relation to Party B, none.

  • Primary care provider (PCP) means, for the purpose of this plan, professional providers that are family practitioners, internists, and pediatricians. For the purpose of this plan, gynecologists, obstetricians, nurse practitioners, and physician assistants may be credentialed as PCPs. To find a PCP or check that your provider is a PCP, please use the “Find a Doctor” tool on our website or call Customer Service.