Downstream contractor definition

Downstream contractor means an individual or entity that has a sub- contract directly or indirectly with a first tier contractor for the provision or arrangement of items or services that are covered by an agreement be- tween a qualified managed care plan and the first tier contractor.

Downstream contractor means an individual or entity that has a subcontract directly or indirectly with a first tier contractor for the provision or arrangement of items or services that are covered by an agreement between an eligible managed care organization and the first tier contractor.

Downstream contractor means anindividual or entity that has asubcontract directly or indirectly with a first tier contractor for the provision orarrangement of items or services that are covered by an agreement between aqualified managed care plan and the first tier contractor.

Examples of Downstream contractor in a sentence

• Downstream contractor means a “first tier contractor” as defined at § 1001.952(t)(2)(iii) of this title or a “downstream contractor” as defined at § 1001.952(t)(2)(i) of this title.

• Downstream contractor means a “first tier contractor” as defined at §1001.952(t)(2)(iii) of this title or a “downstream contractor” as defined at §1001.952(t)(2)(i) of this title.

• Downstream contractor means a “first tier contractor” as defined at §1001.952(t)(2)(iii) or a “downstream contractor” as defined at §1001.952(t)(2)(i).

• A Federally qualified HMO, unless the items or services are covered by a risk based contract under sections 1854 or 1876 of the Act.For purposes of paragraph (t), the following terms are defined as follows:• Downstream contractor means an individual or entity that has a subcontract directly or indirectly with a first tier contractor for the provision or arrangement of items or services that are covered by an agreement between an eligible managed care organization and the first tier contractor.

• Downstream contractor means a “first tier contractor” as defined at § 1001.952(t)(2)(iii) or a “downstream contractor” as defined at § 1001.952(t)(2)(i).

• Downstream contractor means an individual or entity that has a subcontract directly or indirectly with a first tier contractor for the provision or arrangement of items or services that are covered by an agreement between an eligible managed care organization and the first tier contractor.

• Downstream contractor means an individual or entity that has a subcontract directly or indirectly with a first tier contractor for the provision or arrangement of items or services that are covered by an agreement between a qualified managed care plan and the first tier contractor.

More Definitions of Downstream contractor

Downstream contractor means an individual or entity that has a sub- contract directly or indirectly with a first tier contractor for the provision § 1001.952or arrangement of items or services that are covered by an agreement be- tween an eligible managed care organi- zation and the first tier contractor.

Downstream contractor means a “Contractor” (as such term is defined in 45 CFR §160.103) that creates, receives, maintains or transmits Covered Entity PHI on behalf of Contractor.