Enrolled provider definition

Enrolled provider means those professional entities or facilities who are registered, certified, or licensed, as appropriate, and who are also enrolled by DMAS to render services to eligible waiver individuals and receive reimbursement for such services.

Enrolled provider means a provider agency or independent provider that the department has determined is eligible to provide Home and Community Based 1915 (c) waiver services and receive payment therefore;

Enrolled provider means an entity that is either licensed or certified by the appropriate state agency that also meets the standards and requirements set forth by DMAS and has a current, signed provider participation agreement with DMAS.

Examples of Enrolled provider in a sentence

• The BH I/DD Tailored Plan is not prohibited from collecting other information from providers necessary for the BH I/DDTailored Plan’s contracting process.• BH I/DD Tailored Plan shall make network contracting decisions for ninety percent (90%) of providers within thirty (30) calendar days of receipt of complete Medicaid Enrolled provider data from the Department or the Department’s vendor for consideration.

• The PHP shall provide written notice of network contracting decisions to providers within five (5) business days of determination of the provider’s status as an active Medicaid Enrolled provider.

• Enrolled provider is a practitioner enrolled in the Montana Healthcare Programs.

• The adjustment factors for labor and energy are published by the U.S. Department of Labor, Bureau of Labor Statistics (BLS)(Ref.

• All providers must be enrolled with the Kentucky Department for Medicaid Services as a Kentucky Medicaid Enrolled provider in order to receive payment for services rendered to a Kentucky Medicaid beneficiary.Please refer to pg.

• Legally Exempt Enrolled provider receiving payment from DSS and has an available slot Camp(send copy of DOH permit) “Babysitter” caring for children of a family on occasion for a specific reason (emergency, date night, run errands, etc.) in their home.

• Services as a Kentucky Medicaid Enrolled provider in order to receive payment for services rendered to a Kentucky Medicaid beneficiary.

• These interventions will be focused on rapid responses to counter the possibilities of wider episodes, reduce reprisals, promote Restorative Justice; and, thereby, rebuild a spirit of community.

• Enrolled provider data and active service authorization data will also be shared.

• Enrolled provider agencies may provide professional services by one of the following methods: i.

More Definitions of Enrolled provider

Enrolled provider means a hospital or health care practitioner who is actively registered with the Authority pursuant to OAR 943-120-0320.

Enrolled provider means a primary care provider who has agreed to provide data to the project, implement long term practice changes to increase the number and/or quality of adolescent well visits and has engaged in at least one consultation session with a practice consultant.

Enrolled provider means a New Hampshire LEA or school administrative unit that has agreed to participate in the medical assistance program pursuant to this partese rules.

Enrolled provider means a personal support worker who has completed the provider enrollment process, has been issued a provider number, and is authorized by the Department to receive payment for providing in-home services to an individual.

Enrolled provider means a provider of health care

Enrolled provider means a licensee who has entered into a service agreement with a local office. [(8)] (11) "Facility" means the physical plant in which a licensee provides assisted living services.