FFS Provider definition

FFS Provider means a Medi-Cal outpatient FFS provider serving Beneficiaries in his or her 12 own independent practice or in a group practice.
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Examples of FFS Provider in a sentence

  • The MCO shall not require Providers to enroll as an MHCP FFS Provider.

  • Proposers who are selected to provide services must enroll as a Medicaid FFS Provider.

  • This Contract is the agreement between the Agency and entities operating under Medicaid Reform as a Fee-For-Service (FFS) Provider Service Network (PSN).

  • For billing limitations, refer to the AHCCCS FFS Provider Manual and AHCCCS Medical Coding Resources webpage.

  • Individuals can receive care through 19 contracted managed care organizations (MCOs); the statewide primary care case management (PCCM) system; MediPass; or a FFS Provider Service Network (PSN) outside the demonstration counties.

  • Verifying Beneficiary Medi-Cal EligibilityAs a condition of being a contracted ACBH MHP FFS Provider, Providers must verify and (retain proof of verification) beneficiary’s Medi-Cal eligibility prior to providing services, and at a minimum, on a monthly basis.

  • This manual is located on the web at: https://www.azahcccs.gov/PlansProviders/RatesAndBilling/FFS/providermanual.htmlClaims Clues NewsletterClaims Clues is produced periodically by the AHCCCS Claims Department for Fee-For- Service (FFS) providers as adjunct to the AHCCCS FFS Provider manual.

  • Continuous non-compliance will also result in involuntary disenrollment and termination of the Provider’s ACBH contract.Administrative and Program Standards:As a condition of being a contracted ACBH MHP FFS Provider, Providers shall comply with all administrative standards and program requirements as specified by all applicable Federal, State, County and/or municipal laws, regulations, guidelines, and/or directives.

  • How do beneficiaries Connect with MHP FFS Providers through ACCESS?There are two ways beneficiaries can connect to an MHP FFS Provider for outpatient therapy.

  • Billing information for that methodology is available in FFS Provider Manual, Chapter 11.

Related to FFS Provider

  • 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;

  • Hub Provider means an entity that (i) provides Common Channel Signaling (SS7) connectivity between the networks of service providers that are not directly connected to each other; or (ii) provides third party database services such as LIDB. The SS7 messages received by Hub Providers are accepted or rejected by the Hub Provider depending on whether a contractual arrangement exists between the Hub Provider and the message originator (sender) and whether the message originator has contracted for the type of SS7 messages being submitted for transmission to the Hub Provider.

  • 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.

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

  • Bank Products Provider means any Lender or Affiliate of a Lender that provides Bank Products to the Borrower or any Guarantor.

  • Services Provider means a provider of telecommunications services or other services similar to the Services, including O2 or an O2 Affiliate or any direct or indirect supplier of O2 or an O2 Affiliate;

  • Provider is any individual or company that provides professional or technical services.

  • Communications Provider means a person who provides an Electronic Communications Network or an Electronic Communications Service;

  • Wireless provider means a wireless infrastructure provider or a wireless services provider.

  • Third-party logistics provider means an entity that provides

  • 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.

  • Regulatory Services Provider means the organization which provides regulatory services to BSEF pursuant to a Regulatory Services Agreement.

  • Emergency medical services provider means a person who has received formal training in prehospital and emergency care, and is licensed to attend any person who is ill or injured or who has a disability. Police officers, firefighters, funeral home employees and other persons serving in a dual capacity one of which meets the definition of “emergency medical services provider” are “emergency medical services providers” within the meaning of this chapter.

  • Primary Care Provider (PCP) means a health care professional who is contracted with BCBSAZ as a PCP and generally specializes in or focuses on the following practice areas: internal medicine, family practice, general practice, pediatrics or any other classification of provider approved as a PCP by BCBSAZ. Your benefit plan does not require you to have a PCP or to have a PCP authorize specialist referrals.

  • Network Provider means a provider of health care, or a group of providers of health care, which has entered into a written agreement with the issuer to provide benefits insured under a Medicare Select policy.

  • Data Provider means a Participant that is registered to provide information to GS1 South Africa for use through the Verified by GS1 Services.

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

  • Primary care provider means a participating provider who supervises, coordinates, or provides initial care or continuing care to a covered person, and who may be required by the health carrier to initiate a referral for specialty care and maintain supervision of health care services rendered to the covered person.

  • Agency provider means an entity that directly employs at least one person in addition to the chief executive officer for the purpose of providing services for which the entity must be certified in accordance with rule 5123:2-2-01 of the Administrative Code.

  • Third Party Provider means licensors, subcontractors and suppliers of BNYM furnishing the Third Party Products.

  • Telecommunications provider means that term as defined in section 102 of the Michigan telecommunications act, 1991 PA 179, MCL 484.2102.

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

  • financial service provider means a person engaged in the business of providing financial services in terms of authorisation issued or registration granted by a financial sector regulator;

  • Wireless services provider means a person who provides wireless services.

  • Provider agreement means the signed, written, contractual agreement between the department and the provider of services or goods.

  • Access Provider in this RAO means the Access Provider stated in the cover of this RAO who owns or provides the Access Service listed in the Access List and who is a Licensee as defined in the Act.