Nationally recognized accrediting body definition

Nationally recognized accrediting body means an entity determined to be such by the U.S. Department of Edu- cation.
Nationally recognized accrediting body means an organization that sets specific national standards governing health care quality assurance processes, utilization review, provider credentialing, market conduct, and other topics covered by this chapter and other chapters and, based upon those standards, provides accreditation to health plan companies. The American Accreditation Health Care Commission (URAC), the National Committee for Quality Assurance (NCQA), and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), at a minimum, are nationally recognized accrediting bodies for purposes of this section.
Nationally recognized accrediting body means an organization that sets national standards specifically governing healthcare quality assurance processes, utilization review, provider credentialing, as well as other areas covered by this chapter and provides accreditation to managed care health insurance plans pursuant to national standards. The following entities shall be considered nationally recognized accrediting bodies:

Examples of Nationally recognized accrediting body in a sentence

  • A utilization review entity or managed care plan seeking to demonstrate compliance with the act may submit documentation of its accreditation by a Nationally recognized accrediting body for consideration by the De- partment as evidence of compliance with the act.

  • Evidence of any approval, certification or accredi- tation received by a Nationally recognized accrediting body in the area of utilization review.

  • If the entity is not accredited by a Nationally recognized accrediting body acceptable to the Department, an onsite inspection by an accreditation body acceptable to the Department, reimbursed directly by the entity.

  • Nationally recognized accrediting body and Medicare+Choice, cost contract, or Medicare Advantage standards must be considered to be comparable to similar state requirements if they are at least as protective of the rights of the enrollee or at least as stringent as the state requirements.

  • The Department may recognize the standards of a Nationally recognized accrediting body whose standards partially meet the requirements of the act to certify a utilization review entity.

  • A utilization review entity that is not accredited by a Nationally recognized accrediting body shall verify compliance with the act through an audit performed by a qualified accrediting body at the entity ’s expense or through an onsite verification by the Department.

  • For example a navigation app needs the user’s location information to display the correct part of the map and provide navigation support; but the app provider might also use location information to identify roads with traffic congestion or infer where the user lives and works, or what businesses they frequent.

  • Accreditation by a Nationally recognized accrediting body acceptable to the Department.

  • Changes to the credentialing plan shall also be submitted to the Department for approval before implementation.(c) A plan may meet the requirements of this section by establishing a credentialing system that meets or exceeds standards of a Nationally recognized accrediting body acceptable to the Department.

  • THAT the Current Appeals and Results – June 2020 report be received.


More Definitions of Nationally recognized accrediting body

Nationally recognized accrediting body means an organization that sets national

Related to Nationally recognized accrediting body

  • Nationally Recognized Rating Agency means any nationally recognized statistical rating organization identified as such by the Securities and Exchange Commission.

  • Nationally Recognized Statistical Rating Organization means a nationally recognized statistical rating organization within the meaning of Rule 436 under the Securities Act.

  • Nationally recognized testing laboratory means any testing laboratory recognized by the accreditation program of the U.S. department of labor occupational safety and health administration.

  • Accrediting Body means any entity or organization which engages in granting or withholding Accreditation or similar approval for private post-secondary schools and educational programs, in accordance with standards relating to the performance, operation, financial condition and/or educational quality of such schools and programs, including, without limitation, the Accrediting Commission for Career Schools and Colleges of Technology.

  • Accrediting agency means: an accreditor recognized by the U.S. Department of Education and whose scope of recognition, as specified by the U.S. Department of Education, includes Distance Education.

  • Nationally tracked source means a sealed source containing a quantity equal to or greater than Category 1 or Category 2 levels of any radioactive material listed in 12VAC5-481-3780. In this context a sealed source is defined as radioactive material that is sealed in a capsule or closely bonded, in a solid form and that is not exempt from regulatory control. It does not mean material encapsulated solely for disposal, or nuclear material contained in any fuel assembly, subassembly, fuel rod, or fuel pellet. Category 1 nationally tracked sources are those containing radioactive material at a quantity equal to or greater than the Category 1 threshold. Category 2 nationally tracked sources are those containing radioactive material at a quantity equal to or greater than the Category 2 threshold but less than the Category 1 threshold.

  • Reporting Financial Institution means a Reporting Finnish Financial Institution or a Reporting U.S. Financial Institution, as the context requires.

  • Qualified United States financial institution means an institution that:

  • Rating Agency means only those rating agencies that are engaged from time to time to rate the securities issued in connection with the Securitizations of the Notes.

  • Sponsoring organization means any organization that establishes,

  • Rating means the operating limits as specified by the component manufacturer.

  • DoD recognized unique identification equivalent means a unique identification method that is in commercial use and has been recognized by DoD. All DoD recognized unique identification equivalents are listed at http://www.acq.osd.mil/dpap/pdi/uid/iuid_equivalents.html.

  • NRSRO A nationally recognized statistical rating organization within the meaning of Section 3(a)(62) of the Exchange Act.

  • Designated Financial Institution shall have the meaning specified in Section 14.12(a).

  • Rating Agency Communication means, with respect to any action and any Securitization, any written communication intended for a Rating Agency, which shall be delivered at least ten (10) Business Days prior to completing such action, in electronic document format suitable for website posting to the 17g-5 information provider under the applicable Securitization Servicing Agreement.

  • Clearing Organization means The Depository Trust Company, or, if agreed to by Borrower and Lender, such other clearing agency at which Borrower (or Borrower's agent) and Lender (or Lender's agent) maintain accounts, or a book-entry system maintained by a Federal Reserve Bank.

  • Non-Reporting Financial Institution means any Financial Institution that is:

  • regulated financial institution means a state or nationally chartered bank, savings and loan association or savings bank, credit union, trust company, or other state or federally chartered lending institution or a regulated affiliate or regulated subsidiary of any of these entities.

  • Credit Rating Agency means a nationally recognized credit rating agency that evaluates the financial condition of issuers of debt instruments and then assigns a rating that reflects its assessment of the issuer’s ability to make debt payments.

  • NRSRO Certification A certification executed by a NRSRO in favor of the Issuer and the Information Agent that states that such NRSRO has provided the Issuer with the appropriate certifications under Exchange Act Rule 17g-5(a)(3)(iii)(B) and that such NRSRO has access to the 17g-5 Website.

  • standards of generally recognised accounting practice means an accounting practice complying with standards applicable to municipalities or municipal entities as determined by the Accounting Standards Board

  • Federally related transaction means any real estate related

  • Recognized Exchange means The New York Stock Exchange or the Nasdaq National Market.

  • Moody s” means Moody’s Investors Service, Inc.

  • Federally Qualified Health Center means a non-administrative medical facility with a fixed permanent location that is identified on the following search engines and offers health services on a sliding scale payment system: http://findahealthcenter.hrsa.gov or http://www.ihs.gov/ or http://www.aachc.org/.