Nonparticipating provider means a person, health care provider, practitioner, facility, or entity, acting within their scope of practice, that does not have a written contract to participate in a managed health care system's provider network, but provides health care services to enrollees of programs authorized under this chapter or other applicable law whose health care services are provided by the managed health care system.
Nonparticipating provider means a person, health care provider, practitioner, facility, or entity acting within their scope of prac- tice and licensure that:
Nonparticipating provider means a provider who is not a participating provider.
Examples of Nonparticipating provider in a sentence
Non-participating provider is a provider (doctor, hospital, pharmacy, etc.) that does not sign a contract to participate in the Contractor’s provider network.
More Definitions of Nonparticipating provider
Nonparticipating provider means a person who provides hospital or medical care pursuant to the Oklahoma Medicaid Program but does not have a managed care health services contract or subcontract within the Oklahoma Medicaid Healthcare Options System;
Nonparticipating provider means a health care entity or health care professional not in the contractor's participating provider network.
Nonparticipating provider means, with respect to the
Nonparticipating provider means a healthcare provider who has not entered into a contract with a healthcare plan for the delivery of medical services;
Nonparticipating provider means a provider who is not contracted with the enrollee’s health care service plan to provide services under the enrollee’s plan contract.
Nonparticipating provider means a health care
Nonparticipating provider means a provider who is