Provider category definition

Provider category means the type of facility in which a client receives services or resides. The provider category determines the extent of monitoring that a provider receives and is determined as follows:
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Provider category means the type of facility or person through which a client receives services or supports. The provider category determines the extent of monitoring that a provider receives and is determined as follows: (a) Category A - facilities licensed pursuant to G.S. 122C, Article 2, excluding hospitals. Category A
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Examples of Provider category in a sentence

  • Provider category Basis of reimbursement Upper limitHome health agency (provided by nurse)Cost-based rate for nursing services provided by a home health agencyEffective 7/1/16: Lesser of maximum Medicare rate in effect 6/30/16 plus 1%,converted to a 15-minute rate, or maximum Medicaid rate in effect 6/30/16 plus 1%, converted to a 15-minute rate.Child development home or centerFee schedule Effective 7/1/16, provider’s rate in effect 6/30/16 plus 1%, converted to a 15-minute rate.

  • Provider category Basis of reimbursement Upper limitBasic individual respite Fee schedule Effective 7/1/16, provider’s rate in effect 6/30/16 plus 1%, converted to a 15-minute rate.

  • As part of the assessment the MCO will also be expected to provide an explanation of the basis for how the Provider category payment was determined.

  • Provider category Basis of reimbursement Upper limitAssisted living program (for elderly waiver only)Fee agreed upon by member and providerEffective 7/1/13, provider’s rate in effect 6/30/13 plus 3%, converted to a 15-minute rate.

  • Any relevant metering installation must be installed by a Metering Provider, and data collected by an AEMO accredited Metering Data Provider (category MDP 1-4 or, in respect of Vic AMI meters, such category accredited by AEMO entitled to collect data for Vic AMI meters).

  • Provider category Basis of reimbursement Upper limitEnhanced job search Retrospectively limited prospective rates.

  • Provider category Basis of reimbursement Upper limitBasic individual respite Cost-based rate for home healthaide services provided by a home health agencyEffective 7/1/16, provider’s rate in effect 6/30/16 plus 1%, converted to a 15-minute rate.

  • Consumer-directed attendant care provided by: Provider category Basis of reimbursement Upper limitAgency (other than an elderly waiver assisted living program) Assisted living program (for elderly waiver only)Fee agreed upon by member and provider Fee agreed upon by member and providerEffective 7/1/16, provider’s rate in effect 6/30/16 plus 1%, converted to a 15-minute rate.

  • Payers must separately identify and report Relative Prices for Providers who received 3% or more of payments in a given Provider category as identified in 957 CMR 2.05(3)(a) for the relevant reporting period.

  • Provider category Basis of reimbursement Upper limit Home health agency (provided by nurse)Cost-based rate for nursing services provided by a home health agencyEffective 7/1/13: Lesser of maximum Medicare rate in effect 6/30/13 plus 3%,converted to a 15-minute rate, or maximum Medicaid rate in effect 6/30/13 plus 3%, converted to a 15-minute rate.

Related to Provider category

  • Provider fee means the consideration paid for a service contract.

  • Category means a category set forth in the table in Section IV of Schedule 2 to this Agreement.

  • Provider Organization means a group practice, facility, or organization that is:

  • Category 4 Data is data that is confidential and requires special handling due to statutes or regulations that require especially strict protection of the data and from which especially serious consequences may arise in the event of any compromise of such data. Data classified as Category 4 includes but is not limited to data protected by: the Health Insurance Portability and Accountability Act (HIPAA), Pub. L. 104-191 as amended by the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH), 45 CFR Parts 160 and 164; the Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. §1232g; 34 CFR Part 99; Internal Revenue Service Publication 1075 (xxxxx://xxx.xxx.xxx/pub/irs-pdf/p1075.pdf); Substance Abuse and Mental Health Services Administration regulations on Confidentiality of Alcohol and Drug Abuse Patient Records, 42 CFR Part 2; and/or Criminal Justice Information Services, 28 CFR Part 20.

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