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Provider Handbook definition

Provider Handbook means a publication developed by the department for the use of providers which outlines program policies and includes instructions on claim filing and other aspects of participation in MA.
Provider Handbook or “Provider Manual” means a document that provides information to a Medicaid provider regarding recipient eligibility, claims submission and processing, provider participation, covered care, goods, or services and limitations, procedure codes and fees, and other matters related to Medicaid program participation.
Provider Handbook means HSD’s manual for providers of services that contains standard forms, performance measures, and other documents and standard practices, as same may be amended from time to time by County, which Handbook is incorporated in this Agreement by reference.

Examples of Provider Handbook in a sentence

  • Policy on the Pharmacy Services Lock-In Program can be found in the BadgerCare Plus and Medicaid Pharmacy Provider Handbook.

  • Providers must also adhere to standards and requirements set forth in the Broward County, Human Services Department, Community Partnerships Division Provider Handbook for Contracted Services Providers, individual contracts, and applicable contract adjustments.

  • All Providers shall be required to adhere to the terms and conditions of the Credentialed Service Provider Handbook promulgated by the Department and the Department's Credentialed Administrative Services Organization.

  • The Contractor may choose not to distribute the Provider Handbook via mail, provided it submits a written notification to all Providers that explains how to obtain the Provider Handbook from the CMO’s Web site.

  • The 2017 Provider Handbook of Magellan Complete Care of Florida can be viewed or printed from our website within the provider tab.

  • The Purchase of Service Provider Handbook shall be given to the provider at the beginning of the process of developing a contract.c. Contract proposal development.

  • The Handbook contains our policies, instructions, and guidelines to enable providers to : >Know which services are provided and covered for eligible beneficiaries >Submit proper billings for services rendered >Make inquiries to the proper source when it is necessary to obtain clarification Magellan Complete Care offers a Provider Handbook via the website available to view or download.

  • Community Partnerships Division (CPD) Provider Handbook (Handbook) details CPD’s policies, procedures, requirements, and standards for compliance with a Broward County (County) Human Services agreement.

  • The aforementioned policies and procedures are identified in ILS Community Network and Managed Care Plan Provider Handbook and related Bulletins which are incorporated herein by reference and may be amended from time to time by ILS Community Network or Managed Care Plan.

  • The Provider Handbook and any modifications thereto are hereby incorporated by reference.


More Definitions of Provider Handbook

Provider Handbook means the ODS dental provider handbook applicable to the government program under which Member is enrolled and as amended by ODS and available at the website listed on the applicable attached exhibit(s).
Provider Handbook means the rules, policies, and procedures of HMO regarding, among other matters, utilization review, quality assurance, 6 grievance procedures, pre-authorization and referral requirements and credentialing and recredentialing standards and policies. HMO shall give IPA 30-calendar day's prior written notice of any revisions or modifications to the Provider Handbook, which materially change the obligations of the parties or an IPA Provider. If IPA does not provide notice objecting within the 30 days, the modifications shall be deemed approved, unless such revisions or modifications are required for compliance with law in which case they shall become effective immediately.
Provider Handbook means the proprietary VBH document which contains VBH’ Provider policies and procedures and which VBH, in its sole discretion, may amend from time to time.
Provider Handbook. A Program-specific set of comprehensive written guidelines, instructions, rules, policies and procedures as established and published by TriWest for participating Providers, as may be amended from time to time by TriWest in accordance with the provisions of this Agreement.

Related to Provider Handbook

  • FCA Handbook means the FCA Handbook of Rules and Guidance as amended from time to time.

  • the Handbook means the Authority’s Handbook of rules and guidance;

  • Medicaid Provider Agreement means an agreement entered into between a state agency or other such entity administering the Medicaid program and a health care provider or supplier under which the health care provider or supplier agrees to provide services for Medicaid patients in accordance with the terms of the agreement and Medicaid Regulations.

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

  • Provider network means an affiliated group of varied health care providers that is established to provide a continuum of health care services to individuals;

  • Handbook means the Handbook of the Canadian Institute of Chartered Accountants, as amended from time to time;

  • Managed care plan means a health benefit plan that either requires a covered person to use, or

  • Provider panel means those providers with which a carrier contracts to provide health care services