Provider Manual definition

Provider Manual means a working document, including but not limited to BCBSM published bulletins and provider notices, that provide specific guidelines and direction by which providers may meet their contractual responsibility as described in this Agreement. Provider Manuals are published on web-DENIS.

Provider Manual means the DAVIS Vision Care Plan Provider Manual, as amended from time to time by DAVIS.

Provider Manual means the interpretive document or documents issued by the office to providers to inform them of their obligations under Medicaid to which they must conform to retain their provider status and receive payment for appropriate services, and to provide them essential information for understanding Medicaid as it relates to the services for which they are qualified to provide under the state statutes.

Examples of Provider Manual in a sentence

• Provider shall arrange for such coverage in accordance with the Provider Manual and Horizon’s policies and procedures.

• In the event that Horizon terminates this Appendix, Provider, in accordance with the Provider Manual, may be entitled to a hearing to the extent such hearing right is afforded under applicable Law.

• Provider shall provide Provider Services, in accordance with this Agreement, the Provider Manual, Horizon’s policies and procedures, and applicable Law, to all Members who seek Provider Services from Provider.

• Provider must maintain hospital admitting privileges as may be required by the Provider Manual and/or Horizon’s policies and procedures.

• To the extent required by applicable Law, the Provider Manual, or Horizon’s policies or procedures, Provider shall ensure 24-hours-per-day, seven-days-per-week emergency and urgent care coverage to Members.

More Definitions of Provider Manual

Provider Manual means the current Internet online version of the official STATE publication, entitled “Minnesota Health Care Programs Provider Manual.”

Provider Manual means the XXXXX Vision Care Plan Provider Manual, as amended from time to time by XXXXX.

Provider Manual means the OHCA BH Provider Billing Manual.

Provider Manual means the manual developed by ADMINISTRATOR to describe the specific services to be performed by CONTRACTOR. The TUPP Provider Manual provides guidance, goals, objectives, terminology, and evaluation components.

Provider Manual means the provider manual and any billing manuals, adopted by Company or Payor which include, without limitation, requirements relating to utilization management, quality management, grievances and appeals, and Product-specific, Payor-specific and State-specific requirements, as may be amended from time to time by Company or Payor.

Provider Manual means that document, as amended from time to time, that is prepared by CalOptima and describes CalOptima's Policies as they affect Providers.

Provider Manual means the compilation of policies and procedures, rules and regulations which are developed by a Payer which are applicable to KYOne HP, Participants, and/or Provider/Supplier under an applicable Payer Agreement.