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.

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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.

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

Examples of Provider Manual in a sentence

• The Contractor must coordinate care for its members that are transitioning into long-term care by working with the facility to ensure timely submission of the request for a PASRR, as described in the IHCP Provider Manual.

• The Contractor must coordinate care for its members that are transitioning into hospice by providing to an IHCP hospice provider any information required to complete the hospice election form for the Contractor’s terminally ill members desiring hospice, as described in the IHCP Hospice Provider Manual.

• Such services will conform to the definitions and meet the requirements included in the Medi-Cal Provider Manual: Telehealth, available in the DHCS Telehealth Resources page at: ▇▇▇▇▇://▇▇▇.▇▇▇▇.▇▇.▇▇▇/provgovpart/Pages/TelehealthResources.aspx.

• The Contractor will ensure that all of its contracted providers for this service as in compliance with EOHHS’s HIV Targeted Care/Case Management (TCM) Provider Manual and accompanying HIV TCM Toolbox.

• In addition, physicians contracted as a PMP with one Contractor may contract as a specialist with other MCEs. The Contractor shall ensure that specialists are maintaining the medical care standards and practice guidelines detailed in the IHCP Provider Manual.

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 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 ▇▇▇▇▇ Vision Care Plan Provider Manual, as amended from time to time by ▇▇▇▇▇.

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 instructions and documents prepared by the PAYOR and is posted on the website of the PAYOR. Rules: Means rules, regulations, and standards promulgated and adopted by the MDHHS in compliance with the Mental Health Code.