Provider Qualifications definition

Provider Qualifications means the requirements established by DAIL for providers of specific services, including any regulations pertaining to each provider.
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Provider Qualifications means the requirements established by the Department for providers of specific services, including any regulations pertaining to each provider.
Sample 1
Provider Qualifications. Provider has to Board Eligible/Certified in Internal Medicine or Family Practice in the State of Texas with an unrestricted license. If Provider is a Physician Assistant then Provider must meet all eligibility requirements for licensure in the state of Texas including having achieved certification by national examination with a specialty in Internal Medicine or Family Practice preferred. Physician and/or Physician Assistant Provider must be able to give or accept prescriptive delegation pursuant to current TMB or PAB regulations or rules if applicable as part of the operational guidelines of the facility. SERVICES Provider will perform on site History and Physical examinations for persons seeking to participate in the JDP’s program within twenty four (24) hours of the client’s admission to the Center. Provider is to either medical clear the participant for entry into the program or refer the participant to appropriate medical facility for medical care. Provider will perform H&P, assessment and/or consultation onsite for four hours per day with flexibility in scheduling, seven days a week for approximately eight (8) patients per day (subject to change). Additionally, Provider shall be available on an “On Call” basis 24/7 to provide medical clearance by phone if necessary. Provider shall provide “Medical Doctor Services” for the Diversion Center on an “as needed basis”. Provider shall ensure appropriate documentation and signature on medical records and clinic encounter forms. Provider will give prior notifications to the Clinic if he/she is unable to keep a clinic schedule in order to cancel and/or reschedule patient client appointments. Provider will ensure that all medical records are maintained and kept confidential in a secure location within the facility.
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Examples of Provider Qualifications in a sentence

  • REMAINDER OF PAGE INTENTIONALLY LEFT BLANK * The Agency reserves the right to change Provider Qualifications and Minimum Network Adequacy Requirements.

  • Provider Qualifications In consumer-directed programs, even where a consumer makes all specific hiring decisions, the state sets certain provider qualifications as mandated by federal Medicaid requirements.

  • A mental health practitioner as defined by MSM Chapter 400, Section 403.3 Provider Qualifications – Outpatient Mental Health Services.

  • Rendering providers must meet qualifications outlined in MDHHS Michigan PIHP/CMHSP Provider Qualifications per Medicaid Services & HCPCS/CPT Codes.

  • Appendix B – Curtailment Service Provider Qualifications Aggregators who are already an active National Grid Curtailment Service Provider (“CSP”) or are approved NYISO DR Providers are eligible to participate in this procurement.

  • Verification of Provider Qualifications (For each provider type listed above.

  • All other provider standards and requirements in accordance with the 1915(b) requirements as defined in the currently approved 1915(b) waiver program.Verification of Provider Qualifications (For each provider type listed above.

  • In response to the COVID -19 pandemic, from April 1, 2020 to the end of the public health emergency, including any extensions, Day Services – Adult is covered up to three (3) hours per day and will be reimbursed at the lowest support level, when provided telephonically or virtually.□ Medically needy (specify limits): Provider Qualifications (For each type of provider.

  • Notice of every such meeting shall be published in a newspa- per of general circulation within the production area not less than ten days in advance of the date of such meeting; and, in addition, written notice of every such meeting shall be given to all affected producers according to the list maintained by the director pursuant to RCW 15.65.200 of the act.

  • Administrative Code 89, Part 500 Early Intervention Program, Section 500.60 Provider Qualifications/ Credentialing and Enrollment states the activities that could lead to termination of an EI Credential/ Enrollment status.

Related to Provider Qualifications

  • Request for Qualifications means all materials and

  • Minimum Qualifications means the requirements of education, training, experience and other basic qualifications for a job.

  • Statement of Qualifications means a written statement submitted to a procurement unit in response to a request for statement of qualifications.

  • pre-qualification means a screening process designed to ensure that invitations to bid are confined to capable providers;

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

  • Qualifications , in relation to an employee, means any degree, diploma or other academic, technical or professional qualification relevant to the position which he held.

  • Monthly Qualification Cycle means a period beginning one (1) Business Day prior to the first day of the current Statement Cycle through one (1) Business Day prior to the close of the current Statement Cycle.

  • Provider agency means a funded organization under contract with the Children’s Board to deliver and provide social services and supports to children and families of Hillsborough County, FL.

  • Qualification Requirements means the qualification requirements as set forth in Section-2, Clause 2.1 of this RFP;

  • Prequalification means the process set out in the Rules for determining whether an applicant is eligible to bid in a capacity auction in respect of a CMU;

  • Provider Agreements means all participation, provider and reimbursement agreements or arrangements now or hereafter in effect for the benefit of Tenant or any Manager in connection with the operation of any Facility relating to any right of payment or other claim arising out of or in connection with Tenant’s participation in any Third Party Payor Program.

  • Data qualifier means a specified character (or string of characters) that immediately precedes a data field that defines the general category or intended use of the data that follows.

  • Health care organization ’ means any person or en-

  • Provider of health care means a physician or physician assistant licensed pursuant to chapter 630, 630A or 633 of NRS, perfusionist, dentist, licensed nurse, dispensing optician, optometrist, practitioner of respiratory care, registered physical therapist, podiatric physician, licensed psychologist, licensed audiologist, licensed speech-language pathologist, licensed hearing aid specialist, licensed marriage and family therapist, licensed clinical professional counselor, chiropractor, licensed dietitian or doctor of Oriental medicine in any form.

  • Elder abuse (OAA) means abuse, neglect, or exploitation of an older individual (elder) including the willful:

  • 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.

  • Qualification Date means the date as of which the Offering Statement was or will be qualified with the Commission pursuant to Regulation A, the Act and the Rules and Regulations; and

  • Provider Number means an identifying number issued to each homecare worker who is enrolled as a provider through the Department.

  • Managed care organization means an entity that (1) is under contract with the department to provide services to Medicaid recipients and (2) meets the definition of “health maintenance organization” as defined in Iowa Code section 514B.1.

  • Impermissible Qualification means, relative to the opinion or certification of any independent public accountant as to any financial statement of the Borrower, any qualification or exception to such opinion or certification:

  • Qualified patient means a competent adult who is a resident of this State and who has satisfied the requirements of this Act in order to obtain a prescription for medication that the qualified patient may self-administer to end the qualified patient's life in a humane and dignified manner.[PL 2019, c. 271, §4 (NEW).]

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

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

  • Preferred Provider Organization (PPO) means a health insurance issuer's or carrier's insurance policy that offers covered health care services provided by a network of providers who are contracted with the issuer or carrier (“in-network”) and providers who are not part of the provider network (“out-of-network”).

  • Life-sustaining treatment means treatment that, based on reasonable medical judgment, sustains the life of a patient and without which the patient will die. The term includes both life-sustaining medications and artificial life support such as mechanical breathing machines, kidney dialysis treatment, and artificially administered nutrition and hydration. The term does not include the administration of pain management medication, the performance of a medical procedure necessary to provide comfort care, or any other medical care provided to alleviate a patient's pain.

  • Managed Care Organization (MCO) means a contracted health delivery system providing capitated or prepaid health services, also known as a Prepaid Health Plan (PHP). An MCO is responsible for providing, arranging, and making reimbursement arrangements for covered services as governed by state and federal law. An MCO may be a Chemical Dependency Organization (CDO), Dental Care Organization (DCO), Mental Health Organization (MHO), or Physician Care Organization (PCO).