Provider Termination definition

Provider Termination means the termination of Provider’s contract with Contractor, or a prohibition of Provider’s participation in OHA Health Services Division programs provided for by OAR 410-120-0000(241).

Provider Termination means the termination of Provider’s contract with Contractor, or a prohibition of Provider’s participation in OHA Health Services Division programs as provided by OAR 410-120- 0000,

Examples of Provider Termination in a sentence

• MCO report required for any casualty cases that the MCO is aware of during the month.Tab 1 – Open Casualty Cases Tab 2 – Closed Casualty Cases Tab 3 – Casualty Case AlertsSection 11.1: MCO Provider Termination Monthly Report: MCO report required for monthly provider termination case reporting to program integrity can be found at the Program Integrity SharePoint site.

• SUBMISSION: Using the file naming convention described in Chapter 2, the Managed Care Plan must submit the following to the SMMC SFTP site: ⮚ The completed Provider Termination and New Provider Notification Report template including LTC and/or MMA data on the appropriate tab, which must be submitted as an XLS file.

• All requests for payments under these conditions shall be submitted in the form of a written request to the Director of DECCD describing the basis for the request to waive Provider Termination.

• These processes and policies include but are not limited to: >Provider Accessibility Standards >Provider Credentialing and Re-credentialing >Complaints and Grievances / Quality issues monitoring process >Network Changes >Provider Network Standards >Provider Compliance >Provider Network Participation and Appeals >Provider Termination and Continuity of Care >Cultural Competency Plan.

• A Service Provider Termination Event (as defined in the Securitisation Framework Agreement) occurs.

• All requests for payments under these conditions shall be submitted in the form of a written request to the Director describing the basis for the request to waive Provider Termination.

• In such a way, consumers felt reassured having a quality product for which they were willing to pay more.

• The current process to report terminations to CMS is: States email the Provider Termination mailbox (ProviderTerminations@cms.hhs.gov) with their completed CMS Medicaid termination notification (a template) plus the termination letter and then CMS inputs that information into a spreadsheet which is uploaded to the Tibco MFT server every other Thursday for states to access.

• In addition, the Contractor will provide all terminations monthly via the Provider Termination Report as referenced in Appendix K.

• Involved program- mers were also asked to try an alternative way to collect requirements by using UML.