Provider types definition

Provider types means the characteristics of child care providers, which determine their approved reimbursement rate, capacity, staffing levels etc. as follows:
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Examples of Provider types in a sentence

  • The Provider types and specialty codes are as follows: OMAP Hotlines — Department phone lines designed to address and facilitate resolution of issues encountered by Recipients and their advocates or Providers according to PH-MCO policies and procedures.

  • Provider types eligible to seek reimbursement include physicians, podiatrists, optometrists, nurse practitioners, outpatient hospital clinics, and behavioral health providers.

  • The Provider types and specialty codes are as follows: OMAP Hotlines — The PH-MCO will cooperate with the functions of OMAP’s Hotlines, which are designed to address clinically-related systems issues encountered by Recipients and their advocates or Providers.

  • IEHP does not require Delegated IPAs to contract with the following Provider types, where services rendered by these Practitioners are covered by IEHP, however, must utilize the network contracted by IEHP.

  • The microstructure of a freshly placed concrete undergoing hydration consist of components like CSH known as Calcium silicate hydrate and CH; Calciumhydroxide (CH).

  • Provider types associated with this covered service include Licensed Mental Health Practitioners (LMHPs) who are not physicians, Advanced Practice Registered Nurses (APRNs), or Physicians.

  • The Contractor shall provide to the Department an Audit schedule with work plan for all the Provider types.

  • Provider types who are eligible for MHCP enrollment must meet all of the requirements and certifications for the type of service you want to provide before submitting enrollment information to MHCP.

  • The Care Coordination system must be designed to ensure communication and coordination of an Enrollee's care across the Medicare and Medicaid network Provider types and settings, to ensure smooth transitions for Enrollees who move among various settings in which care may be provided over time, and to strive to facilitate and maximize the level of Enrollee self-determination and Enrollee choice of services, Providers and living arrangements.

  • The Division may also request Provider termination work plans and supporting documentation for other Provider types.

Related to Provider types

  • 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.

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

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

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

  • 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 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 Personnel means all persons employed or engaged by the Provider together with the Provider’s servants, agents, consultants and Sub-Contractors (and all persons employed by any Sub-Contractor together with the Sub-Contractor’s servants, consultants, agents, Provider’s and Sub-Contractors) used in the performance of its obligations under this Agreement;

  • Provider contract means any contract between a provider and a carrier (or a carrier's network,

  • Provider Group means a medical group, independent

  • Enhanced Service Provider (ESP) means the provider of enhanced services, as those services are defined in 47 CFR Section 64.702.

  • Primary Care Provider (PCP) means a health care professional who is contracted with BCBSAZ as a PCP and generally specializes in or focuses on the following practice areas: internal medicine, family practice, general practice, pediatrics or any other classification of provider approved as a PCP by BCBSAZ. Your benefit plan does not require you to have a PCP or to have a PCP authorize specialist referrals.

  • 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.

  • 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 fee means the consideration paid for a service contract.

  • Local Service Provider (LSP means the LEC that provides retail local Exchange Service to an End User. The LSP may or may not provide any physical network components to support the provision of that End User’s service.

  • Providers means individuals or organizations --------- licensed to practice dentistry (including specialists) as well as other dental professionals who provide ancillary reimbursable dental services.

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

  • Internet Service Provider (ISP) means an Enhanced Service Provider (ESP) that provides Internet Services.

  • Service Provider Number Portability (SPNP) is synonymous with Permanent Number Portability “PNP”.

  • Service Animal means an animal that is required by a person with a disability for assistance and is certified, in writing, as having been trained by a professional service animal institution to assist a person with a disability and which is properly harnessed in accordance with standards established by a professional service animal institution.

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

  • Service Provider Personnel means and refers to Service Provider employees or subcontractors hired and maintained to perform Services hereunder.

  • Service Type means the customer class, partial customer class and/or group of customer classes, as set forth in a Transaction Confirmation.

  • Provider is any individual or company that provides professional or technical services.

  • Service Provider Materials means all works of authorship, products and materials [including, but not limited to, data, diagrams, charts, reports, specifications, studies, inventions, software, software development tools, methodologies, ideas, methods, processes, concepts and techniques] owned by, or licensed to, the Service Provider prior to the Commencement Date or independently developed by the Service Provider outside the scope of this Agreement at no expense to Transnet, and used by the Service Provider in the performance of the Services;

  • 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.