Sanctioned Provider definition

Sanctioned Provider means a person or entity who:
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Sanctioned Provider means a provider, entity or individual, who has been suspended, terminated or excluded from furnishing, ordering, or prescribing items or services to Medicaid beneficiaries.
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Examples of Sanctioned Provider in a sentence

  • The MDHHS Sanctioned Provider List is located on the MDHHS website.

  • Listed by a Federal agency or the State of Michigan as being suspended from participation in the Federal Medicare or Michigan Medicaid Programs, including but not limited to the Michigan Sanctioned Provider List, the OIG Exclusion Databases List of Excluded Individuals/Entities (“LEIE”) and General Services Administration (“GSA”), and the System for Award Management (“XXX”).

  • For example:• Social Security Administration’s Death Master File• State exclusion databases• For example: Michigan Department of Community Health (MDCH)/Medical Services Administration (MSA) Sanctioned Provider List• Annual disclosures of ownership and control may be required.

  • This information is expected to include dates of hire, date of the most recent criminal background check, date of the most recent OIG exclusion and Michigan Sanctioned Provider check, date of the most recent National Practitioner Databank check (physicians only), provider qualifications (including licensure and certification), population credentialed to serve, and NPI number, if applicable.

  • MDCH agrees that debarred/sanctioned providers should not get any of these payments when the provider is on the Sanctioned Provider List as of date of payment.

  • The Contractor shall not employ or contract with any individual or entity (hereinafter collectively referred to as “person”) to provide items or services that will be included in invoices submitted to the Government under this contract if such person is listed on the Department of Health and Human Services (HHS) Office of the Inspector General (OIG) List of Excluded Individuals and Entities (LEIE) or the TRICARE Sanctioned Provider List.

  • The MDHHS Sanctioned Provider List is located in the Directory Appendix under Billing Resources.

  • The Provider shall check both the MDHHS Sanctioned Provider list and the Federal Sanctioned Provider listing (http://exclusions.oig.hhs.gov/) on a monthly basis to ensure eligibility for participation in both the Federal and State Programs.

  • December 2010, Disproportionate Justice Impact Study Commission, Illinois General Assembly.

  • Our most popular feature continues to be the TRICARE Sanctioned Provider page with 45,238 visits and Frequently Asked Questions (FAQs) with 10,533 visits.

Related to Sanctioned Provider

  • Sanctioned Party means any persons, entities, bodies, or vessels designated by a Sanctioning Authority.

  • Sanctioned Person means, at any time, (a) any Person listed in any Sanctions-related list of designated Persons maintained by OFAC, the U.S. Department of State, the United Nations Security Council, the European Union, Her Majesty’s Treasury, or other relevant sanctions authority, (b) any Person operating, organized or resident in a Sanctioned Country or (c) any Person owned or controlled by any such Person or Persons described in clauses (a) and (b).

  • Sanctioned Entity means (a) a country or a government of a country, (b) an agency of the government of a country, (c) an organization directly or indirectly controlled by a country or its government, (d) a Person resident in or determined to be resident in a country, in each case, that is subject to a country sanctions program administered and enforced by OFAC.

  • Sanctioned Persons has the meaning provided in Section 5.19.

  • sanctioned plan means the site plan, building plan, service plan, parking and circulation plan, landscape plan, layout plan, zoning plan and such other plan and includes structural designs, if applicable, permissions such as environment permission and such other permissions, which are approved by the competent authority prior to start of a real estate project;

  • Sanctioned Countries shall have the meaning set forth in Section 4.30.

  • Sanctioned Country means, at any time, a country, region or territory which is itself the subject or target of any Sanctions (at the time of this Agreement, Crimea, Cuba, Iran, North Korea, Sudan and Syria).

  • Sanctioned Target means any target of Sanctions, including (i) persons on any list of targets identified or designated pursuant to any Sanctions, (ii) persons, countries, or territories that are the target of any territorial or country-based Sanctions program, (iii) persons that are a target of Sanctions due to their ownership or control by any Sanctioned Target(s), or (iv) persons otherwise a target of Sanctions, including vessels and aircraft, that are designated under any Sanctions program.

  • Sanctioned Territory means a country or territory that is the subject of comprehensive economic Sanctions including, without limitation, Cuba, Iran, North Korea, Syria and the Crimea.

  • Sanctioned Jurisdiction means, at any time, a country, territory or geographical region that is subject to, the target of, or purported to be subject to, Sanctions Laws.

  • Affiliated provider means a health professional, licensed hospital, licensed pharmacy, or any other institution, organization, or person that has entered into a participating provider contract, directly or indirectly, with a health maintenance organization to render 1 or more health services to an enrollee. Affiliated provider includes a person described in this subdivision that has entered into a written arrangement with another person, including, but not limited to, a physician hospital organization or physician organization, that contracts directly with a health maintenance organization.

  • Recognised Provider (Approved Provider) means a provider of services registered with the appropriate association or organization to render services to a member and approved Latrobe to render services to its members.

  • Approved provider means a provider of services registered with the appropriate association or organization to render services to a member and approved by Latrobe to render services to its members.

  • Designated provider means a person who:

  • Covered Entity means any of the following:

  • Supervisee means an individual who has submitted a supervisory contract and has received board approval to provide clinical services in social work under supervision.

  • Supervised Person means directors, officers and partners of an Adviser (or other persons occupying a similar status or performing similar functions), employees of an Adviser, and any other person who provides advice on behalf of an Adviser and is subject to the Adviser’s supervision and control.

  • Illegal Activity means the wilful possession of an illegal drug, dangerous object, or stolen item.

  • Registered Provider means a registered provider of social housing (see section 80 of the Housing and Regeneration Act 2008);

  • Preferred Provider or “Network Provider” means a doctor, hospital, medical facility or other provider of health care which is included in a network which has been designated by the Fund to render health related services to Fund participants.

  • Managed care entity means either a managed care organization licensed by the department of insurance (e.g., HMO or PHP) or a primary care case management program (i.e., MediPASS).

  • Supervised loan means a consumer loan, including a loan made pursuant to a revolving credit account, in which the rate of the finance charge exceeds twelve percent per year as determined according to the provisions on finance charges contained in section 5-2-201.

  • Dedicated FX Traffic means those calls routed by means of a physical, dedicated circuit delivering dial tone or otherwise serving an End User’s station from a serving Central Office (also known as End Office) located outside of that station’s mandatory local calling area. Dedicated FX Service permits the End User physically located in one exchange to be assigned telephone numbers resident in the serving Central (or End) Office in another “foreign” exchange, thereby creating a local presence in that “foreign” exchange.

  • Downstream Affiliate means an entity whose outstanding Voting Shares were, at the date of issuance of the Qualifying Guarantee, more than 50 per cent. owned, directly or indirectly, by the Reference Entity.

  • controlled flight means any flight which is subject to an air traffic control clearance;

  • License Subsidiary means one or more wholly-owned Restricted Subsidiaries of the Issuer (i) that holds, was formed for the purpose of holding or is designated to hold FCC Licenses for the launch and operation of Satellites or for the operation of any TT&C Earth Station (other than any FCC License held by Intelsat General Corporation or any of its Subsidiaries) and (ii) all of the shares of capital stock and other ownership interests of which are held directly by the Issuer or a Subsidiary Guarantor.