Single Case Agreement definition

Single Case Agreement means a written agreement between the Contractor and a non-Participating Provider to deliver services to an Individual. Sobering Services
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Single Case Agreement means a contract with an out-of-network provider to provide services to an MCE's member on a one-time, individual, or limited basis.
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Single Case Agreement means an agreement with a Provider for reimbursement for a specific, approved Covered Service(s) for a specific, Bright HealthCare Member(s).
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Examples of Single Case Agreement in a sentence

  • Track utilization and Single Case Agreement data and historical claims information to identify providers who are currently providing services to Health First Colorado Members Provider Relations tracks utilization and Single Case Agreement data on a weekly basis and cross-references it against the providers who are in the credentialing process to be in the network.

  • In addition, if Peach State Health Plan determines that a member is in need of services that are not covered benefits, the member will be referred to an appropriate provider and Peach State Health Plan will continue to coordinate care including discharge planning.Peach State Health Plan network staff can also arrange a Single Case Agreement (SCA) when it becomes necessary to utilize out-of-network providers (providers not contracted with Peach State Health Plan ) to provide covered services.

  • Out-of-network providers will only be reimbursed for covered and prior authorized services to our members based on the Maryland Medicaid Fee Schedule unless the parties have agreed to a different level of reimbursement in advance of services being rendered and a Single Case Agreement has been executed.

  • If the provider does not choose to enter into a Single Case Agreement with the Plan, the participant will be required to transition to a network provider that is capable of meeting the participant’s needs.

  • The completed Request for Single Case Agreement – Residential Habilitation form (Attachment A) must be accompanied by documentation which supports the justification of the continued need for the additional funding.

  • For initial requests, in addition to a completed Request for Single Case Agreement – Residential Habilitation form (Attachment A), documentation to support any assertions made must be submitted.

  • Single Case Agreement (SCA): An agreement between an out-of-network (non-contracted) provider and an MMCP which allows the provider to be reimbursed for services delivered to an individual enrolled in the MMCP.

  • Prior authorization is necessary in order to be paid for a skilled nursing facility stay.Marketplace requires a separate contract with Molina or a Single Case Agreement (SCA).

  • The Request for Single Case Agreement form can be found on the DDSN Application Portal > Business Tools > Forms > Directives 700 Series.

  • The Request for Single Case Agreement – Residential Habilitation form (Attachment A) must be submitted prior to the expiration of the current SCA in order for the SCA to continue.


More Definitions of Single Case Agreement

Single Case Agreement means a written agreement between the Contractor and a non- Participating Provider to deliver services to an Enrollee Sobering Services Sobering Services “Sobering Services” means short-term (less than 24 consecutive hours) emergency shelter, screening, and referral services to persons who are intoxicated or in active withdrawal. State Hospitals
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Single Case Agreement means a written agreement between the Contractor and a non-Participating Provider to deliver services to an Individual.
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Related to Single Case Agreement

  • mortgage agreement ’ means the note or debt instrument and the mortgage instrument, deed of trust instrument, trust deed, or instru- ment or instruments creating the mortgage, including any instrument incorporated by ref- erence therein (including any applicable regu- latory agreement), and any instrument or agreement amending or modifying any of the foregoing;

  • Enterprise Agreement means an agreement certified under the Workplace Relations Act 1996 (Cth) or approved under the Industrial Relations Act 1996 (NSW).

  • Lease Agreement means the bargain, with respect to the lease, of the lessor and the lessee in fact as found in their language or by implication from other circumstances including course of dealing or usage of trade or course of performance as provided in this article. Unless the context clearly indicates otherwise, the term includes a sublease agreement.

  • Development Agreement has the meaning set forth in the Recitals.

  • Marketing Agreement means an agreement entered into, with the director, by producers, distributors, processors, or handlers pursuant to this act and binding only on those signing the agreement.

  • Connection Agreement means an agreement entered into between a distributor and a person connected to its distribution system that delineates the conditions of the connection and delivery of electricity to or from that connection;

  • Interconnection Agreement means the Agreement between the Parties entitled “Interconnection Agreement Under §§251 and 252 of the Telecommunications Act of 1996,” dated July 16, 1996.