Provider Manual definition

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 Manual means the DAVIS Vision Care Plan Provider Manual, as amended from time to time by DAVIS.

Provider Manual means the current Internet online version of the official STATE publication, entitled “Minnesota Health Care Programs Provider Manual.”

Examples of Provider Manual in a sentence

• To receive payment under the fee-for-service (FFS) payment model, the Contractor shall prepare and submit electronic claims through the State’s Fiscal Intermediary (FI) as set forth in the Medi-Cal Provider Manual.

• They must meet minimum qualifications in the South Carolina Department of Health and Human Services Medicaid Provider Manual to provide these services.

• ADMINISTRATOR reserves the right to revise and update 27 the TUPP Provider Manual as needed.

• DAODAS reserves the right to perform on-site reviews of all programmatic/financial documentation to ensure compliance with Subgrantee monitoring guidelines as published in 2CFR 200 – Uniform Guidance, Healthy Connections Provider Manual for Rehabilitative Behavioral Health Services, CARF, ASAM, and other standards that DAODAS may deem appropriate.

• PERIOD TWO CONTRACTOR shall meet the following performance objectives and complete the detailed activities specified in the TUPP Provider Manual for prevention services by June 30, 20142015: participate in youth engagement activities.

More Definitions of Provider Manual

Provider Manual means the interpretive document or documents issued by the office to providers to inform them of their obligations under Medicaid to which they must conform to retain their provider status and receive payment for appropriate services, and to provide them essential information for understanding Medicaid as it relates to the services for which they are qualified to provide under the state statutes.

Provider Manual means the XXXXX Vision Care Plan Provider Manual, as amended from time to time by XXXXX.

Provider Manual means the OHCA BH Provider Billing Manual.

Provider Manual means the manual developed by ADMINISTRATOR to describe the specific services to be performed by CONTRACTOR. The TUPP Provider Manual provides guidance, goals, objectives, terminology, and evaluation components.

Provider Manual means the provider manual and any billing manuals, adopted by Company or Payor which include, without limitation, requirements relating to utilization management, quality management, grievances and appeals, and Product-specific, Payor-specific and State-specific requirements, as may be amended from time to time by Company or Payor.

Provider Manual means that document, as amended from time to time, that is prepared by CalOptima and describes CalOptima's Policies as they affect Providers.

Provider Manual means the compilation of policies and procedures, rules and regulations which are developed by a Payer which are applicable to KYOne HP, Participants, and/or Provider/Supplier under an applicable Payer Agreement.