Common use of Credentialing Clause in Contracts

Credentialing. The Contractor’s determination as to the qualifications and ascribed privileges of a specific Provider to render specific Health Care services. Critical Access Hospital (CAH): Critical access hospital means a hospital that meets the requirements of the federal Centers for Medicare and Medicaid Services to be designated as a critical access hospital and that is recognized by the Department of Community Health as a critical access hospital for purposes of Medicaid.

Appears in 6 contracts

Samples: Business Associate Agreement (Wellcare Health Plans, Inc.), Business Associate Agreement, Business Associate Agreement (Wellcare Health Plans, Inc.)

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Credentialing. The Contractor’s determination as to the qualifications and ascribed privileges of a specific Provider to render specific Health Care services. Critical Access Hospital (CAH): Critical access hospital means a hospital that meets the requirements of the federal Centers for Medicare and Medicaid Services (CMS) to be designated as a critical access hospital and that is recognized by the Department of Community Health DCH as a critical access hospital for purposes of Medicaid.

Appears in 2 contracts

Samples: Business Associate Agreement (Centene Corp), Business Associate Agreement (Wellcare Health Plans, Inc.)

Credentialing. The Contractor’s determination as to the qualifications and ascribed privileges of a specific Provider to render specific Health Care services. Critical Access Hospital (CAH): Critical access hospital means a hospital The facility located in the Primary Service Area that meets the requirements of the federal Centers has been designated or is eligible for Medicare and Medicaid Services to be designated designation as a critical access hospital and that is recognized Critical Access Hospital by the Department of Community Health State under the criteria for such hospitals as a critical access hospital for purposes of Medicaidspecifically set forth in 42 U.S.C.§ 1395i-4.

Appears in 2 contracts

Samples: Business Associate Agreement (Wellcare Health Plans, Inc.), Business Associate Agreement (Amerigroup Corp)

Credentialing. The Contractor’s determination as to the qualifications and ascribed privileges of a specific Provider to render specific Health Care services. Critical Access Hospital (CAH): Critical access hospital hospital’ means a hospital that meets the requirements of the federal Centers for Medicare and Medicaid Services to be designated as a critical access hospital and that is recognized by the Department of Community Health as a critical access hospital for purposes of Medicaid.

Appears in 1 contract

Samples: Business Associate Agreement (Amerigroup Corp)

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Credentialing. The Contractor’s determination as to the qualifications and ascribed privileges of a specific Provider to render specific Health Care services. Critical Access Hospital (CAH): Critical access hospital hospital' means a hospital that meets the requirements of the federal Centers for Medicare and Medicaid Services to be designated as a critical access hospital and that is recognized by the Department of Community Health as a critical access hospital for purposes of Medicaid.

Appears in 1 contract

Samples: Business Associate Agreement (Centene Corp)

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