Common use of Participating Provider Clause in Contracts

Participating Provider. A provider who has contracted with the health plan to deliver medical/behavioral health services to covered persons. The provider may be a physician, hospital, pharmacy, other facility or other healthcare provider who has contractually accepted the terms and conditions set forth by the health plan. Also known as network or in-network provider.

Appears in 38 contracts

Sources: Contract for Medicaid Managed Care Services, Medicaid Managed Care Services Agreement, Contract for Medicaid Managed Care Services

Participating Provider. A provider who has contracted with the health health/dental plan to deliver medical/behavioral health services to covered persons. The provider may be a physician, hospital, pharmacy, other facility or other healthcare provider who has contractually accepted the terms and conditions set forth by the health health/dental plan. Also known as network or in-network provider.

Appears in 3 contracts

Sources: Medicaid Rite Smiles Program Agreement, Medicaid Program Agreement, Medicaid Agreement

Participating Provider. β€Œ A provider who has contracted with the health health/dental plan to deliver medical/behavioral health services to covered persons. The provider may be a physician, hospital, pharmacy, other facility facility, or other healthcare provider who has contractually accepted the terms and conditions set forth by the health health/dental plan. Also known as network or in-network provider.

Appears in 1 contract

Sources: Agreement for the Medicaid Rite Smiles Program