Provider Handbook and P&P Acknowledgment Sample Clauses

Provider Handbook and P&P Acknowledgment. Dentist acknowledges that he/she has read, fully understands and agree to abide by the terms of the Provider Handbook and the P&Ps (as revised from time to time) as provided by ODS. SIGNATURE PAGE This Agreement is effective as of . DENTIST ODS Signature Signature Printed Name Printed Name NPI Number Address Tax ID Number City, State Zip License Number Address City, State Zip DMAP Number (if applicable) Medicare Exhibit
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Provider Handbook and P&P Acknowledgment. Dentist acknowledges that he/she has read, fully understands and agree to abide by the terms of the Provider Handbook and the P&Ps (as revised from time to time) as provided by ODS. This Agreement is effective as of . DENTIST OREGON DENTAL SERVICE Signature/Date Signature/Date Printed Name Printed Name NPI Number Notice Address: Oregon Dental Service Attn: Dental Provider Relations 000 XX Xxxxxx Xxxxxx Xxxxxxxx, XX 00000 Tax ID Number License Number Email Address for Notice DMAP Number (if applicable) Notice Address: Medicare Exhibit
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Related to Provider Handbook and P&P Acknowledgment

  • Electronic and Information Resources Accessibility and Security Standards a. Applicability: The following Electronic and Information Resources (“EIR”) requirements apply to the Contract because the Grantee performs services that include EIR that the System Agency's employees are required or permitted to access or members of the public are required or permitted to access. This Section does not apply to incidental uses of EIR in the performance of the Agreement, unless the Parties agree that the EIR will become property of the State of Texas or will be used by HHSC’s clients or recipients after completion of the Agreement. Nothing in this section is intended to prescribe the use of particular designs or technologies or to prevent the use of alternative technologies, provided they result in substantially equivalent or greater access to and use of a Product.

  • Provider Manual The Provider Manual shall be a comprehensive online reference tool for the Provider and staff regarding, but not limited to, administrative, prior authorization, and referral processes, claims and encounter submission processes, continuity of care requirements, and plan benefits. The Provider Manual shall also address topics such as clinical practice guidelines, availability and access standards, care management programs and Enrollee rights.

  • Provisions for Covered Entity to Inform Business Associate of Privacy Practices and Restrictions (a) Covered Entity shall notify Business Associate of any limitation(s) in the notice of privacy practices of Covered Entity under 45 CFR 164.520, to the extent that such limitation may affect Business Associate’s use or disclosure of protected health information.

  • Policies and Procedures i) The policies and procedures of the designated employer apply to the employee while working at both sites.

  • CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS The undersigned (authorized official signing for the contracting organization) certifies that the contractor will, or will continue to, provide a drug-free workplace in accordance with 45 CFR Part 76 by:

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