PROVIDER POPULATION Sample Clauses

PROVIDER POPULATION. Provider Population based on patients seen during the previous 12 months. Report the number of children who received vaccinations at your facility, by age group. Only count a child once based on the status at the last immunization visit, regardless of the number of visits made. The following table documents how many children received VFC vaccine, by category, and how many received non-VFC vaccine. VFC Vaccine Eligibility Categories # of children who received VFC Vaccine by Age Category <1 Year 1-6 Years 7-18 Years Total Enrolled in Medicaid No Health Insurance American Indian/Alaska Native Underinsured in FQHC/RHC or deputized facility1 Total VFC: Non-VFC Vaccine Eligibility Categories # of children who received non-VFC Vaccine by Age Category <1 Year 1-6 Years 7-18 Years Total Have Health Insurance (covered by state universal vaccine plan) Other Underinsured2 Children’s Health Insurance Program (CHIP)3 Total Non-VFC: Total Patients (must equal sum of Total VFC + Total Non-VFC) 1Underinsured includes children with health insurance that does not include vaccines or only covers specific vaccine types. Children are only eligible for vaccines that are not covered by insurance. In addition, to receive VFC vaccine, underinsured children must be vaccinated through a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC) or under an approved deputized provider. The deputized provider must have a written agreement with an FQHC/RHC and the state/local/territorial immunization program in order to vaccinate these underinsured children. 2Other underinsured are children that are underinsured but are not eligible to receive federal vaccine through the VFC program because the provider or facility is not a FQHC/RHC or a deputized provider. However, these children may be served if vaccines are provided by the state program to cover these non-VFC eligible children. 3CHIP – Children enrolled in the state Children’s Health Insurance Program (CHIP). These children are considered insured and are not eligible for vaccines through the VFC program. Each state provides specific guidance on how CHIP vaccine is purchased and administered through participating providers. TYPE OF DATA USED TO DETERMINE PROVIDER POPULATION (choose all that apply)  Benchmarking  Medicaid Claims  IIS  Other (must describe):  Doses Administered  Provider Encounter DataBilling System 2019-2021 Provider Agreement and Guidelines for Frozen Vaccines STORAGE REQUIREMENTS: If you wish to r...
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PROVIDER POPULATION. The following information is used to determine the amount of vaccine needed for your practice and must be based on actual data, not estimates. Provider Population is based on total patients seen at your facility. TYPE OF DATA USED TO DETERMINE PROVIDER POPULATION (choose all that apply)  Benchmarking  Medicaid Claims  IIS  Other (must describe):  Doses Administered  Provider Encounter DataBilling System 2019-2021 Provider Agreement and Guidelines for Frozen Vaccines STORAGE REQUIREMENTS: If you wish to receive frozen vaccine you will have to complete this signed agreement showing that your practice meets the following guidelines for proper storage and handling.
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PROVIDER POPULATION. Provider Population is based on patients seen during the previous 12 months. Report the number of adults 19 years and older who received vaccinations at your facility, by age group. Only count an adult once based on the status at the last immunization visit, regardless of the number of visits made. The following table documents how many adults received publicly funded vaccine, by category, and how many received privately purchased vaccine. Publicly Funded Vaccine Eligibility Categories # of adults who received Publicly Funded Vaccine by Age Category 19 – 34 Years 35 – 49 Years 50+ Years Total No Health Insurance Underinsured1 Special population (e.g. MMR for college students)
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PROVIDER POPULATION. List the provider population based on the number of patients seen during the previous 12 months. Count each child only once based on the last visit to the office (for eligibility, age, etc.). The blue line is the total of all VFC-eligible children by age group, the yellow line is the total of all non-VFC eligible children by age group, and the green line is the grand total of children to be immunized by age group (blue + yellow = green). Offices with current and accurate doses administered information in IRIS may use the vfc report in IRIS to complete the provider population data. In IRIS under Reports, click vfc report. When the Vaccine for Children Report Criteria screen opens, enter the date range 01/01/2016 to 12/31/2016 and click the Generate Report button. If your office received vaccines for only part of 2016, then enter the date your organization began administering IIP-supplied vaccines in the From field. Use the Distinct Patient quantities on the vfc report to complete each corresponding VFC Vaccine Eligibility Category in the table on page 2. The left-side column of the report indicates the age range for each respective category referenced across the top of the report. Please refer to the color coded example provided below: TYPE OF DATA USED TO DETERMINE PROVIDER POPULATION: Check the data sources used to complete the provider population information. For example, if you used the IRIS reports above, then you would check “IIS (IRIS)”. 2017 VACCINES FOR CHILDREN PROGRAM PROVIDER AGREEMENT FACILITY INFORMATION Facility Name: VFC Pin#: Facility Address: City: County: State: Zip: Telephone: Fax: Shipping Address (if different than facility address): City: County: State: Zip: MEDICAL DIRECTOR OR EQUIVALENT Instructions: The official Vaccines for Children (VFC) registered healthcare provider signing the agreement must be a practitioner authorized to administer pediatric vaccines under state law who will also be held accountable for compliance by the entire organization and its VFC providers with the responsible conditions outlined in the provider enrollment agreement. The individual listed here must sign the provider agreement. Last Name, First, MI: Title: Specialty: Email: License No.: Medicaid or NPI No.: Employer Identification No. (optional): VFC VACCINE COORDINATOR Primary Vaccine Coordinator Name: Telephone: Email: Completed annual training:  Yes  No Type of training received: Back-Up Vaccine Coordinator Name: Telephone: Email: Completed annual ...
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Related to PROVIDER POPULATION

  • Provider Network The Panel of health service Providers with which the Contractor contracts for the provision of covered services to Members and Out-of-network Providers administering services to Members.

  • PROVIDER PERSONNEL 9.1 The Department and Provider agree and acknowledge that in the event of the Provider ceasing to provide the Services or part of them for any reason, Clause 25 (Re-Provision of the Services) of the Agreement will apply.

  • Population The Population shall be defined as all Paid Claims during the 12-month period covered by the Claims Review.

  • Provider Services The Contractor’s system shall collect, process, and maintain current and historical data on program providers. This information shall be accessible to all parts of the MCMIS for editing and reporting.

  • Provider Selection To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and the State Contract’s credentialing requirements.

  • Service Animals Humber Residences acknowledges the rights of persons with disabilities to retain their service animal while living in Residence. In order to preserve the health and safety of all people and animals living or working in the Residence environment, the Resident will notify the Residence Office that they require a service animal and will provide documentation as outlined in the Accessibility for Ontarians with Disabilities Act confirming that the Resident requires the service animal. The Resident will also complete a Service Animal Agreement with the Residence Manager or designate, and agrees to adhere to the requirements within it.

  • 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.

  • Preferred Provider - Prescription Drugs The Board shall provide, through the Xxxxx County Council of Governments, a preferred provider drug program that, if the employee chooses to utilize, will include the following:

  • Provider Credentialing Contractor shall perform, or may delegate activities related to, credentialing and re-credentialing Participating Providers in accordance with a process reviewed and approved by State Regulators.

  • Providers Services performed by a provider who has been excluded or debarred from participation in federal programs, such as Medicare and Medicaid. To determine whether a provider has been excluded from a federal program, visit the U.S. Department of Human Services Office of Inspector General website (xxxxx://xxxxxxxxxx.xxx.xxx.xxx/) or the Excluded Parties List System website maintained by the U.S. General Services Administration (xxxxx://xxx.xxx.gov/). • Services provided by facilities, dentists, physicians, surgeons, or other providers who are not legally qualified or licensed, according to relevant sections of Rhode Island Law or other governing bodies, or who have not met our credentialing requirements. • Services provided by a non-network provider, unless listed as covered in the Summary of Medical Benefits. • Services provided by naturopaths, homeopaths, or Christian Science practitioners.

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