PROVIDER REQUIREMENTS. The State Program, through contractual requirements and federal and State statutes and regulations, requires the Agreement to contain certain conditions that Health Plan, Subcontractor and Provider agree to undertake, which include the following:
PROVIDER REQUIREMENTS. 2.6.7.5.1 Providers or collection agencies acting on the provider’s behalf may not bill enrollees for amounts other than applicable TennCare cost sharing or patient liability amounts for covered services, including but not limited to, services that the State or the CONTRACTOR has not paid for, except as permitted by TennCare rules and regulations and as described below. Providers may seek payment from an enrollee only in the following situations.
PROVIDER REQUIREMENTS. Pursuant to the State Contract and notwithstanding any other provision of this Appendix or the Agreement, Provider agrees to be bound by the provisions contained in the most current, per State Program, Arizona Minimum Subcontract Provisions located on the AHCCCS website at xxxx://xxx.xxxxxxxx.xxx. The Arizona Minimum Subcontract Provisions are incorporated into the Agreement. The State Program, through contractual requirements and federal and State statutes and regulations, requires the Agreement to contain certain conditions that Health Plan, Subcontractor, and Provider agree to undertake, which include the following:
PROVIDER REQUIREMENTS. The State Programs, through contractual requirements and federal and State statutes and regulations, requires the Agreement to contain certain conditions that Carrier and Provider agree to undertake, which include the following:
PROVIDER REQUIREMENTS. A. In general:
PROVIDER REQUIREMENTS. The MississippiCAN Program, through the State Contract and federal and State statutes and regulations, requires the Agreement to contain certain conditions that Health Plan, Subcontractor and Provider agree to undertake, which include the following:
PROVIDER REQUIREMENTS. Provider agrees:
PROVIDER REQUIREMENTS. Provider requirements are established in statute and Agency rules. Should there be a change in Agency rules, the Agency shall provide notice to the Union pursuant to statutory notice requirements. The Agency, upon request of the Union, will meet with the Union to discuss the proposed rule change. In addition, the Agency will work with the Union to collaborate on communicating changes in rules to the bargaining unit. Nothing in this article shall prevent the Union from requesting that the State bargain over the impact of the final rules affecting employment relations as defined in ORS 243.650(7)(a).
PROVIDER REQUIREMENTS. All Services rendered and payment for same under this Agreement shall comply with the BABHA Provider Requirements, comprised of BABHA Policies and Procedures as applicable to Provider, the MDHHS PIHP/CMHSP Encounter Reporting Costing Per Code and Code Chart, and the MDHHS PIHP/CMHSP Provider Qualifications Chart, accessible at xxxx://xxxxx.xxx/about/for-providers/ and incorporated hereto by reference. Provider must request approval to implement specific practice areas that vary from BABHA Provider Requirements.
PROVIDER REQUIREMENTS. This Attachment sets forth requirements relating to the provision of services to Eligible Clients. Services provided under this Agreement shall meet the standards of timeliness, efficiency and customer service described in this Attachment. Provider is specifically on notice that professional, prompt and courteous service is of the highest priority to Client and therefore, to First Transit. To further promote professional, prompt and courteous service, First Transit will periodically solicit Participant assessment of Provider services and will actively address with Provider concerns raised by Participants. Responsibilities and Requirements of First Transit: