Qualified Providers Clause Samples
The Qualified Providers clause defines the standards or criteria that individuals or entities must meet to be recognized as eligible service providers under the agreement. Typically, this clause outlines specific qualifications such as certifications, licenses, experience, or regulatory compliance that providers must possess to perform certain tasks or deliver services. For example, it may require that only licensed contractors or accredited professionals can be engaged for specialized work. The core function of this clause is to ensure that only competent and appropriately credentialed parties are entrusted with responsibilities, thereby reducing risk and ensuring quality of service.
Qualified Providers. A qualified provider must be a county or an individual or agency contracted with a county or DDA.
Qualified Providers. The state demonstrates that it has designed and implemented an adequate system for assuring that all waiver services are provided by qualified providers.
Qualified Providers. Facility shall exclude any physician or other provider from performing services in connection with this agreement if such provider has been suspended or terminated from participation in Government Programs or any other government-sponsored program, including Medicare or the Medicaid program in any state. Facility is prohibited from using any individual or entity (“Offshore Entity”) (including, but not limited to, any employee, contractor, subcontractor, agent, representative or other individual or entity) to perform any services for Plans if the individual or entity is physically located outside of one of the fifty United States or one of the United States Territories (i.e., American Samoa, Guam, Northern Marianas, Puerto Rico, and Virgin Islands), unless Company, in its sole discretion and judgment, agrees in advance and in writing to the use of such Offshore Entity. Facility further agrees that Company has the right to audit any Offshore Entity prior to the provision of services for Plans.
Qualified Providers. A qualified provider must be a Contractor or an individual or agency contracted with Contractor named in this Personal Service Agreement or DDA.
Qualified Providers. Article II.12 (Subcontracting) applies to Qualified Providers.]
Qualified Providers i. The MCO provider credentialing requirement in 42 CFR §438.214 and HCBS provider qualification requirements in PROMISE shall apply to all HCBS providers. If the state wishes to change provider qualification standards from those that exist under waivers #0136 and #4159, the state must reach agreement with CMS to do so and ensure that the new standards preserve health and welfare. The state is required to report any changes in provider qualification standards as a part of the quarterly monitoring calls and quarterly reports pursuant to STCs 64 and 65.
ii. To the extent that the MCO’s credentialing policies and procedures do not address non-licensed non-certified providers, the MCO shall create alternative mechanisms to ensure the health and safety of enrollees.
Qualified Providers. For the purposes of this subsection Qualified Providers include:
Qualified Providers. If the Qualified Provider List contains three (3) or more Security Guard Companies on the date of the execution of this MOU, the School must retain a Security Guard Company from the Qualified Provider List in order for the cost of its Security Services to be eligible for reimbursement. If the Qualified Provider List contains fewer than three (3) Security Guard Companies at such time, the School may retain any Security Guard Company that is licensed pursuant to Article 7 of the General Business Law and complies with all applicable labor and employment laws.
Qualified Providers. Laboratory shall exclude any Physician or other provider from performing services in connection with this agreement if such provider has been suspended or terminated from participation in Government Programs or any other government-sponsored program, including Medicare or the Medicaid program in any state.