Affiliated Providers definition
Examples of Affiliated Providers in a sentence
You acknowledge that KRH and KRH Affiliated Providers are authorized by law to release medical and account information necessary for the purposes of treatment, payment, and healthcare operations.
Health Plan will publish listings of Affiliated Providers and will update such listings from time to time.
Participate in any efforts by EOHHS or by EOHHS’ Behavioral Health Vendor to support the administration of this Contract, including efforts to clarify the enrollment or billing information for any Affiliated Providers that provide BH services as part of the Behavioral Health Vendor’s network.
Health Plan shall establish contractual arrangements with hospitals, facilities, agencies, physicians and other providers and may designate certain providers as preferred or exclusive Affiliated Providers of Covered Services.
Affiliated Providers, however, shall not include a Provider who has an agreement or contract with a Demonstration Plan for the provision of limited services (e.g., a single case out of network agreement (single case agreement)).
Health Plan's quality management and medical management activities and designation of exclusive or preferred Affiliated Providers shall not be construed as a violation of this provision.
The Contractor shall conduct orientation sessions for Affiliated Providers and their office staff on the Demonstration.
Health Plan may communicate general notices to Affiliated Providers via the Health Plan provider newsletter or web site postings or in other appropriate written or electronic provider bulletins periodically issued by Health Plan.
The Contractor shall not refer Enrollees to publicly supported health care entities to receive Covered Services for which the Contractor receives payment from the Department, unless such entities are Affiliated Providers with the Contractor.
Referral Circle – a subset of Affiliated Providers for whom Participating PCP referral requirements are modified as set forth in 130 CMR 450.119 and as described in Section 3.2. Region – A geographic area used for the purpose of the development of TCOC.