All Providers. Except as provided in Section 8.1.4.10, all Providers must be licensed in the State of Texas to provide the Covered Services for which the MCO is contracting with the Provider, and not be under sanction or exclusion from the Medicaid program. All Acute Care Providers serving Medicaid Members must be enrolled as Medicaid providers and have a Texas Provider Identification Number (TPIN). All Pharmacy Providers must be enrolled with HHSC's Vendor Drug Program. Long-term Services and Supports Providers are not required to have a TPIN but must have a LTSS Provider number. Providers must also have a National Provider Identifier (NPI) in accordance with the timelines established in 45 C.F.R. Part 162, Subpart D. Inpatient Hospital and medical services: The MCO must ensure access to Acute Care Hospitals and Specialty Hospitals in the MCO's Network. Covered Services provided by such Hospitals must be available and accessible 24 hours per day, seven (7) days per week. The MCO must enter into a Network Provider Agreement with any willing State Hospital that meets the MCO's credentialing requirements and agrees to the MCO's contract rates and terms. Children's Hospitals/Hospitals with specialized pediatric services: The MCO must ensure Members access to Hospitals designated as Children's Hospitals by Medicare and Hospitals with specialized pediatric services, such as teaching Hospitals and Hospitals with designated children's wings. Covered Services provided by such Hospitals must be available and accessible 24 hours per day, seven (7) days per week. If the MCO does not have a designated Children's Hospital and/or Hospital with specialized pediatric services in proximity to the Member's residence in its Network, the MCO must enter into written arrangements for services with Out-of-Network Hospitals. Provider Directories, Member Materials, and Marketing Materials must clearly distinguish between Hospitals designated as Children's Hospitals and Hospitals that have designated children's units. Trauma: The MCO must ensure Members access to Texas Department of State Health Services (TDSHS)-designated Level I and Level II trauma centers within the State, or Hospitals meeting the equivalent level of trauma care in the MCO's Service Area or in close proximity to such Service Area. The MCO must make written Out-of-Network reimbursement arrangements with the DSHS-designated Level I and Level II trauma centers or Hospitals meeting equivalent levels of trauma care if the MCO does ...
All Providers or “Providers” means Contracting Hospitals and Other Providers of 21 Medical Services for the MSN Program.
All Providers or “Providers” means Physicians, Contracting Hospitals, Contracting Clinics, 14 Receiving Hospitals and Other Providers.
Examples of All Providers in a sentence
All Providers will be informed of the decision that has been made regarding the timing of withdrawal of funding within two working days of the Withdrawal of Funding Panel and have this formally confirmed by letter within 5 working days.
All Providers and administrators involved in the IHSS program, regardless of position, profession or rank, should be treated with courtesy, dignity and respect.
All Providers within a practice seeking reimbursement must be fully licensed in North Carolina and provide a valid License number to be attached to this contract as Exhibit A.
More Definitions of All Providers
All Providers or “Providers” means Contracting Hospitals, Contracting Clinics, Receiving 14 Hospitals and Other Providers of Medical Services for the MSI Program.
All Providers or “Providers” means Contracting Hospitals, Contracting Clinics, Receiving 15 Hospitals and Other Providers of Medical Services for the MSI Program. most utilized average Orange County‟s 126 twenty six