Direct provider definition

Direct provider means a health care professional licensed, accredited, registered, or certified to perform specified primary care health services consistent with the law of this state. “Direct provider” includes an individual health care professional or other legal health care entity alone or with other health care professionals professionally associated with the individual health care professional or other legal health care entity.
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Direct provider means an individual who is a direct
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Direct provider means a Participating Agency that provides fire/EMS services and/or police services directly, rather than through contract with another agency.
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Examples of Direct provider in a sentence

  • Direct provider of health care" means a person or organization whose primary current activity is the provision of health care to individuals, and includes a licensed or certified physician, dentist, nurse, podiatrist, physician's assistant, or an organization comprised of these health professionals or employing these health professionals.

  • Direct provider payments are made under three types of arrangements: when a child is not enrolled in any type of managed care and the state Medicaid agency reimburses all Medicaid services; when a child is enrolled in a primary care case management system (PCCM) and the state Medicaid agency reimburses all or most Medicaid services; or when a child is enrolled in an MCO and hearing services are carved out of the managed care contract.

  • Direct provider contracts will not be allowed to deliver services to beneficiaries from a DMC-ODS county.93 Counties that are interested in providing DMC-ODS Waiver services are required to submit an Implementation Plan and an annual Fiscal Plan.More information regarding the Implementation Plan and Fiscal Plan can be found in MHSUDS Information Notice 16-00594 and 16-05095.

  • The CMHP oversight is conducting the assessment with the provider, individual and pertinent staff and documentation, pursuant to BH CMHP and Direct provider contract SE01.

  • Providers will use a single, electronic application to submit information to be verified and screened to become a Medicaid- or state-funded service enrolled provider, with the application serving for enrollment as an NC Medicaid Direct provider and a Medicaid Managed Care provider.

  • Brief description of service: Direct provider payment or reimbursement for services which offer temporary, substitute supports or living arrangements for care recipients in order to provide a brief period of relief or rest for caregivers.

  • Roehampton is a top 10 national teacher training provider and London’s largest School Direct provider.

  • However, three modes of jurisdiction define the SIM operation: Direct provider of social housing: this is a mandate under which SIM provides affordable housing for the lower-income groups.

  • Direct provider to provider verbal communication is required between providers for all consultation requests.

  • In January 1997, the County issued $10,245,000 in Series 1996A Water Revenue Bonds.


More Definitions of Direct provider

Direct provider means a health care provider that is not an indirect treatment provider.
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Direct provider means an individual who is a direct provider of health care services under a benefit plan of a health maintenance organization or an individual whose primary current activity is the administration of health facilities in which such care is provided. An individual shall not be considered a direct provider of health care solely because the individual is a member of the governing body of a health-related organization.
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Direct provider means a health care professional
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Related to Direct provider

  • Contract Provider means any Person or any employee, agent or subcontractor of such Person who provides professional health care services under or pursuant to any contract with any Consolidated Party.

  • Investment Provider means any commercial bank or trust company, bank holding company, investment company or other entity (which may include the Trustee, the Bond Registrar or the Paying Agent), whose credit rating (or the equivalent of such rating by virtue of guarantees or insurance arrangements) by each nationally recognized Rating Agency then rating the Class I Bonds is sufficiently high to maintain the then current rating on such Bonds by such Rating Agency or is otherwise acceptable to each such Rating Agency in order to maintain the then current rating on such Bonds by such Rating Agency, which Investment Providers shall be approved by the Authority for the purpose of providing investment agreements.

  • Enhancement Provider means, with respect to any Series, the Person, if any, designated as such in the related Supplement.

  • Replacement Provider has the meaning set forth in Section II.D.1.

  • Content Provider means any video programming provider of copyrighted works for transmission to Licensed Products and the copyright owners of such work.

  • Credit Enhancement Provider means, with respect to any Securities, any person issuing, funding or otherwise making available, for the benefit of Securityholders or any party to a Serviced Corporate Trust Contract, an asset as an enhancement of the credit quality or liquidity of any Securities or the mortgage assets or other assets pledged for or underlying such Securities, such as a letter of credit, surety bond, insurance policy, guaranty, reserve fund pledge or collateral undertaking.

  • Direct Participants means each person shown in the records of the Clearing Systems as a holder of the Securities;

  • Direct Participant or "DTC Participant": Any broker-dealer, bank or other financial institution for which the Depository holds Class A Certificates from time to time as a securities depository.

  • New Provider means any replacement service provider or providers engaged to provide the Services (or part thereof) or substantially similar services or the Authority itself where the Services or substantially similar services or part thereof continue to be provided by the Authority after partial termination, termination or expiry of this Contract;

  • Individual provider means an individual provider as defined

  • Direct Patient Care means the provision of health care services provided directly to individuals being treated for or suspected of having physical or mental illnesses. Direct patient care includes both, face-to-face and telehealth-based preventative care and first-line supervision.

  • Medical provider means a medical service provider, a hospital, a medical clinic, or a vendor of medical services.

  • Hub Provider means an entity that (i) provides Common Channel Signaling (SS7) connectivity between the networks of service providers that are not directly connected to each other; or (ii) provides third party database services such as LIDB. The SS7 messages received by Hub Providers are accepted or rejected by the Hub Provider depending on whether a contractual arrangement exists between the Hub Provider and the message originator (sender) and whether the message originator has contracted for the type of SS7 messages being submitted for transmission to the Hub Provider.

  • Indirect Participant means a Person who holds a beneficial interest in a Global Note through a Participant.

  • Direct Account : means any Account which is not an ISA Account.

  • Indirect Participants Has the meaning specified in Section 4.01(b) of this Trust Supplement.

  • Program Support Provider means and includes with respect to each Conduit Purchaser any Liquidity Provider and any other Person (other than any customer of such Conduit Purchaser) now or hereafter extending credit or having a commitment to extend credit to or for the account of, or to make purchases from, such Conduit Purchaser pursuant to any Program Support Agreement.

  • Independent provider means a self-employed person who provides services for which he or she must be certified in accordance with rule 5123:2-2-01 of the Administrative Code and does not employ, either directly or through contract, anyone else to provide the services.

  • Credit Provider means a Person providing a guaranty, or other credit support, in form and substance reasonably acceptable to the Administrative Agent, of the obligations of an Included Investor to make Investor Capital Contributions.

  • Participating provider means an Administrator Hospital or Professional Provider which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to participants in the Participating Provider Option program or an Administrator facility which has been designated by the Claim Administrator as a Participating Provider.

  • Financial Services Provider means any Lender and any other provider of financial services or products;

  • Bank Product Provider means Xxxxx Fargo or any of its Affiliates.

  • Banking Services Provider means any Lender or Affiliate of a Lender that provides Banking Services to any Credit Party.

  • Professional Provider means a Physician, Dentist, Podiatrist, Psychologist, Chiropractor, Optometrist or any Provider designated by the Claim Administrator or another Blue Cross and/or Blue Shield Plan.

  • Non-Participating Provider means an Administrator Hospital or Professional Provider which does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to participants in the Participating Provider Option program or a facility which has not been designated by the Claim Administrator as a Participating Provider.