Enrolled Medicaid Provider definition

Enrolled Medicaid Provider means an RN or LPN that meets and completes all the requirements in these rules, OAR 407-120-0300 to 0400 (Medicaid Provider Enrollment and Claiming), and OAR chapter 410, division 120 (OHA, Medicaid General Rules), as applicable.
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Enrolled Medicaid Provider means a provider that meets and completes all the requirements in these rules, OAR 407-120-0300 through 407-120-0400, and OAR chapter 410, division 120, as applicable.
Sample 1Sample 2Sample 3
Enrolled Medicaid Provider means an RN or LPN that meets and completes all the requirements in these rules, OAR 407-120-0300 to 407- 120-0400, and OAR chapter 410, division 120, as applicable.
Sample 1Sample 2Sample 3

Examples of Enrolled Medicaid Provider in a sentence

  • Have submitted documentation of (1)-(3) above to the department's fiscal agent and be a NH Medicaid enrolled provider Verification of Provider Qualifications Entity Responsible for Verification: NH Enrolled Medicaid Provider 1.

  • Enrolled Medicaid Provider" means a provider that meets and completes all the requirements in these rules, OAR 407-120-0300 through 407-120-0400, and OAR chapter 410, division 120, as applicable.

  • Enrolled Medicaid Provider" means an RN or LPN that meets and completes all the requirements in these rules, OAR 407-120-0300 through 407-120-0400, and OAR chapter 410, division 120, as applicable.

  • Enrolled Medicaid Provider" meansan RN or LPN a provider that meets and completes all the requirements in these rules, OAR 407-120- 0300 through 407-120-0400, and OAR chapter 410, division 120, as applicable.

  • One possible scenario was a local dentist marks "Enrolled Medicaid Provider" on the KDPH Health Care Access Branch survey to assist in shortage determination, but a review of claims from this provider reveals only 14 dental service claims were made in a given calendar year.

  • If we want to model the autoprotolysis of water, we could do this by creating a system with three “compartments”, where two compartments are inside the outer one and contain an oxygen atom and two hydrogen atoms each, representing atoms.We would then give a rule which enables an “OHH” to move out of its compart- ment.

  • Enrolled Medicaid Provider" means an entity or individual that meets and completes all the requirements in these rules, OAR 407-120-0300 to 0400 (Medicaid Provider Enrollment and Claiming), and OAR chapter 410, division 120 (Medicaid General Rules) as applicable.

  • Have submitted documentation of (1)-(3) above to the department’s fiscal agent and be a NH Medicaid enrolled provider Verification of Provider Qualifications Entity Responsible for Verification: NH Enrolled Medicaid Provider 1.

  • Link NPI/Provider Number to Admin AccountThe current administrator can associate the provider number from the My Account page.1) Click Log in.2) Login as admin user and go to My Account.3) In the window that appears, click Administer a Provider Identifier.4) When the Become Administrator for an Existing Enrolled Medicaid Provider section appears, selectNursing Facility/Waiver Program Provider.


More Definitions of Enrolled Medicaid Provider

Enrolled Medicaid Provider means an entity or individual that meets and completes all the requirements in these rules, OAR 407-120-0300 to 0400, and OAR chapter 410, division 120, as applicable.
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Related to Enrolled Medicaid Provider

  • Medicaid program means the medical assistance

  • Medicaid Provider Agreement means an agreement entered into between a state agency or other such entity administering the Medicaid program and a health care provider or supplier under which the health care provider or supplier agrees to provide services for Medicaid patients in accordance with the terms of the agreement and Medicaid Regulations.

  • Medicaid means the medical assistance programs administered by state agencies and approved by CMS pursuant to the terms of Title XIX of the Social Security Act, codified at 42 U.S.C. 1396 et seq.

  • Centers for Medicare and Medicaid Services or “CMS” means the federal office under the Secretary of the United States Department of Health and Human Services, responsible for the Medicare and Medicaid programs.

  • Medicare means the “Health Insurance for the Aged Act,” Title XVIII of the Social Security Amendments of 1965, as then constituted or later amended.

  • Non-Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has not been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Participating Orthotic Provider means an Orthotic Provider who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Non-Participating Orthotic Provider means an Orthotic Provider who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Licensed health care provider means a physician, physician assistant, chiropractor, advanced registered nurse practitioner, nurse, physical therapist, or athletic trainer licensed by a board.

  • Primary Care Provider (PCP) means a health care professional who is contracted with BCBSAZ as a PCP and generally specializes in or focuses on the following practice areas: internal medicine, family practice, general practice, pediatrics or any other classification of provider approved as a PCP by BCBSAZ. Your benefit plan does not require you to have a PCP or to have a PCP authorize specialist referrals.

  • Medicare Provider Agreement means an agreement entered into between CMS or other such entity administering the Medicare program on behalf of CMS, and a health care provider or supplier under which the health care provider or supplier agrees to provide items and services for Medicare patients in accordance with the terms of the agreement and Medicare Regulations.

  • Child welfare agency means a child-placing agency, child-caring institution or independent foster

  • Health care worker means a person other than a health care professional who provides medical, dental, or other health-related care or treatment under the direction of a health care professional with the authority to direct that individual's activities, including medical technicians, medical assistants, dental assistants, orderlies, aides, and individuals acting in similar capacities.

  • Health care facility or "facility" means hospices licensed

  • Child care provider means a provider who receives compensation for providing child care services on a regular basis, including an ‘eligible child care provider’ (as defined in section 658P of the Child Care and Development Block Grant Act of 1990 (42 U.S.C. 9858n)).

  • Managed health care system means: (a) Any health care

  • Health carrier or "carrier" means a disability insurer

  • Health care provider or "provider" means:

  • Provider Enrollment means an agreement between the Department and a Medicaid provider to provide room and board and deliver care and services to a Medicaid eligible individual in an adult foster home for compensation.

  • Health care system means any public or private entity whose function or purpose is the management of, processing of, enrollment of individuals for or payment for, in full or in part, health care services or health care data or health care information for its participants;

  • HMO means any health maintenance organization, managed care organization, any Person doing business as a health maintenance organization or managed care organization, or any Person required to qualify or be licensed as a health maintenance organization or managed care organization under applicable federal or state law (including, without limitation, HMO Regulations).

  • Medicare Advantage plan means a plan of coverage for health benefits under Medicare Part C as defined in 42 U.S.C. 1395w-28(b)(1), and includes:

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

  • Indian Health Care Provider means a health care program operated by the Indian Health Service (IHS) or by an Indian Tribe, Tribal Organization, or Urban Indian Organization (otherwise known as an I/T/U) as those terms are defined in § 4 of the Indian Health Care Improvement Act (25 USC § 1603). Indian Health Care Provider includes a 638 Facility and provision of Indian Health Service Contract Health Services (IHS CHS).

  • Participating Prosthetic Provider means a Prosthetic Provider who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.