Excluded Provider definition

Excluded Provider means a person or entity that is currently excluded, debarred or otherwise ineligible for participation in a federal health care program, such as Medicare and Medicaid, pursuant to Sections 1128 and/or 1156 of the Social Security Act.
Excluded Provider means an individual or entity who or that is excluded from participating in any state or federal health care program pursuant to 42 U.S.C. § 1320a-7.
Excluded Provider means a provider of services falling within paragraphs 2(k)(i) to (iii),

Examples of Excluded Provider in a sentence

  • Each party shall notify the other party within five (5) days in writing after it receives notice that the notifying party or any of its employees or contractors is an Excluded Provider, or if it is aware of any threatened, proposed, or actual exclusion from any federal health care program.

  • By signing this Agreement, and the Excluded Provider Policy Certification Form (Exhibit H), the Provider certifies that they are in compliance with these regulations.

  • The party receiving the notice shall have the right to terminate this Agreement at any time after learning that notifying party or any of its employees or contractors is an Excluded Provider.

  • Each party represents and warrants that it is not an Excluded Provider.

  • For Excluded Providers, in accordance with Article 6.4.2 of this attachment, the Contractor shall notify the Department of the Exclusion by electronically submitting the information on the Department’s Disclosure of Excluded Provider form.


More Definitions of Excluded Provider

Excluded Provider means a provider of services falling within paragraphs 2(k)(i) to (iii), (l) or (o) of Schedule 1 (limited network, electronic communications and cash withdrawal exclusions);
Excluded Provider. (“darparwr gwaharddedig”) means a provider or sub-contractor that would be an excluded supplier in accordance with sections
Excluded Provider means a person or entity that either (i) has been convicted of a crime related to health care, or (ii) is currently listed by a federal agency as debarred, excluded or otherwise ineligible for participation in federally funded programs (including federally-funded health care programs such as Medicare and Medicaid). Monogram shall notify Pfizer within five (5) days after Monogram receives notice that it is an Excluded Provider.
Excluded Provider means a Provider that was Excluded from a Zenith Network based upon either a Qualitative Consideration, Objective Consideration or Partnership Consideration.
Excluded Provider means a legal entity which is debarred, excluded, suspended, or otherwise ineligible to participate in a U.S. federal healthcare program, or convicted of any U.S. health care related crime. Each Party will promptly notify the other Party in writing if it becomes aware that any of its employees or subcontractors has become an Excluded Provider, and thereupon either Party may terminate this Agreement upon written notice citing the fact that the other Party or its subcontractors or employees has become an Excluded Provider.
Excluded Provider means each entity entering into this Agreement and each entity's parent, principals, shareholders, directors, and officers (including subcontractors and employees).
Excluded Provider means a Provider that was Excluded from a Zenith Network based upon either a Qualitative Consideration, Objective Consideration or Partnership Consideration.