Examples of Health Insurance Benefit Agreement in a sentence
Specifically, RHCs sign the Health Insurance Benefit Agreement (Form CMS-1561A).
Any hospital which is subject to the CHAMPUS DRG-based payment system and which otherwise meets CHAMPUS requirements but which is not a Medicare-participating provider (having completed a form HCA-1514, Hospital Request for Certification in the Medicare/Medicaid Program and a form HCFA-1561, Health Insurance Benefit Agreement) must complete a participation agreement with TRICARE.
However, any hospital which is subject to the TRICARE DRG-based payment system and which otherwise meets TRICARE requirements but which is not a Medicare- participating provider (having completed a CMS 1561, Health Insurance Benefit Agreement, and a CMS 1514, Hospital Request for Certification in the Medicare/Medicaid Program) must complete a participation agreement (Addendum A) with DHA.
However, any hospital which is subject to the CHAMPUS DRG-based payment system and which otherwise meets CHAMPUS requirements but which is not a Medicare-participating provider (having completed a form HCFA-1514, Hospital Request for Certification in the Medicare/Medicaid Program and a form HCFA-1561, Health Insurance Benefit Agreement) must complete a participation agreement with OCHAMPUS.
For SNF initial enrollment, this also includes the following:• Form CMS-1561 (Health Insurance Benefit Agreement, also known as a “provider agreement”)• Evidence of successful electronic submission of the Form HHS-690 through the Office of Civil Rights (OCR) portal, as applicable.
However, any hospital which is subject to the TRICARE/CHAMPUS DRG-based payment system and which otherwise meets TRICARE/CHAMPUS requirements but which is not a Medicare-participating provider (having completed a CMS 1561, Health Insurance Benefit Agreement, and a CMS 1514, Hospital Request for Certification in the Medicare/ Medicaid Program) must complete a participation agreement (Chapter 6, Addendum A) with TMA.
Specifically, RHCs sign the Health Insurance Benefit Agreement (Form CMS- 1561A).
For HHA initial enrollment, this also includes the following:• Form CMS-1561 (Health Insurance Benefit Agreement, also known as a “provider agreement”)• Evidence of successful electronic submission of the Form HHS-690 through the Office of Civil Rights (OCR) portal, as applicable.
For CMHC initial enrollment, this also includes the following:• Form CMS-1561 (Health Insurance Benefit Agreement, also known as a “provider agreement”)• Evidence of successful electronic submission of the Form HHS-690 through the Office of Civil Rights (OCR) portal, as applicable.
Specifically, RHCs sign the Health Insurance Benefit Agreement (Form CMS-1561A).• Can be either mobile in nature or fixed/permanent locations.