Provider network means an affiliated group of varied health care providers that is established to provide a continuum of health care services to individuals;
Behavioral health provider means a person licensed under 34 chapter 18.57, 18.57A, 18.71, 18.71A, 18.83, 18.205, 18.225, or 18.79
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.
Health Service Provider has the meaning set out in section 2 of the LHSIA.
Medical provider means a medical service provider, a hospital, a medical clinic, or a vendor of medical services.
Health plan or "health benefit plan" means any policy,
Mental health provider means a health care provider or a health care facility authorized by state law to provide mental health services.
Medicare Provider Agreement means an agreement entered into between CMS (or other such entity administering the Medicare program on behalf of the CMS) and a health care provider or supplier, under which such health care provider or supplier agrees to provide services for Medicare patients in accordance with the terms of the agreement and Medicare Regulations.
Acute care hospital means a Hospital that provides Acute Care Services. Adjudicate means to deny or pay a Clean Claim. Administrative Services see MCO Administrative Services. Administrative Services Contractor see HHSC Administrative Services Contractor.
Mental health services provider means an individual, licensed or unlicensed, who performs or purports to perform mental health services, including a:
Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.
Provider Organization means a group practice, facility, or organization that is:
Health carrier or "carrier" means a disability insurer
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.
Internet Service Provider (ISP) means an Enhanced Service Provider (ESP) that provides Internet Services.
School health services means health services provided by a qualified school nurse or other qualified person that are designed to enable a child with a disability to receive FAPE as described in the child’s IEP.
Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:
Provider Number means an identifying number issued to each homecare worker who is enrolled as a provider through the Department.
CMS means the Centers for Medicare and Medicaid Services.
Emergency medical care provider means an individual who has been trained to provide emergency and nonemergency medical care at the first responder, EMT-basic, EMT-intermediate, EMT-paramedic, paramedic specialist or other certification levels recognized by the department before 1984 and who has been issued a certificate by the department.
child care element of working tax credit means the element of working tax credit prescribed under section 12 of the Tax Credits Act 2002 (child care element).
Medicaid Provider Agreement means an agreement entered into between a state agency or other entity administering the Medicaid program and a health care operation under which the health care operation agrees to provide services for Medicaid patients in accordance with the terms of the agreement and Medicaid Regulations.
Hospital means a facility that:
Behavioral health services means mental health services as
Primary care physician means a physician who is a family
Mental health service provider means a public or private