Hospice provider definition

Hospice provider means a provider that is licensed under the provisions of Rule R432-750 and is primarily engaged in providing care to terminally ill individuals.
Hospice provider means an individual, organization, association, corporation, unit of government, or other entity that is regularly engaged in the delivery, directly or by contractual arrangement, of hospice services for a fee to terminally ill hospice patients. A hospice must provide all core services (Minn. Stat § 144A.75, Subd. 5).
Hospice provider means a public agency or private organization or subdivision of either of these that is primarily engaged in providing Hospice Care in accordance with 42 CFR § 418.3. The participating MAO may only provide hospice services through a Hospice Provider that has a participation agreement with Medicare and meets the applicable requirements of title XVIII and part A of title XI of the Social Security Act, in accordance with 42 CFR § 422.204(b)(3).

Examples of Hospice provider in a sentence

  • If the attending physician, who may be a nurse practitioner, is an employee of the designated Hospice provider, they may not receive compensation from the Hospice for those services under Part B.

  • Hospice services are billed per diem of service for days covered by a Hospice plan of care and during which the Hospice provider is responsible for providing Hospice services as needed by the member or member's family.

  • Additional secondary messaging includes: “Member Enrolled in Hospice; Hospice provider – request prior authorization.

  • If the Hospice provider and the MCO disagree in determination of the hospice plan of care, the Hospice provider may file an appeal.

  • If the plan does not have an in-network Hospice provider, the plan must allow the member to go out-of-network.

  • When the need for Hospice services presents and/or an urgent referral is made by a provider during non-business hours, and the MCO cannot be reached to request authorization, the Hospice provider will request authorization with all necessary information by the next business day.

  • The Hospice provider must obtain authorization from the MCO for Hospice services and provide these services.

  • PRIMARY PROVIDER - Name of primary care case manager, HealthItem 10:Maintenance Organization (HMO), Children and Family Services (CFS)contractor, and/or Hospice provider.

  • The Hospice provider also has appeal rights on his or her own behalf pursuant to the provider contract and Article 49 of the Public Health Law.

  • Your statement must be in writing to the Hospice provider, and all hospice services must be arranged through a hospice provider.


More Definitions of Hospice provider

Hospice provider means a facility that provides hospice services and that meets all of the Qualification Standards stated in Addendum B.
Hospice provider means a facility that provides medical, social, psychological and spiritual care as palliative treatment for terminally ill patients in the home and/or as an Inpatient using an interdisciplinary team of professionals. A Hospice Provider must be approved by the Joint Commission on Accreditation of Health Care Organizations or certified by Medicare.
Hospice provider means an agency that is:

Related to Hospice provider

  • Ambulance service provider means Latrobe Health Services recognises the following providers for the purposes of paying benefits:

  • Education service provider means an education management organization, school

  • Cloud Service Provider or CSP means a company or organization that offers some component of cloud computing – typically Infrastructure as a Service (IaaS), Software as a Service (SaaS) or Platform as a Service (PaaS) – to other businesses, organizations or individuals.

  • Home service provider means the facilities-based carrier or reseller with which the customer contracts for the provision of mobile telecommunications services.

  • Health Service Provider has the meaning set out in section 2 of the LHSIA.

  • energy service provider means a natural or legal person who delivers energy services or other energy efficiency improvement measures in a final customer’s facility or premises;

  • Company Service Provider means an employee, individual consultant, individual independent contractor, individual self-employed contractor, leased or temporary employee or director of the Company or any of its Subsidiaries.

  • Hospice means a public agency or private organization licensed pursuant to Chapter 400, Florida Statutes, to provide Hospice services. Such licensed entity must be principally engaged in providing pain relief, symptom management, and supportive services to terminally ill Members and their families.

  • Sub-Service Provider means any person / firm / Organization / company /entity (other than the Service Provider) and it’s legal representatives, successors and permitted assigns named in the Contract as a Sub-Service Provider for a part of the Services or to whom a part of the Services has been sub-Contracted with the written prior consent of the Employer.

  • The Service Provider means the organization or firm providing the services under this Contract.

  • Video service provider or "provider" means a person authorized under this act to provide video service.

  • Information Service Provider A provider of Information Service. Information Service Provider includes, but is not limited to, Internet Service Providers (ISPs).

  • Network Service Provider means PacifiCorp Transmission, as a provider of network service to PacifiCorp under the Tariff.

  • Third Party Service Provider means any consultant, agent, advisor, or independent contractor who renders services to the Company, a Subsidiary, or an Affiliate that (a) are not in connection with the offer and sale of the Company’s securities in a capital raising transaction, and (b) do not directly or indirectly promote or maintain a market for the Company’s securities.

  • Ambulance provider means an emergency medical service provider that:

  • Wireless service provider means a person that provides wireless service to the public.

  • Basic generation service provider or "provider" means a

  • Hospice patient s family" means a hospice patient's immediate family members, including a spouse, brother, sister, child, or parent, and any other relative or individual who has significant personal ties to the patient and who is designated as a member of the patient's family by mutual agreement of the patient, the relative or individual, and the patient's interdisciplinary team.

  • financial service provider means a person engaged in the business of providing financial services in terms of authorisation issued or registration granted by a financial sector regulator;

  • Payment Initiation Service Provider or “PISP” means an authorised third party provider which provides a service that allows that third party to pass payment instructions to us on your behalf in relation to your Account.

  • Hospice services means palliative and supportive care and other services provided by an interdisciplinary team under the direction of an identifiable hospice administration to terminally ill hospice patients and their families to meet the physical, nutritional, emotional, social, spiritual, and special needs experienced during the final stages of illness, dying, and bereavement, as defined in Minnesota Statutes, § 144A.75, subd. 8, and includes the set of services as determined by the Medicare program under §1861(dd) of the Social Security Act and defined in 42 CFR § 418.3.

  • Third Party Service Providers means any third party wherever situated selected by us or any member of the BEA Group to provide services to it.

  • Internet Service Provider (ISP) is an Enhanced Service Provider that provides Internet Services, and is defined in paragraph 341 of the FCC’s First Report and Order in CC Docket No. 97-158.

  • 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.

  • Mental health service provider means a public or private

  • certification service provider means a person who has been granted a licence to issue a digital signature certificate;