Medicaid provider number definition

Medicaid provider number means a number ODM issued to a provider with whom ODM has entered into a medicaid-provider agreement.
Medicaid provider number has the meaning set forth in Section 3.2(a)(ix). “Medical Records Agreement” has the meaning set forth in Section 3.2(a)(vii).

Examples of Medicaid provider number in a sentence

  • Medicaid services delivered to an eligible Medicaid recipient by a health care provider who has not previously applied for and received a Medicaid provider number from the Department of Children and Family Services.

  • Group practices should make certain that rebilling shows the same service codes, the same physician’s name and the same Medicaid provider number.

  • If the NPI number corresponds to more than one KY Medicaid provider number, Taxonomy will be a requirement on the claim.

  • The individual provider holds a Medicaid provider number and receives all payments from Medicaid.

  • If the license number changed during the cost report period, please provide the prior Medicaid provider number.

  • Any subpart of the group/organization must apply for a different Medicaid provider number as determined by the provider type per Medicaid rule.

  • The welcome letter will also notify non-healthcare providers (e.g., SMV providers, personal care agencies, blood banks) of their Medicaid provider number.

  • Any individual, partnership, association, corporation or organization, public or private, that furnishes medical goods or services in compliance with these rules and who has applied for and received a Medicaid provider number and who has entered into a written provider agreement with the Department in accordance with Section 205 of these rules.

  • An individual Medicaid provider number and the appropriate NPI issued by the Centers for Medicare & Medicaid Services (CMS) are entered into the Medicaid system with the individual’s social security number (SSN); and if applicable, the Federal Employer Identification Number (FEIN) assigned to it.

  • Medicaid-Only Residents - Therapy services for Medicaid-only residents may be provided by state-licensed therapists who have a current Medicaid provider number.

Related to Medicaid provider number

  • 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.

  • 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 services for Medicare patients in accordance with the terms of the agreement and Medicare Regulations.

  • Managed care organization means an entity that (1) is under contract with the department to provide services to Medicaid recipients and (2) meets the definition of “health maintenance organization” as defined in Iowa Code section 514B.1.

  • Health care organization ’ means any person or en-

  • Dentist means a registered dental practitioner whose name is included in sub-part A of the first part of the dental list;