Medicaid vendor definition

Medicaid vendor means an entity that, under a contract with or otherwise on behalf of HHSC, performs one or more administrative services in relation to HHSC’s operation of a part of the State Medicaid program, such as claims processing, utilization review, client enrollment, provider enrollment, quality monitoring, or payment of claims. The independent auditor will deliver to the CONTRACTOR and to HHSC a report of the findings and recommendations within thirty (30) calendar days of the close of each audit. The report will be prepared in accordance with generally accepted auditing standards.
View Source

Examples of Medicaid vendor in a sentence

  • Void: This Agreement shall become null and void on the date the Provider Agency is no longer licensed to practice by the Illinois Department of Professional Regulation, under the licensure upon which their credential was based, and/or on the date upon which they cease to participate in the Department of Public Aid Medicaid vendor program.

  • Void: This Agreement shall become null and void on the date that the Payee/Provider ceases to participate in the Department of Healthcare and Family Services Medicaid vendor program or provides at least a thirty 30) calendar days’ prior written notice to terminate.

  • We provide a generic API that allows any Medicaid vendor to easily extract the following information from SameGoal: ● Students (basic demographics) ● IEP (key dates & info) ● Goals ● Objectives ● Related Services ● Transportation (start/end dates, bus routes) ● Personal Care Activities ● Nursing Tasks ● Prescriptions/Referrals ● Medicaid/SHARS consent Service capture may then be entered in SHARS vendor software, or directly in SameGoal (except for PCS, transportation & nursing).