Organizational provider definition

Organizational provider means a provider of specialty mental health services other than psychiatric inpatient hospital services or psychiatric nursing facility services that provides the services to beneficiaries through employed or contracting licensed mental health or waivered/registered professionals and other staff. The MHP is an organizational provider when specialty mental health services are provided to beneficiaries by employees of the MHP.
Organizational provider means a clinic, hospital, optical supplier or healthcare facility that could employ multiple healthcare professionals where such professionals xxxx for services on behalf of an organization.
Organizational provider means an organization that provides mental health treatment or chemical dependency treatment and is not a coordinated care organization.

Examples of Organizational provider in a sentence

  • Organizational provider are reassessed at least every three years Provider RecredentialingNetwork providers, including practitioners and organizational providers, are recredentialed at least every three years.

  • Organizational provider engages or has ever engaged in acts, which North Sound BH-ASO, in its sole discretion, deems inappropriate.

  • Organizational provider medical records will be reviewed annually.

  • Organizational provider has ever had any legal actions excluding medical malpractice.

  • If this workflow looks a lot like the Standard - Employee workflow, it should.

  • Questions.* n 17 (nursing), 20 (engineer), 15 (preparatory course)** n 17 (nursing), 20 (engineer), 13 (preparatory course)26,7% of the engineering students, 94,9% of the nursing students and 71,4% of the pre-course students want to replace lectures with videos and learning sessions in other topics.

  • Organizational provider is currently pending corrective action for an inspection conducted by CMS or applicable state agency.

  • Organizational provider is found to have rendered a pattern of substandard care or is responsible for any gross or flagrant incident of substandard care.

  • Organizational provider must not have any sanctions/exclusions imposed to be provisionally credentialed.

  • Organizational provider makes any material misrepresentation or omission to North Sound BH-ASO concerning licensure, registration, accreditation, insurance, certification, disciplinary history or any other material matter covered in the application or related materials.


More Definitions of Organizational provider

Organizational provider means a provider as defined in Title 9, CCR, Section 1810.231.
Organizational provider means a facility providing services to
Organizational provider means a facility providing services to Members and where Members are directed for services rather than being directed to a specific practitioner.
Organizational provider means an organization or clinic which meets the Mental Health Plan provider certification standards and has been certified by the Mental Health Plan. Beneficiary shall mean any person who meets medical necessity criteria with moderate to severe impairment and is certified as eligible for services under the Medi-Cal program and/or other eligible programs as defined by the Behavioral Health Care Services Department in accordance with Code of California Regulations.
Organizational provider means a provider of specialty mental
Organizational provider means’a provider as defined in Title 9, CCR, Section

Related to Organizational provider

  • Provider Organization means a group practice, facility, or organization that is:

  • Organizational Unit means a Laboratory School or any

  • Organizational Conflict of Interest means that because of other activities or relationships with other persons, a person is unable or potentially unable to render impartial assistance or advice to the Government, or the person's objectivity in performing the contract work is or might be otherwise impaired, or a person has an unfair competitive advantage. "Person" as used herein includes Corporations, Partnerships, Joint Ventures, and other business enterprises.

  • Procurement organization means an eye bank, organ procurement organization, or tissue bank.

  • Governing Documents means, with respect to any Person, such Person’s charter, articles or certificate of incorporation, limited partnership, formation or organization, bylaws, limited partnership agreement, limited liability company agreement or other documents or instruments which establish the rules, procedures and rights with respect to such Person’ governance, in each case as amended, restated, supplemented and/or modified and in effect as of the relevant date.

  • Preferred Provider Organization or "PPO" means an entity through which a group of health care providers, such as doctors, hospitals and others, agree to provide specific medical and hospital care and some related services at a negotiated price.

  • Governing Document means any charter, articles, bylaws, certificate, statement, statutes or similar document adopted, filed or registered in connection with the creation, formation or organization of an entity, and any Contract among all equityholders, partners or members of an entity.

  • Certification of Incorporation means the restated certificate of incorporation of the Corporation, as it may be amended from time to time, and shall include this Certificate of Designations.

  • 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.

  • Parent Organizational Documents means the certificate of incorporation, bylaws (or equivalent organizational or governing documents), and other organizational or governing documents, agreements or arrangements, each as amended to date, of each of Parent and Acquisition Sub.

  • Organizational Documents means, with respect to any Person (other than an individual), (a) the certificate or articles of incorporation or organization and any joint venture, limited liability company, operating or partnership agreement and other similar documents adopted or filed in connection with the creation, formation or organization of such Person and (b) all by-laws, voting agreements and similar documents, instruments or agreements relating to the organization or governance of such Person, in each case, as amended or supplemented.

  • New Organizational Documents means the documents providing for corporate governance of New Valaris Holdco and the Reorganized Debtors, including charters, bylaws, operating agreements, or other organizational documents or shareholders’ agreements, as applicable, consistent with section 1123(a)(6) of the Bankruptcy Code (as applicable).

  • Managed Care Organization (MCO) means a contracted health delivery system providing capitated or prepaid health services, also known as a Prepaid Health Plan (PHP). An MCO is responsible for providing, arranging, and making reimbursement arrangements for covered services as governed by state and federal law. An MCO may be a Chemical Dependency Organization (CDO), Dental Care Organization (DCO), Mental Health Organization (MHO), or Physician Care Organization (PCO).

  • Locational UCAP means unforced capacity that a Member with available uncommitted capacity sells in a bilateral transaction to a Member that previously committed capacity through an RPM Auction but now requires replacement capacity to fulfill its RPM Auction commitment. The Locational UCAP Seller retains responsibility for performance of the resource providing such replacement capacity.

  • Organizational Document means, relative to any Person, its certificate of incorporation, its certificate of formation or articles of organization, its certificate of partnership, its by-laws, its partnership agreement, its limited liability company or operating agreement, its memorandum or articles of association, share designations or similar organization documents and all shareholder agreements, voting trusts and similar arrangements applicable to any of its authorized Equity Interests.

  • Member organization means any individual, corporation, limited liability company, partnership, or association that belongs to an association.

  • Formation means an assemblage of earth materials grouped together into a unit that is convenient for description or mapping.

  • Organization means a person other than an individual.

  • Business organization means an individual, partnership, association, joint stock company, trust, corporation or other legal business entity or successor thereof.

  • Incorporation means applying manure using injection, disking into the soil, tilling the soil after application, or using other practices that result in at least 50 percent of the manure being placed below the ground surface within 24 hours of application and prior to rainfall.

  • 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.

  • Business association means a nonpublic corporation, joint stock company, investment company, business trust, partnership, or association for business purposes of 2 or more individuals, whether or not for profit, including a banking organization, financial organization, insurance company, or utility.

  • Self-Regulatory Organization means any association of investment advisers or securities dealers registered under the federal securities laws, or any Exchange.

  • Parent organization means the entity named in Item I. of the Policy Declarations.

  • Nonprofit organization means a university or other institution of higher education or an organization of the type described in section 501(c)(3) of the Internal Revenue Code of 1954 (26 U.S.C. 501(c) and exempt from taxation under section 501(a) of the Internal Revenue Code (25 U.S.C. 501(a)) or any nonprofit scientific or educational organization qualified under a state nonprofit organization statute.

  • Individual provider means an individual provider as defined