Participant Provider List definition

Participant Provider List means the list that identifies each Participant Provider that is approved by CMS for participation in the Model for a Performance Year that is established in accordance with Section 4.02 and updated from time to time in accordance with Sections 4.03 and 4.04.
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Examples of Participant Provider List in a sentence

  • By a date specified by CMS, the ACO shall furnish written notification to the executive of any TIN through which an individual or entity on the Proposed Revised Participant Provider List or Proposed Revised Preferred Provider List bills Medicare.

  • CMS shall conduct a Program Integrity Screening for each individual and entity on the Proposed Revised Participant Provider List and the Proposed Revised Preferred Provider List.

  • In a form and manner and by the date(s) specified by CMS, the ACO may update its Participant Provider List and Preferred Provider List to identify each individual and entity who has agreed to participate in the 3-Day SNF Rule Waiver Benefit Enhancement and the Nurse Practitioner and Physician Assistant Services Benefit Enhancement for Performance Year 2023 and each subsequent Performance Year.

  • By a date specified by CMS, the ACO shall furnish written notification to each individual or entity the ACO wishes to include on the Proposed Revised Participant Provider List.

  • The removal of the individual or entity from the Participant Provider List or Preferred Provider List pursuant to this Section 4.03.B.2 will be effective as of the date the individual or entity lost eligibility to receive payment from Medicare.

  • If an individual or entity on the Participant Provider List or Preferred Provider List becomes ineligible to receive payment from Medicare, the ACO shall notify CMS, in a form and manner specified by CMS, within 15 Days of receiving notice of such ineligibility.

Related to Participant Provider List

  • Lower Tier Participant refers any participant who has entered into a covered transaction with a First Tier Participant or other Lower Tier Participants (such as subcontractors and suppliers).

  • Participant has the meaning specified in Section 10.06(d).

  • Enhanced Service Provider (ESP means the provider of enhanced services, as those services are defined in 47 CFR Section 64.702.

  • Program participant means an individual certified by the secretary as a program participant under Iowa Code section 9E.3.

  • Non-Participating Provider means a Plan Hospital or Professional Pro­ vider which does not have a written agreement with Blue Cross and Blue Shield of Illinois or another Blue Cross and/or Blue Shield Plan to provide services to participants in a Participating Provider Option program or a fa­ cility which has not been designated by Blue Cross and Blue Shield of Illinois as a Participating Provider.

  • Employee Account means any brokerage account or unit investment trust account in which the Van Kampen Employee has any direct or indirect beneficial ownership.

  • First Tier Participant refers to the participant who has entered into a covered transaction with a grantee or subgrantee of Federal funds (such as the prime or general contractor). “Lower Tier Participant” refers any participant who has entered into a covered transaction with a First Tier Participant or other Lower Tier Participants (such as subcontractors and suppliers).

  • Participating provider means an Administrator Hospital or Professional Provider which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to participants in the Participating Provider Option program or an Administrator facility which has been designated by the Claim Administrator as a Participating Provider.

  • Clearing Participant means a bank or any person who submits a cheque, IBG or FAST to the Clearing House for clearing;

  • Participants is defined in Section 12.2.1.

  • Provider Service means a Provider’s hosted online services (if any) as described in the Solution Exhibit which is provided by Provider to Customers located in the Territory through remote access via the Internet as part of the BPO Service. A Provider Platform Application shall be considered a Provider Service.

  • Local Service Provider (LSP means the LEC that provides retail local Exchange Service to an End User. The LSP may or may not provide any physical network components to support the provision of that End User’s service.