Performing provider definition

Performing provider means the physician or AHP who actually performs the service;
Performing provider means an Independently Licensed Practitioner who personally delivers a care or service directly to a client.
Performing provider means the individual who personally delivers a care or service directly to a client.

Examples of Performing provider in a sentence

  • The most appropriate taxonomy codes should be selected for any performing providers that will be enrolled according to their specific performing provider type and specialty.• Performing provider.

  • Consistent with current requirements for MCO and PIHPs under 438.242, the state must ensure, through its contracts with the Performing provider systems, that each Performing provider system receiving payments under DSRIP maintains (or participates in) a health information system that collects, analyzes, integrates, and reports data and can achieve the objectives of this DSRIP.

  • The Performing provider system will need to demonstrate that it has a governance strategy that ensures that participating providers work together as a “system” and not as a series of loosely aligned providers nominally committed to the same goal.

  • Penalties will be applied to Performing provider systems that are not reporting data that are valid and accurate as described.

  • The state must require that each Performing provider system ensure that data received from providers within the system is accurate and complete by ensuring that Performing Provider Systems have appropriate data agreements in place (as described in section IV.b) and verifying the accuracy and timeliness of reported data (including such data that contributes to chart review metrics), screening the data for completeness, logic, and consistency.


More Definitions of Performing provider

Performing provider means an individual enrolled in Medicaid who actually provides a service to a member;
Performing provider means a person, agent, business, corporation, clinic, group, institution, or other entity that is the provider of a service or item with the authority to delegate fiduciary responsibilities to a billing provider, also termed billing agent, to obligate or act on the behalf of the performing provider regarding claim submissions, receivables, and payments relative to the Medical Assistance Program. For the purposes of these SBHS rules, the school medical (SM) provider is the performing provider.
Performing provider means any designated grantee agency, or other entity employed by the Department of Mental Health in the delivery of case management services to eligible persons.
Performing provider means the direct care staff member actually providing a service to an individual in a residential treatment program or separately billing a rehabilitative service to an individual residing in a residential treatment program;
Performing provider means the licensed practitioner or BCBA who: (A) is enrolled in Medicaid with a valid provider agreement on file with the department and (B) performs ASD services in accordance with sections 17b-262-1051 to 17b-262-1065, inclusive, of the Regulations of Connecticut State Agencies, including supervision of ASD treatment services performed by a technician;
Performing provider means an individual who (A) is a licensed practitioner or non-licensed practitioner; (B) is employed by or under contract to the billing provider; and (C) provides EIS in compliance with provider qualifications and other applicable requirements;
Performing provider means the BCBA, physician, advanced practice registered nurse, physician assistant, psychologist, licensed clinical social worker, licensed professional counselor or licensed marital and family therapist who: (A) is enrolled in Medicaid with a valid provider agreement on file with the department; (B) performs ASD services in accordance with sections 17b-262-1051 to 17b-262-1065, inclusive, of the Regulations of Connecticut State Agencies, including supervision of ASD treatment services performed by a technician; and (C) provides services within such individual’s scope of practice;