Provider Manual definition

Provider Manual means a working document, including but not limited to BCBSM published bulletins and provider notices, that provide specific guidelines and direction by which providers may meet their contractual responsibility as described in this Agreement. Provider Manuals are published on web-DENIS.

Provider Manual means the interpretive document or documents issued by the office to providers to inform them of their obligations under Medicaid to which they must conform to retain their provider status and receive payment for appropriate services, and to provide them essential information for understanding Medicaid as it relates to the services for which they are qualified to provide under the state statutes.

Provider Manual means the DAVIS Vision Care Plan Provider Manual, as amended from time to time by DAVIS.

Examples of Provider Manual in a sentence

• The parties agree and acknowledge that each are subject to and shall comply with the Ethics Policy set forth in the Provider Manual.

• If the Secretary of the U.S. Department of Health and Human Services, the Comptroller General of the United States or their duly authorized representatives (referred to as the "Requesting Parties") request access to books, documents, and records of the PROVIDER as outlined in the Provider Manual and in accordance with Section 952 of the Omnibus Reconciliation Act of 1980 [42 USC 1395x(v)(1)(I)] and the regulations adopted pursuant thereto, the PROVIDER agrees to provide such access to the extent required.

• The Contractor shall follow the Department’s criteria for coverage of food, lodging, transportation, and airfare expenses as outlined in the Utah Medicaid Provider Manual for Medical Transportation.

• The PROVIDER is responsible for submitting timely reports to the PAYOR, as may from time to time be required by the PAYOR, complying with all reporting requirements as specified in this agreement, the MDHHS/PIHP Master Agreement, MSHN SUD Providers Manual and the MDHHS SUD Provider Manual and Requirements.

• The MSHN SUDSP Provider Manual is incorporated into this agreement by reference and made a part hereof.

More Definitions of Provider Manual

Provider Manual means the current Internet online version of the official STATE publication, entitled “Minnesota Health Care Programs Provider Manual.”

Provider Manual means the OHCA BH Provider Billing Manual.

Provider Manual means the manual developed by ADMINISTRATOR to describe the specific services to be performed by CONTRACTOR. The TUPP Provider Manual provides guidance, goals, objectives, terminology, and evaluation components.

Provider Manual means the XXXXX Vision Care Plan Provider Manual, as amended from time to time by XXXXX.

Provider Manual means the provider manual and any billing manuals, adopted by Company or Payor which include, without limitation, requirements relating to utilization management, quality management, grievances and appeals, and Product-specific, Payor-specific and State-specific requirements, as may be amended from time to time by Company or Payor.

Provider Manual means that document, as amended from time to time, that is prepared by CalOptima and describes CalOptima's Policies as they affect Providers.

Provider Manual. Means the instructions and documents prepared by the PAYOR and is posted on the website of the PAYOR. Rules: Means rules, regulations, and standards promulgated and adopted by the MDHHS in compliance with the Mental Health Code.