Provider Qualifications definition

Provider Qualifications means the requirements established by DAIL for providers of specific services, including any regulations pertaining to each provider.

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Provider Qualifications means the requirements established by the Department for providers of specific services, including any regulations pertaining to each provider.

Provider Qualifications. Provider has to Board Eligible/Certified in Internal Medicine or Family Practice in the State of Texas with an unrestricted license. If Provider is a Physician Assistant then Provider must meet all eligibility requirements for licensure in the state of Texas including having achieved certification by national examination with a specialty in Internal Medicine or Family Practice preferred. Physician and/or Physician Assistant Provider must be able to give or accept prescriptive delegation pursuant to current TMB or PAB regulations or rules if applicable as part of the operational guidelines of the facility. SERVICES Provider will perform on site History and Physical examinations for persons seeking to participate in the JDP’s program within twenty four (24) hours of the client’s admission to the Center. Provider is to either medical clear the participant for entry into the program or refer the participant to appropriate medical facility for medical care. Provider will perform H&P, assessment and/or consultation onsite for four hours per day with flexibility in scheduling, seven days a week for approximately eight (8) patients per day (subject to change). Additionally, Provider shall be available on an “On Call” basis 24/7 to provide medical clearance by phone if necessary. Provider shall provide “Medical Doctor Services” for the Diversion Center on an “as needed basis”. Provider shall ensure appropriate documentation and signature on medical records and clinic encounter forms. Provider will give prior notifications to the Clinic if he/she is unable to keep a clinic schedule in order to cancel and/or reschedule patient client appointments. Provider will ensure that all medical records are maintained and kept confidential in a secure location within the facility.

Examples of Provider Qualifications in a sentence

• Rendering providers must meet qualifications outlined in MDHHS Michigan PIHP/CMHSP Provider Qualifications per Medicaid Services & HCPCS/CPT Codes.

• Provider will maintain policies and procedures to ensure that support staff who are not licensed or certified are qualified to perform their jobs, including but not limited to, any requirements in the MPM, any MDHHS certifications, and as required in the MDHHS Behavioral Health Code Charts and Provider Qualifications document.

• Provider will ensure staff credentials are consistent with Medicare and Medicaid regulations, and other applicable laws, regulations, and rules, including the Michigan Behavioral Health Code Charts and Provider Qualifications, as revised, and the MPM, as revised.

• Rendering providers must meet qualifications outlined in MDHHS Behavioral Health Code Sets, Charts, and Provider Qualifications.

• The Executive shall be entitled to exercise her vested stock options, determined as of her termination date, pursuant to the terms of the option grant.

• Providers must meet the qualifications outlined in MDHHS Behavioral Health Codes Sets, Charts, and Provider Qualifications.

• All Services rendered and payment for same under this Agreement shall comply with the BABHA Provider Requirements, comprised of BABHA Policies and Procedures as applicable to Provider, the MDHHS PIHP/CMHSP Encounter Reporting Costing Per Code and Code Chart, and the MDHHS PIHP/CMHSP Provider Qualifications Chart, accessible at ▇▇▇▇://▇▇▇▇▇.▇▇▇/about/for-providers/ and incorporated hereto by reference.

• See the following categories of service for more information: Services: Provider Qualifications: Audiology A licensed audiologist, or a school-based audiologist who: 1) Meets the education and work experience necessary for a state professional license; 2) He or she must hold a valid school audiologist educational staff associate certificate; and 3) Limits his or her audiology services to the school setting.

• Contractor shall be in compliance with and meet the qualifications outlined in DDD Policy 6.13, Program Provider Qualifications.

• The Committee shall be comprised of at least three individuals, one of whom shall be a licensed psychologist as defined in Section 2.4, Staff Provider Qualifications, in the Medicaid Provider Manual, Mental Health and Substance Abuse Chapter, with the specified training; and at least one member shall be a licensed physician/psychiatrist as defined in the Mental Health Code at MCL 330.1100c(10).