Provider Selection definition

Provider Selection means the evaluation, selection, credentialing, contracting with or performing peer review of any provider of Medical Services.
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Provider Selection means evaluation, selection, deselection, credentialing, privileging, conducting disciplinary proceedings, performing peer review of or contracting with an individual provider of Medical Services.
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Provider Selection means the mechanism that allows customers to choose between network providers to carry their long distance calls.
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Examples of Provider Selection in a sentence

  • The Treasurer is hereby authorized to execute the OASBO Plan Provider Selection Agreement and any other documents that may be necessary for inclusion of AXA as an additional Provider under the Plan.

  • Healthcare services will be arranged in a transparent way, and decisions around who provides services will be made in the best interests of patients, taxpayers and the population, in line with the rules set out in the NHS Provider Selection Regime.

  • The Training Provider must provide to the Department in its Notice under Clause 7.4 details of: the Change in Control and when it is to take effect; and any changes to the information submitted through the Skills First Provider Selection Process that will result from the proposed Change in Control.

  • To accommodate this, a separate HMO / CPO Provider Selection Enrollment and Change Form is also required for HMO enrollees.

  • Therefore, if you have chosen the CPO product, please use the HMO / CPO Provider Selection Enrollment and Change Form to indicate the number of the CPO network you have selected.

  • See OWD Issuance 11-2018 Local Eligible Training Provider Selection Policy.

  • The Training Provider must provide to the Department in its notification under Clause 7.4 details of: the Change in Control and when it is to take effect; and any changes to the information submitted through the Skills First Provider Selection Process that will result from the proposed Change in Control.

  • MHP Individual, Group and Organizational Provider Selection Criteria.

  • To assure this, states must actively monitor the major components of their waiver program described in Part I of the waiver preprint: (1) program Impact (Choice, Marketing, Enrollment/Disenrollment, Program Integrity, Information to Beneficiaries, Grievance Systems);(2) access (Timely Access, PCP/Specialist Capacity, Coordination and Continuity of Care); and(3) quality (Coverage and Authorization, Provider Selection, Quality of Care).

  • Failure to maintain compliance with the criteria set forth in the Provider Responsibilities and Provider Selection Criteria stated throughout this document will jeopardize the provider’s inclusion in the Regional Behavioral Health Network.


More Definitions of Provider Selection

Provider Selection. The HMO must determine and verify at specified intervals that:
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Related to Provider Selection

  • 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.

  • Provider panel means those providers with which a carrier contracts to provide health care services

  • Provider network means an affiliated group of varied health care providers that is established to provide a continuum of health care services to individuals;

  • Random selection process means a process by which currently income-eligible households are selected for placement in affordable housing units such that no preference is given to one applicant over another except for purposes of matching household income and size with an appropriately priced and sized affordable unit (e.g., by lottery).

  • Non-Administrator Dialysis Facility means a Dialysis Facility which does not have an agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan but has been certified in accordance with the guidelines established by Medicare.

  • Provider Enrollment means an agreement between the Department and a Medicaid provider to provide room and board and deliver care and services to a Medicaid eligible individual in an adult foster home for compensation.

  • Internet Service Provider (ISP) means an Enhanced Service Provider (ESP) that provides Internet Services.

  • Self-service display means the open display or storage of Tobacco Products or Tobacco Paraphernalia in a manner that is physically accessible in any way to the general public without the assistance of the retailer or employee of the retailer and a direct person-to-person transfer between the purchaser and the retailer or employee of the retailer. A vending machine is a form of Self-Service Display.

  • Provider fee means the consideration paid for a service contract.

  • air service means a flight or a series of flights carrying passengers, cargo and/or mail for remuneration and/or hire;

  • Support Service means an activity, such as information technology, accounting, human resources, legal, and other support functions that are required to support the ongoing delivery of core services.

  • Automatic Route Selection or “ARS” means a service feature associated with a specific grouping of lines that provides for automatic selection of the least expensive or most appropriate transmission facility for each call based on criteria programmed into the system.

  • Distribution Service means the delivery of electricity to Customers by the Distribution Company.

  • Provider agency means a funded organization under contract with the Children’s Board to deliver and provide social services and supports to children and families of Hillsborough County, FL.

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

  • Non-Administrator Substance Use Disorder Treatment Facility means a Substance Use Disorder Treatment Facility that does not meet the definition of an Administrator Substance Use Disorder Treatment Facility.

  • 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.

  • Primary Care Provider (PCP) means a health care professional who is contracted with BCBSAZ as a PCP and generally specializes in or focuses on the following practice areas: internal medicine, family practice, general practice, pediatrics or any other classification of provider approved as a PCP by BCBSAZ. Your benefit plan does not require you to have a PCP or to have a PCP authorize specialist referrals.

  • Extended school year services means special education and related services that are provided to a child with a disability and meet the standards of the State of Wisconsin. These services are provided beyond the normal school year of the local educational agency, in accordance with the individualized education program (IEP), and at no cost to the parents of the child.

  • Payment Initiation Service Provider or “PISP” means an authorised third party provider which provides a service that allows that third party to pass payment instructions to us on your behalf in relation to your Account.

  • Provider Platform Application means an application or a set of related functionality deployed on a Platform Cloud Service, created by Provider using the Tools to run on or with the Platform Cloud Service for access by End Users.

  • Provider Advance means a Downgrade Advance or a Non-Extension Advance.

  • regular service means service rendered by an employee in the Cadre on a regular basis other than the service on contract or daily wages or ad-hoc but includes ad-hoc promotion or appointment in a cadre post through due procedure followed by regularization to the extant approved by the competent authority.

  • Provider agreement means the signed, written, contractual agreement between the department and the provider of services or goods.

  • Police Service ’ means the South African Police Service established in terms of section 5(1) of the South African Police Service Act;

  • Service Drop means the overhead service conductors from the service point to the connection to the service-entrance conductors at the building or other structure.