Provider types definition

Provider types means the characteristics of child care providers, which determine their approved reimbursement rate, capacity, staffing levels etc. as follows:
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Examples of Provider types in a sentence

  • The Provider types and specialty codes are as follows: OMAP Hotlines — Department phone lines designed to address and facilitate resolution of issues encountered by Recipients and their advocates or Providers according to PH-MCO policies and procedures.

  • Provider types eligible to seek reimbursement include physicians, podiatrists, optometrists, nurse practitioners, outpatient hospital clinics, and behavioral health providers.

  • The Provider types and specialty codes are as follows: OMAP Hotlines — The PH-MCO will cooperate with the functions of OMAP’s Hotlines, which are designed to address clinically-related systems issues encountered by Recipients and their advocates or Providers.

  • The Division may also request Provider termination work plans and supporting documentation for other Provider types.

  • In addition to the Provider types listed in Attachment 5: Providers with Distance Requirements of this Agreement, the CONTRACTOR shall make best efforts to contract with additional provider types, including but not limited to: SBHC Providers pursuant to New Mexico regulations; State operated LTC facilities; MHV providers; Children’s Specialty Hospitals; SBs to assist with administering the SDCB; and Community Benefit Providers.

  • At a minimum, the list must include the acute care and long-term care Provider types identified in Texas Government Code § 533.005(20)(A).

  • The Care Coordination system must be designed to ensure communication and coordination of an Enrollee's care across the Medicare and Medicaid network Provider types and settings, to ensure smooth transitions for Enrollees who move among various settings in which care may be provided over time, and to strive to facilitate and maximize the level of Enrollee self-determination and Enrollee choice of services, Providers and living arrangements.

  • Subcontractor shall inform all contracted Providers about Clean Claim requirements and shall make requirements and guidelines for claims coding and processing that are specific to Provider types available to Providers.

  • The CONTRACTOR shall conduct "secret shopper" surveys for all Provider types and specialties, including Behavioral Health, on a quarterly basis to monitor appointment timeliness.

  • Contractor’s Provider Directory shall also include each of the following Provider types listed below in this Para.

Related to Provider types

  • Provider Agreements means all participation, provider and reimbursement agreements or arrangements now or hereafter in effect for the benefit of Tenant or any Manager in connection with the operation of any Facility relating to any right of payment or other claim arising out of or in connection with Tenant’s participation in any Third Party Payor Program.

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

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

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

  • Medicaid Provider Agreement means an agreement entered into between a state agency or other such entity administering the Medicaid program and a health care provider or supplier under which the health care provider or supplier agrees to provide services for Medicaid patients in accordance with the terms of the agreement and Medicaid Regulations.