Service Authorization means that Open Ecosystem Partner needs to meet specific qualification requirements for the products included in a “Service” Product Family that Open Ecosystem Partner wants to promote and offer Services for as set out in detail in the Open Ecosystem Program Guide.
Service Authorization means a managed care Enrollee’s request, or a Provider’s request, on behalf of an Enrollee, for the provision of services, and the MCO’s determination of the Medical Necessity for the medical service and authorization of Home and Community Based Services prior to the delivery or payment of the service. Home and Community Based Services are not subject to the Medical Necessity definition in this section.
Service Authorization means that Partner needs to meet specific qualification requirements for the products included in a “Service” Product Family that Partner wants to promote and offer Services for as set out in detail in the PartnerEdge Program Guide and the applicable RSPI.
Examples of Service Authorization in a sentence
Nothing in this Contract expresses or guarantees that HHSC will issue any Service Authorization to Contractor.
More Definitions of Service Authorization
Service Authorization means the process of service necessity determination and service authori- zation of scope, amount and duration by the review organization.
Service Authorization means the process of determining service necessity and the level of care and number of units of service to be provided to a child.
Service Authorization means a process through which a request for provisional approval of coverage is submitted to the Contractor or the Department for review.
Service Authorization means the approval required from the designated authority for reimbursement for certain Medicaid services.
Service Authorization means an authorization by CDDP of the DD Services that CDDP is responsible to authorize according to Exhibit B Part 2, as identified in an Individual’s ISP, and entered for billing purposes into eXPRS via POC or a CPA.