Specialty Provider definition

Specialty Provider is defined as a provider that only serves (1) a defined population due to the practice specialty (e.g., OB/GYN; STD clinic; family planning) or (2) a specific age group within the general population of children ages 0-18. Local health departments and pediatricians are not considered specialty providers. The VFC Program has the authority to designate VFC providers as specialty providers. At the discretion of the VFC Program, enrolled providers such as pharmacies and mass vaccinators may offer only influenza vaccine. Select Vaccines Offered by Specialty Provider: ⭘ DTaP ⭘ Meningococcal Conjugate ⭘ TD ⭘ Hepatitis A ⭘ MMR ⭘ Tdap ⭘ Hepatitis B ⭘ Pneumococcal Conjugate ⭘ Varicella ⭘ HIB ⭘ Pneumococcal Polysaccharide ⭘ Other, specify: ⭘ HPV ⭘ Polio ⭘ Influenza ⭘ Rotavirus PROVIDER POPULATION Provider Population is based on patients seen during the previous 12 months. Report the number of children who received vaccinations at your facility, by age group. Only count a child once based on the status at the last immunization visit, regardless of the number of visits made. The following table documents how many children received VFC vaccine, by category, and how many received non-VFC vaccine. VFC Vaccine Eligibility Categories # of children who received VFC Vaccine by Age Category <1 Year 1-6 Years 7-18 Years Total Enrolled in Medicaid No Health Insurance American Indian/Alaska Native Underinsured in FQHC/RHC or Deputized Facility1 Total VFC: Non-VFC Vaccine Eligibility Categories # of children who received non-VFC Vaccine by Age Category <1 Year 1-6 Years 7-18 Years Total Insured (health insurance covers vaccines) Other Underinsured2 Children’s Health Insurance Program (NV Check-Up)3 Total Non-VFC: Total Patients (must equal sum of Total VFC + Total Non-VFC) 1Underinsured includes children with health insurance that does not include vaccines, caps vaccine coverage or only covers specific vaccine types. Children are only eligible for VFC-funded vaccines that are not covered by insurance. In addition, to receive VFC vaccine, underinsured children must be vaccinated through a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC) or under an approved deputized provider. The deputized provider must have a written agreement with an FQHC/RHC and the Nevada State Immunization Program in order to vaccinate these underinsured children. 2Other underinsured are children that are underinsured but are not eligible to receive federal vaccine through the VFC program ...
Specialty Provider means a Provider who provides Specialty Services.
Specialty Provider means a an entity or another person that provides health-related goods or services to a recipient, including providers of medication, therapy services, and equipment, including durable medical equipment.

Examples of Specialty Provider in a sentence

  • In such instances the Contractor shall be responsible for payment, even if the Specialty Provider is a Non-Network Provider.

  • Specialty Provider • If a specialty provider: • Defined population vs.

  • The Contractor must require written evidence of the communication of the Medicaid MCO Member’s results/information to the referring physician by the Specialty Provider or continued communication of the Medicaid MCO Member’s patient information between the Specialty provider and the PCP.

  • This Agreement does not supersede nor replace the existing Primary Care Provider, Specialty Provider, or Hospital Provider Contract between PHC and the 340B Participating Entity.

  • The Specialty Provider must comply with all applicable statutory and regulatory requirements of the Medicaid and the Program; be eligible to participate in Medicaid and the Program; and be board certified or admissible.


More Definitions of Specialty Provider

Specialty Provider means a dentist providing specialty care such as Endodontics, Oral Surgery, Pediatric Dentistry, Periodontics, and Orthodontics.
Specialty Provider is defined as a provider that only serves (1) a defined population due to the practice specialty (e.g. OB/GYN; STD clinic; family planning) or (2) a specific age group within the general population of children ages 0-18. Local health departments and pediatricians are not considered specialty providers. The VFC Program has the authority to designate VFC providers as specialty providers. At the discretion of the VFC Program, enrolled providers such as pharmacies and mass vaccinators may offer only influenza vaccine. Select Vaccines Offered by Specialty Provider:  DTaP  Meningococcal Conjugate  TD  Hepatitis A  MMR  Tdap  Hepatitis B  Pneumococcal Conjugate  Varicella  HIB  Pneumococcal Polysaccharide  Other, specify:  HPV  Polio  Influenza  Rotavirus
Specialty Provider is defined as a provider that only serves (1) a defined population due to the practice specialty (e.g., OB/GYN; STD clinic; family planning) or (2) a specific age group within the general population of children ages 0-18. Local health departments and pediatricians are not considered specialty providers. The VFC Program has the authority to designate VFC providers as specialty providers. At the discretion of the VFC Program, enrolled providers such as pharmacies and mass vaccinators may offer only influenza vaccine. Select Vaccines Offered by Speciality Provider: DTap Meningococcal Conjugate TD Hepatitis A MMR Tdap Hepatitis B Pneumococcal Conjugate Varicella HIB Pneumococcal Polysaccharide Other, specify: HPV Polio Influenza Rotavirus PROVIDER POPULATION Provider Population based on patients seen during the previous 12 months. Report the number of children who received vaccinations at your facility, by age group. Only count a child once based on the status at the last immunization visit, regardless of the number of visits made. The following table documents how many children received VFC vaccine, by category, and how many received non-VFC vaccine. VFC Vaccine Eligibility Categories # of children who received VFC Vaccine by Age Category <1 Year 1-6 Years 7-18 Years Total Enrolled in Medicaid 82 471 723 1276 No health insurance 3 15 30 48 Underinsured 2 8 28 38 Total VFC: 87 494 781 1362 Non-VFC Vaccine Eligibility Categories # of children who received non-VFC Vaccine by Age Category <1 Year 1-6 Years 7-18 Years Total Total Patients (must equal sum of Total VFC + Total Non-VFC) 87 494 781 1362 TYPE OF DATA USED TO DETERMINE PROVIDER POPULATION (choose all that apply)
Specialty Provider means a health care practitioner who:
Specialty Provider means a person who provides
Specialty Provider is defined as a provider that only serves (1) a defined population due to the practice specialty (e.g. OB/GYN; STD clinic; family planning) or (2) a specific age group within the general population of children ages 0-18. Local health departments and pediatricians are not considered specialty providers. The VFC Program has the authority to designate VFC providers as specialty providers. At the discretion of the VFC Program, enrolled providers such as pharmacies and mass vaccinators may offer only influenza vaccine. Select Vaccines Offered by Specialty Provider:  DTaP  Hepatitis AHepatitis B  HIB  HPV  Influenza  Meningococcal Conjugate  MMR  Pneumococcal Conjugate  Pneumococcal Polysaccharide  Polio  Rotavirus  TD  Tdap  Varicella  Other, specify:
Specialty Provider means a Participating Provider who is appropriately qualified in a certain medical specialty that provides Covered Services to Members within the range of such specialty, who elects to be designated as a Specialty Provider by RHS and who meets all other requirements for Specialty Provider contained in the Agreement between RHS and Specialty Provider.