PARTICIPATING PROVIDER AGREEMENT FOR THE COMMONWEALTH OF PENNSYLVANIA^February 8th, 2006
FiledFebruary 8th, 2006Necessary or Medically Appropriate, Covered Services must: (1) be recommended by a PROVIDER who is treating the Member and practicing within the scope of her/his license and (2) satisfy each and every one of the following criteria:
DAVIS VISION PROVIDER DOCUMENT REQUIREMENTS FOR THE COMMONWEALTH OF PENNSYLVANIAJuly 18th, 2005
FiledJuly 18th, 2005invoiced to Pennsylvania (PA) Medical Assistance MCO Program on a fee-for-service basis. To the extent permitted by law, PROVIDER shall provide a courtesy discount of twenty percent (20%) off PROVIDER’s usual and customary fees to Participant(s) for the purchase of materials not covered by a Plan.