Any willing provider definition

Any willing provider means that the CFSP must accept into its network any provider that is Medicaid or NC Health Choice- enrolled, meets certain quality standards, and agrees to the CFSP’s network rates.
Any willing provider means, in accordance with the State Contract, any New Jersey-based nursing facility (NF), special care nursing facility (SCNF), assisted living provider (AL), community residential services (CRS) provider that serves residents with traumatic brain injury, or long term care pharmacy that applies to become a network provider and complies with the Contractor’s provider network requirements shall be included in the Contractor’s provider network to serve MLTSS Members. MLTSS Any Willing Provider status for NF, SCNF, AL and CRS will be for a two year period from the date that the service comes into MLTSS, dependent upon available appropriation in each Fiscal Year. For NF, SCNF, AL and CRS that would mean that Any Willing Provider status expires on June 30, 2016.

Examples of Any willing provider in a sentence

  • Module B, Section 2 Part 2 Section 2 Part 2A: Non-Tariff Prices As set out in Section 1, Part 1: 7 of this Module B Module B, Section 2 Part 2 Section 2 Part 2B: Reduced Tariff Prices Not used Module B, Section 2 Part 2 Section 2 Part 2C: Annual Contract Value Any Willing Provider model and does not carry an annual contract value.

  • Activity Management Plan It is expected that the service will have the capacity to carry out operations as they are referred on an Any Willing Provider basis and the Provider must ensure that all referrals are treated within the guidelines for 18 weeks referral to treatment.

  • Any Willing Provider – A clause allowing any provider who meets the terms and conditions for participation to become a participating provider in accordance with this statute.

  • Any Willing Provider Arkansas laws that require health insurance entities to accept any qualified health care providers to join a network so long as the qualified provider is willing to accept the terms and conditions of participation.

  • Plan It is expected that the service will have the capacity to carry out operations as they are referred on an Any Willing Provider basis and the Provider must ensure that all referrals are treated within the guidelines for 18 weeks referral to treatment.

  • It is expected that the service will have the capacity to carry out operations as they are referred on an Any Willing Provider basis and the Provider must ensure that all referrals are treated within the guidelines for 18 weeks referral to treatment.

Related to Any willing provider

  • Training provider means an organization meeting the eligibility conditions as mentioned in Data Sheet and selected in accordance with the criteria set forth for the purpose.

  • Hub Provider means an entity that (i) provides Common Channel Signaling (SS7) connectivity between the networks of service providers that are not directly connected to each other; or (ii) provides third party database services such as LIDB. The SS7 messages received by Hub Providers are accepted or rejected by the Hub Provider depending on whether a contractual arrangement exists between the Hub Provider and the message originator (sender) and whether the message originator has contracted for the type of SS7 messages being submitted for transmission to the Hub Provider.

  • Reasonable Efforts means, with respect to any action required to be made, attempted, or taken by an Interconnection Party or by a Construction Party under Tariff, Part IV or Tariff, Part VI, an Interconnection Service Agreement, or a Construction Service Agreement, such efforts as are timely and consistent with Good Utility Practice and with efforts that such party would undertake for the protection of its own interests. Regional Entity:

  • Participating provider means an Administrator Hospital or Professional Provider which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to participants in the Participating Provider Option program or an Administrator facility which has been designated by the Claim Administrator as a Participating Provider.

  • Nonparticipating provider means a person, health care provider, practitioner, facility, or entity, acting within their scope of practice, that does not have a written contract to participate in a managed health care system's provider network, but provides health care services to enrollees of programs authorized under this chapter or other applicable law whose health care services are provided by the managed health care system.

  • Provider is any individual or company that provides professional or technical services.

  • Reasonable Best Efforts means best efforts, to the extent commercially reasonable.

  • Contract Provider means any Person or any employee, agent or subcontractor of such Person who provides professional health care services under or pursuant to any contract with any Consolidated Party.

  • Services Provider means a provider of telecommunications services or other services similar to the Services, including O2 or an O2 Affiliate or any direct or indirect supplier of O2 or an O2 Affiliate;

  • New Provider means any replacement service provider or providers engaged to provide the Services (or part thereof) or substantially similar services or the Authority itself where the Services or substantially similar services or part thereof continue to be provided by the Authority after partial termination, termination or expiry of this Contract;

  • Third-party logistics provider means a person that provides or coordinates warehousing of or other logistics services for a drug or device in interstate commerce on behalf of a manufacturer, wholesale distributor, or dispenser of the drug or device but does not take ownership of the product or have responsibility for directing the sale or disposition of the product.

  • Approved provider means a provider of services registered with the appropriate association or organization to render services to a member and approved by Latrobe to render services to its members.

  • Financial Services Provider means any Lender and any other provider of financial services or products;

  • Interconnection Provider means PacifiCorp Transmission.

  • Electric provider means any of the following:

  • Banking Services Provider means any Lender or Affiliate of a Lender that provides Banking Services to any Credit Party.

  • Train means any configuration of Rollingstock operating as a unit on Track;

  • State Contracting Agency means the department for which this contract is to be performed and for which the Commissioner or Authorized Designee acted in signing this contract.

  • Specialist means either a physician or other health care professional who practices in a specific area other than those practiced by primary care providers, or a properly licensed, certified or registered individual health care provider whose practice is limited to rendering mental health services. For purposes of cost-share, this definition of “specialist” does not apply to dentists. BCBSAZ does not require you to obtain an authorization or referral to see a specialist.

  • 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.

  • Emergency medical services provider means a person who has received formal training in prehospital and emergency care, and is licensed to attend any person who is ill or injured or who has a disability. Police officers, firefighters, funeral home employees and other persons serving in a dual capacity one of which meets the definition of “emergency medical services provider” are “emergency medical services providers” within the meaning of this chapter.

  • Consult or "Consultation" means to provide:

  • Commercially Reasonable Efforts means efforts which are designed to enable a Party, directly or indirectly, to satisfy a condition to, or otherwise assist in the consummation of, the transactions contemplated by this Agreement and which do not require the performing Party to expend any funds or assume liabilities, other than expenditures and liabilities which are reasonable in nature and amount in the context of the transactions contemplated by this Agreement.

  • Advise means the act of sending an Advice from Broker.

  • Replacement Provider has the meaning set forth in Section II.D.1.

  • Agency provider means an entity that directly employs at least one person in addition to the chief executive officer for the purpose of providing services for which the entity must be certified in accordance with rule 5123:2-2-01 of the Administrative Code.