Provider category definition

Provider category means the type of facility in which a client receives services or resides. The provider category determines the extent of monitoring that a provider receives and is determined as follows:
Sample 1Sample 2Sample 3

Examples of Provider category in a sentence

  • Provider category Basis of reimbursement Upper limitHome health agency (provided by nurse)Cost-based rate for nursing services provided by a home health agencyEffective 7/1/16: Lesser of maximum Medicare rate in effect 6/30/16 plus 1%,converted to a 15-minute rate, or maximum Medicaid rate in effect 6/30/16 plus 1%, converted to a 15-minute rate.Child development home or centerFee schedule Effective 7/1/16, provider’s rate in effect 6/30/16 plus 1%, converted to a 15-minute rate.

  • Provider category Basis of reimbursement Upper limitBasic individual respite Fee schedule Effective 7/1/16, provider’s rate in effect 6/30/16 plus 1%, converted to a 15-minute rate.

  • As part of the assessment the MCO will also be expected to provide an explanation of the basis for how the Provider category payment was determined.

  • Provider category Basis of reimbursement Upper limitAssisted living program (for elderly waiver only)Fee agreed upon by member and providerEffective 7/1/13, provider’s rate in effect 6/30/13 plus 3%, converted to a 15-minute rate.

  • Any relevant metering installation must be installed by a Metering Provider, and data collected by an AEMO accredited Metering Data Provider (category MDP 1-4 or, in respect of Vic AMI meters, such category accredited by AEMO entitled to collect data for Vic AMI meters).

  • Provider category Basis of reimbursement Upper limitEnhanced job search Retrospectively limited prospective rates.

  • Provider category Basis of reimbursement Upper limitBasic individual respite Cost-based rate for home healthaide services provided by a home health agencyEffective 7/1/16, provider’s rate in effect 6/30/16 plus 1%, converted to a 15-minute rate.

  • Consumer-directed attendant care provided by: Provider category Basis of reimbursement Upper limitAgency (other than an elderly waiver assisted living program) Assisted living program (for elderly waiver only)Fee agreed upon by member and provider Fee agreed upon by member and providerEffective 7/1/16, provider’s rate in effect 6/30/16 plus 1%, converted to a 15-minute rate.

  • Payers must separately identify and report Relative Prices for Providers who received 3% or more of payments in a given Provider category as identified in 957 CMR 2.05(3)(a) for the relevant reporting period.

  • Provider category Basis of reimbursement Upper limit Home health agency (provided by nurse)Cost-based rate for nursing services provided by a home health agencyEffective 7/1/13: Lesser of maximum Medicare rate in effect 6/30/13 plus 3%,converted to a 15-minute rate, or maximum Medicaid rate in effect 6/30/13 plus 3%, converted to a 15-minute rate.

Related to Provider category

  • Product Category means the applicable category which best describes the product as listed in this Section 94508.

  • Clinical categories means the groups into which hospital treatments are categorised by type, e.g., brain and nervous system, kidney and bladder, and digestive system. At the time of writing there were 38 categories in the Medicare clinical categories system.

  • Rating Category means (i) with respect to S&P, any of the following categories: BB, B, CCC, CC, C and D (or equivalent successor categories), (ii) with respect to Moody's, any of the following categories: Ba, B, Caa, Ca, C and D (or equivalent successor categories) and (iii) the equivalent of any such category of S&P or Moody's used by another Rating Agency. In determining whether the rating of the Notes has decreased by one or more gradations, gradations within Rating Categories (+ and - for S&P; 1, 2 and 3 for Moody's; or the equivalent gradations for another Rating Agency) shall be taken into account (e.g., with respect to S&P, a decline in a rating from BB to BB-, as well as from BB-to B+, will constitute a decrease of one gradation).

  • Category 3 means those affected lands and support facilities if those lands supported operations which were not completed or substantially completed prior to July 1, 1973 (the effective date of the Wyoming Environmental Quality Act) and any affected lands or support facilities taken out of use on or after July 1, 1973 and before May 25, 1975 (the effective date of the Division’s 1975 Rules and Regulations).

  • Provider Service means a Provider’s hosted online services (if any) as described in the Solution Exhibit which is provided by Provider to Customers located in the Territory through remote access via the Internet as part of the BPO Service. A Provider Platform Application shall be considered a Provider Service.

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

  • eligible Categories means Categories (1), (2) and (3) set forth in the table in paragraph 1 of Schedule 1 to this Agreement;

  • eligible Category means Category (1) set forth in the table in paragraph 1 of Schedule 1 to this Agreement;

  • Transaction Category means the particular type of repurchase transaction effected hereunder, as determined with reference to the term of the transaction and the categories of Securities that constitute Eligible Securities therefor, which term shall include FICASH I Transactions, FICASH II Transactions, FICASH III Transactions, FITERM I Transactions, FITERM II Transactions, FITERM III Transactions, and such other transaction categories as may from time to time be designated by the Funds by notice to Seller, Custodian and Repo Custodian.

  • Provider contract means any contract between a provider and a carrier (or a carrier's network,

  • Category B means that the base prospectus shall include all the general principles related to the information required, and only the details which are unknown at the time of the approval of the base prospectus can be left in blank for later insertion in the final terms;

  • Category 2 Training: This category includes services related to training state employees to understand and apply Agile concepts and tools.

  • Provider fee means the consideration paid for a service contract.

  • Category A means the relevant information which shall be included in the base prospectus. This information cannot be left in blank for later insertion in the final terms;

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

  • Provider Group means a medical group, independent

  • Highest Rating Category means, with respect to a Permitted Investment, that the Permitted Investment is rated by S&P or Moody’s in the highest rating category given by that rating agency for that general category of security. By way of example, the Highest Rating Category for tax exempt municipal debt established by S&P is “A 1+” for debt with a term of one year or less and “AAA” for a term greater than one year, with corresponding ratings by Moody’s of “MIG 1” (for fixed rate) or “VMIG 1” (for variable rate) for three months or less and “Aaa” for greater than three months. If at any time (i) both S&P and Moody’s rate a Permitted Investment and (ii) one of those ratings is below the Highest Rating Category, then such Permitted Investment will, nevertheless, be deemed to be rated in the Highest Rating Category if the lower rating is no more than one rating category below the highest rating category of that rating agency. For example, a Permitted Investment rated “AAA” by S&P and “Aa3” by Moody’s is rated in the Highest Rating Category. If, however, the lower rating is more than one full rating category below the Highest Rating Category of that Rating Agency, then the Permitted Investment will be deemed to be rated below the Highest Rating Category. For example, a Permitted Investment rated “AAA” by S&P and “A1” by Moody’s is not rated in the Highest Rating Category.

  • Special Category Data means any personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person's sex life or sexual orientation.

  • Price Category means the price category and associated eligibility criteria referred to in Schedule 7 that determine the Price(s) that apply to an ICP;

  • Category means a category set forth in the table in Section IV of Schedule 2 to this Agreement.

  • Provider Organization means a group practice, facility, or organization that is:

  • Obligation Category means Payment, Borrowed Money, Bond, Loan, or Bond or Loan, only one of which shall be specified in the Standard, and:

  • Local Service Provider (LSP means the LEC that provides retail local Exchange Service to an End User. The LSP may or may not provide any physical network components to support the provision of that End User’s service.

  • Non-Administrator Dialysis Facility means a Dialysis Facility which does not have an agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan but has been certified in accordance with the guidelines established by Medicare.

  • Category 4 Data is data that is confidential and requires special handling due to statutes or regulations that require especially strict protection of the data and from which especially serious consequences may arise in the event of any compromise of such data. Data classified as Category 4 includes but is not limited to data protected by: the Health Insurance Portability and Accountability Act (HIPAA), Pub. L. 104-191 as amended by the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH), 45 CFR Parts 160 and 164; the Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. §1232g; 34 CFR Part 99; Internal Revenue Service Publication 1075 (xxxxx://xxx.xxx.xxx/pub/irs-pdf/p1075.pdf); Substance Abuse and Mental Health Services Administration regulations on Confidentiality of Alcohol and Drug Abuse Patient Records, 42 CFR Part 2; and/or Criminal Justice Information Services, 28 CFR Part 20.

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