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
Form 470-3956, MR/CMI/DD Case Management Service Authorization Request, for services authorized before May 1, 2007.
Provider will review Service Authorization Forms received from waiver case management agencies and will return a signed copy to the case management agency.
Pharmacy providers must put the Number 4 in the Service Authorization Exception field and submit the claim directly to the eMedNY contractor via paper.
No payment will be made for services not documented on the Plan of Care and the Service Authorization Form.
Any legal nonlicensed (LNL) provider with an open Service Authorization for a child who is not related to them must have an annual monitoring visit.
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. The Health Plan’s approval for services to be rendered. The process of authorization must at least include a Health Plan Enrollee’s or a Provider’s request for the provision of a service.