Common use of PROVIDER REQUIREMENTS Clause in Contracts

PROVIDER REQUIREMENTS. The State Program, through contractual requirements and federal and State statutes and regulations, requires the Agreement to contain certain conditions that United and Provider agree to undertake, which include the following: 3.1 Definitions Related to the Provision of Covered Services. Provider shall follow the applicable State Contract’s requirements for the provision of Covered Services. Provider’s decisions affecting the delivery of acute or chronic care services to Covered Persons shall be made on an individualized basis and in accordance with the following definitions:

Appears in 11 contracts

Sources: Provider Agreement, Provider Agreement, Provider Agreement

PROVIDER REQUIREMENTS. The State Program, through contractual requirements and federal and State statutes and regulations, requires the Agreement to contain certain conditions that United Health Plan, Subcontractor and Provider agree to undertake, which include the following: 3.1 Definitions Related to the Provision of Covered Services. Provider shall follow the applicable State Contract’s requirements for the provision of Covered Services. Provider’s decisions affecting the delivery of acute or chronic care services to Covered Persons shall be made on an individualized basis and in accordance with the following definitions:

Appears in 9 contracts

Sources: Group Participating Provider Agreement, Provider Agreement, Ohio State Program Regulatory Requirements Appendix

PROVIDER REQUIREMENTS. The State Program, through contractual requirements and federal and State statutes and regulations, requires the Agreement to contain certain conditions that United Subcontractor, Health Plan and Provider agree to undertake, which include the following: 3.1 Definitions Related to the Provision of Covered Services. Provider shall follow the applicable State Contract’s requirements for the provision of Covered Services. Provider’s decisions affecting the delivery of acute or chronic care services to Covered Persons shall be made on an individualized basis and in accordance with the following definitions:

Appears in 5 contracts

Sources: Florida LTC Medicaid Program Regulatory Requirements Appendix, Iowa State Programs Regulatory Requirements Appendix, Florida LTC Medicaid Program Regulatory Requirements Appendix

PROVIDER REQUIREMENTS. The State ProgramPrograms, through contractual requirements and federal and State statutes and regulations, requires the Agreement to contain certain conditions that United Carrier and Provider agree to undertake, which include the following: 3.1 Definitions Related to the Provision of Covered Services. Provider shall follow the applicable State Contract’s requirements for the provision of Covered Services. Provider’s decisions affecting the delivery of acute or chronic care services to Covered Persons shall be made on an individualized basis and in accordance with the following definitions:

Appears in 2 contracts

Sources: Washington State Programs Regulatory Requirements Appendix, Washington State Programs Regulatory Requirements Appendix

PROVIDER REQUIREMENTS. The State ProgramPrograms, through contractual requirements and federal and State statutes and regulations, requires require the Agreement to contain certain conditions that United and Provider agree to undertake, which include the followingare as follows: 3.1 3.1. Definitions Related to the Provision of Covered Services. Provider shall follow the applicable State Contract’s requirements provisions for the provision coverage of Covered Services. Provider’s decisions affecting the delivery of acute or chronic care services to Covered Persons Customers shall be made on an individualized basis and in accordance with the following definitions:

Appears in 1 contract

Sources: Provider Agreement

PROVIDER REQUIREMENTS. The State Program, through contractual requirements and federal and State statutes and regulations, requires the Agreement to contain certain conditions that United and Provider agree to undertake, which include the following: 3.1 Definitions Related to the Provision of Covered Services. Provider shall follow the applicable State Contract’s requirements for the provision of Covered Services. Provider’s decisions affecting the delivery of acute or chronic care services to Covered Persons Members shall be made on an individualized basis and in accordance with the following definitions:

Appears in 1 contract

Sources: Florida Medicaid Program Regulatory Requirements Appendix

PROVIDER REQUIREMENTS. The State Program, through contractual requirements and federal and State statutes and regulations, requires the Agreement to contain certain conditions that United Health Plan and/or Subcontractor and Provider agree to undertake, which include the following: 3.1 Definitions Related to the Provision of Covered Services. Provider shall follow the applicable State Contract’s requirements for the provision of Covered Services. Provider’s decisions affecting the delivery of acute or chronic care services to Covered Persons shall be made on an individualized basis and in accordance with the following definitions:

Appears in 1 contract

Sources: Maryland Medicaid Regulatory Requirements Appendix

PROVIDER REQUIREMENTS. The State Program, through contractual requirements and federal and State statutes and regulations, requires the Agreement to contain certain conditions that United and Provider agree to undertake, which include the following: 3.1 Definitions Related to the Provision of Covered Services. Provider shall follow the applicable State Contract’s requirements for the provision of Covered Services. Provider’s decisions affecting the delivery of acute or chronic care services to Covered Persons shall be made on an individualized basis and in accordance with the following definitions:

Appears in 1 contract

Sources: Rhode Island Medicaid Program Regulatory Requirements Appendix