Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If United delegates credentialing to Provider, United will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with United’s and the State Contract’s credentialing requirements.
Appears in 20 contracts
Sources: Arizona Long Term Care Program Regulatory Requirements Appendix, Arizona Medicaid Developmentally Disabled Program Regulatory Requirements Appendix, Provider Agreement
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR C.F.R. § 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If United delegates credentialing to Provider, United will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with United’s and the applicable State Contract’s credentialing requirementsrequirements if United delegates credentialing to Provider.
Appears in 2 contracts
Sources: Pennsylvania Government Programs Regulatory Requirements Appendix, Provider Agreement
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providersProviders, credentialing and recredentialing requirements and nondiscrimination. If United delegates credentialing to Provider, United will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with United’s the National Committee for Quality Assurance (NCQA) delegated credentialing requirements and the State Contract’s credentialing requirementsany comparable requirements defined by HHSC.
Appears in 2 contracts
Sources: Provider Agreement, Provider Agreement
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If United delegates credentialing to Provider, United will provide monitoring and oversight and Provider shall ensure that providers, including Long-Term Services and Supports providers and all licensed medical professionals are credentialed in accordance with United’s and the State ContractCRA’s credentialing requirements.
Appears in 2 contracts
Sources: Provider Agreement, Provider Agreement
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, C.F.R. § 438.214 which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If United delegates credentialing to Provider, United will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with United’s and the State Contract’s credentialing requirements.
Appears in 1 contract
Sources: Provider Agreement
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR C.F.R. § 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If United delegates credentialing to Provider, United will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with United’s and the State Contract’s credentialing requirements.
Appears in 1 contract
Provider Selection. To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If United delegates credentialing to Provider, United will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with United’s and the State Contract’s credentialing requirements.and
Appears in 1 contract
Sources: Provider Agreement