- (1) "Provider" means an individual or entity approved by the Department to provide services to Medicaid members, and has signed a provider agreement with the Department.
- (2) "Revalidation" means the mandatory process of screening enrolled providers of medical services, other items, and suppliers, as required by Section 6401 of the Patient Protection and Affordable Care Act.
- (3) "PRISM" means Provider Reimbursement Information System for Medicaid.
- (4) "CFR" means Code of Federal Regulations.
KEY: Medicaid
Date of Last Change: November 10, 2023
Notice of Continuation: September 16, 2024
Authorizing, and Implemented or Interpreted Law: 26B-1-213; 26B-3-108