Provider

Provider means:
(1) An individual or entity that furnishes or arranges for the furnishing of items or services for which payment is claimed under Medicaid, including an individual or entity in a managed care network;
(2) An individual or entity that is required to enroll in a State Medicaid program, such as an ordering, prescribing, or referring physician; or
(3) Any individual or entity that may operate as a health care provider under applicable State law.

Source

42 CFR § 1007.1

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Scoping language

As used in this part, unless otherwise indicated by the context:

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