qualified provider

(2) the term “qualified provider” means any provider that— (A) is eligible for payments under a State plan approved under this subchapter, (B) provides services of the type described in subparagraph (A) or (B) of section 1396d(a)(2) of this title or in section 1396d(a)(9) of this title , (C) is determined by the State agency to be capable of making determinations of the type described in paragraph (1)(A), and (D) (i) receives funds under— (I) section 254b or 254c of this title , (II) subchapter V of this chapter, or (III) title V of the Indian Health Care Improvement Act [ 25 U.S.C. 1651 et seq.]; (ii) participates in a program established under— (I) section 1786 of this title , or (II) section 4(a) of the Agriculture and Consumer Protection Act of 1973; (iii) participates in a State perinatal program; or (iv) is the Indian Health Service or is a health program or facility operated by a tribe or tribal organization under the Indian Self-Determination Act ( Public Law 93–638 ) [ 25 U.S.C. 5321 et seq.].


42 USC § 1396r-1(b)(2)

Scoping language

For purposes of this section
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