Active enrollment. By signing this Agreement, the Provider agrees Provider is available and able to provide services to one or more Recipients who are eligible for publicly-funded in-home services in Oregon. This Agreement will be inactivated if services are not authorized or paid during a twelve-month period. Following inactivation, the Provider may reapply for enrollment as a PSW if Provider wants to provide services to DHS Recipients.
Appears in 8 contracts
Samples: Provider Enrollment Application and Agreement, Provider Enrollment Application and Agreement, Provider Enrollment Application and Agreement
Active enrollment. By signing this Agreement, the Provider agrees Provider is available and able to provide services to one or more Recipients who are eligible for publicly-funded in-home services in Oregon. This Agreement will may be inactivated if services are not authorized or paid during a twelve-month period. Following inactivation, the Provider may reapply for enrollment as a PSW if Provider wants to provide services to DHS Recipients.
Appears in 6 contracts
Samples: Provider Enrollment Application and Agreement, Provider Enrollment Application and Agreement, Provider Enrollment Application and Agreement