Special Certification. The individual or officer signing this Agreement certifies by his or her signature that he or she is authorized to sign this Agreement on behalf of the responsible governing board, official, or contractor. PROVIDER further acknowledges that they have reviewed MSHN's MSHN-SUDSP MANUAL. By: Its: Chief Executive Officer Printed Name:_Xxxxxx Xxxxxxx Date: By: Its: Printed Name:_ Date: 1) Annual Plan Guidelines: PROVIDER will comply with the requirements of the Annual Plan Guidelines communicated to PROVIDER by MSHN. Annual Plan can be found on MSHN website. 2) MSHN-SUDSP MANUAL: PROVIDER will comply with all requirements and procedures contained within the MSHN-SUDSP Manual, which is incorporated into this agreement by reference and made a part hereof.
Appears in 3 contracts
Samples: Recovery Contractual Agreement, Substance Use Disorder Recovery Contractual Agreement, Substance Use Disorder Recovery Contractual Agreement
Special Certification. The individual or officer signing this Agreement certifies by his or her signature that he or she is authorized to sign this Agreement on behalf of the responsible governing board, official, or contractor. PROVIDER further acknowledges that they have haveit has reviewed and agrees to MSHN's MSHN-SUDSP MANUAL.MSHN-SUDSP MANUAL. By: Its: Chief Executive Officer Printed Name:_Xxxxxx Name:_: Xxxxxx Xxxxxxx Date: By: Its: Printed Name:_ : Date:
1) 1)1. Annual Plan Guidelines: PROVIDER will comply with the requirements of the Annual Plan Guidelines communicated to PROVIDER by MSHN. The Annual Plan can be found on MSHN MSHNMSHN website.
2) MSHN-SUDSP MANUAL: PROVIDER will comply with all requirements and procedures contained within the MSHN-SUDSP Manual, which is incorporated into this agreement by reference and made a part hereof.
Appears in 1 contract
Samples: Substance Use Disorder Recovery Contractual Agreement
Special Certification. The individual or officer signing this Agreement certifies by his or her signature that he or she is authorized to sign this Agreement on behalf of the responsible governing board, official, or contractor. PROVIDER further acknowledges that they have reviewed MSHN's MSHN-SUDSP MANUAL. By: Its: Chief Executive Officer Printed Name:_Xxxxxx Xxxxxxx Date: By: Its: Printed Name:_ Date:
1) Annual Plan Guidelines: PROVIDER will comply with the requirements of the Annual Plan Guidelines communicated to PROVIDER by MSHN. Annual Plan can be found on MSHN website.
2) MSHN-SUDSP MANUAL: PROVIDER will comply with all requirements and procedures contained within the MSHN-SUDSP Manual, which is incorporated into this agreement by reference and made a part hereof.
3) Screening
Appears in 1 contract
Samples: Recovery Contractual Agreement