Common Contracts

OHIO MEDICAL ASSISTANCE PROVIDER AGREEMENT FOR MANAGED CARE PLAN

Provider Agreement • June 17th, 2014 • Ohio

• Contract Type
  Provider Agreement
• Filed
  June 17th, 2014
• Jurisdiction
  Ohio

This Provider Agreement (herein “Provider Agreement” or “Agreement”) is entered into this first day of July, 2014, at Columbus, Franklin County, Ohio, between the State of Ohio, The Ohio Department of Medicaid, (hereinafter referred to as ODM) whose principal offices are located in the City of Columbus, County of Franklin, State of Ohio, and , Managed Care Plan (hereinafter referred to as MCP), an Ohio corporation, whose principal office is located in the city of , County of , State of Ohio.