ContractMedicaid Supplemental Payment Program Support Agreement • September 13th, 2017
Contract Type FiledSeptember 13th, 2017This Medicaid Supplemental Payment Program Support Agreement (“Agreement”) is entered into on the dates indicated below each signature and effective on the last of those dates (“Effective Date”) by and between the Arkansas Ambulance Association (“ArAA”) and the undersigned person or entity (“Participant”), individually and on behalf of one or more EMS providers as hereinafter provided (“Participating Providers”).
ContractMedicaid Supplemental Payment Program Support Agreement • September 13th, 2017
Contract Type FiledSeptember 13th, 2017This Medicaid Supplemental Payment Program Support Agreement (“Agreement”) is entered into on the dates indicated below each signature and effective on the last of those dates (“Effective Date”) by and between the Arkansas Ambulance Association (“ArAA”) and the undersigned person or entity (“Participant”), individually and on behalf of one or more EMS providers as hereinafter provided (“Participating Providers”).