PENNSYLVANIA EHEALTH PARTNERSHIP PROGRAM UNIFORM PARTICIPANT AGREEMENT v.4bUniform Participant Agreement • January 12th, 2023 • Pennsylvania
Contract Type FiledJanuary 12th, 2023 Jurisdiction, (the “Effective Date”) is by and between the Commonwealth of Pennsylvania (“Commonwealth”), through the Department of Human Services (“Department” or “DHS”), and , a located in , with a principal place of business at (“Certified Participant” or “CP”), and all other CP signatories to individual copies of this Agreement, each executed by it and the Department. All Agreement signatories are referred to together as the “Parties.”
PENNSYLVANIA EHEALTH PARTNERSHIP PROGRAM UNIFORM PARTICIPANT AGREEMENT v.4Uniform Participant Agreement • October 23rd, 2018 • Pennsylvania
Contract Type FiledOctober 23rd, 2018 Jurisdiction___ _ _ __, _ _ __ _ (the “Effective Date”) is by and between the Commonwealth of Pennsylvania (“Commonwealth”), through the Department of Human Services (“Department” or “DHS”), and __ _ _ ___, a __ __ _ _ _ located in , with a principal
PENNSYLVANIA EHEALTH PARTNERSHIP PROGRAM UNIFORM PARTICIPANT AGREEMENT v.4Uniform Participant Agreement • October 23rd, 2018 • Pennsylvania
Contract Type FiledOctober 23rd, 2018 Jurisdiction___ _ _ __, _ _ __ _ (the “Effective Date”) is by and between the Commonwealth of Pennsylvania (“Commonwealth”), through the Department of Human Services (“Department” or “DHS”), and __ _ _ ___, a __ __ _ _ _ located in , with a principal