Common Contracts

5 similar Provider Agreement contracts

Contract
Provider Agreement • October 11th, 2022 • New Mexico

This Provider Agreement is entered into by and between the DEPARTMENT OF HEALTH, hereinafter referred to as the "DEPARTMENT", and Name of Provider, hereinafter referred to as the "PROVIDER".

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Contract
Provider Agreement • July 26th, 2022 • New Mexico

This Provider Agreement is entered into by and between the DEPARTMENT OF HEALTH, hereinafter referred to as the "DEPARTMENT", and Name of Provider, hereinafter referred to as the "PROVIDER".

Contract
Provider Agreement • March 23rd, 2020 • New Mexico

This Provider Agreement is entered into by and between the DEPARTMENT OF HEALTH, hereinafter referred to as the "DEPARTMENT", and PROVIDER NAME, hereinafter referred to as the "PROVIDER".

TERM OF PROVIDER AGREEMENT
Provider Agreement • November 7th, 2014 • New Mexico

This Provider Agreement serves as a binding agreement between the DEPARTMENT and the PROVIDER to serve persons eligible for Medicaid reimbursed services through the Mi Via program as specified in the PROVIDER’S Service Summary Report Attachment A, The term of this Provider Agreement is effective

TERM OF PROVIDER AGREEMENT
Provider Agreement • January 17th, 2013 • New Mexico

This Provider Agreement serves as a binding agreement between the DEPARTMENT and the PROVIDER to serve persons eligible for Medicaid reimbursed services through the Medically Fragile (MF) and/or Developmental Disabilities (DD) Medicaid Waiver programs as specified in the PROVIDER’S Service

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