DEPARTMENT OF HEALTH AND HUMAN SERVICES AGREEMENT FOR SPECIAL SERVICES – AMENDMENTAgreement for Special Services • January 21st, 2015
Contract Type FiledJanuary 21st, 2015BY AGREEMENT of both parties this day of , 2016, the Agreement for Special Services between the State of Maine, Department of Health and Human Services, hereinafter called “Department”, and , hereinafter called “Provider”, is hereby amended is hereby amended to reflect the fact that Original Provider Name has been purchased by New Provider Name, hereinafter called “Provider”, located at . Provider hereby accepts responsibility for delivery of the services described in the original Agreement, under the same terms and conditions outlined therein.