OHIO DEPARTMENT OF MEDICAIDProvider Enrollment Agreement • January 18th, 2022
Contract Type FiledJanuary 18th, 2022This provider agreement is a contract between the Ohio Department of Medicaid (the Department) and the undersigned provider of medical assistance services in which the Provider agrees to comply with the terms of this provider agreement, Ohio statutes, Ohio Administrative Code rules, and Federal statutes and rules, and agrees and certifies to: